Emergency visit, moderate (level 3) at Saint Alphonsus Medical Center-Ontario. CPT 99283.
What Saint Alphonsus Medical Center-Ontario publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$168cash price (self-pay)
$1,288list price
$49.16–$1,249range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Maryland Healthy Smiles - Scion Dental | Medicaid | $386 |
| Rx Meridian Rx | Medicaid | $386 |
| Medicaid - Nc | Medicaid | $386 |
| Illinicare Health Medicaid Advantage | Medicaid | $386 |
| Medicaid - Nm | Medicaid | $386 |
| Commonwealth Care Alliance Medicaid | Medicaid | $386 |
| Covid19 Hrsa Uninsured Testing And Treatment Fund | Medicaid | $386 |
| Medicaid - NY | Medicaid | $386 |
| Ucare Medicaid | Medicaid | $386 |
| Massachusetts Behavioral Health Partnership | Medicaid | $386 |
| Bcccp-Michigan | Medicaid | $386 |
| Fallon Health Medicaid Advantage | Medicaid | $386 |
| Medicaid - Oh | Medicaid | $386 |
| Idaho Womens Health Check | Medicaid | $386 |
| Medicaid - Ok | Medicaid | $386 |
| Indiana Breast Cervical Cancer | Medicaid | $386 |
| Rx 340b Pass Along | Medicaid | $386 |
| Health Safety Net | Medicaid | $386 |
| Community Care Behavorial Health | Medicaid | $386 |
| Independent Care Medicaid | Medicaid | $386 |
| Parkland Community Health Plan | Medicaid | $386 |
| Childrens Medical Services Title 19 | Medicaid | $386 |
| Delta Dental Nj | Medicaid | $386 |
| Wellsense Health Plan | Medicaid | $386 |
| Freedom First Healthcare | Medicaid | $386 |
| Childrens Medical Center Health Plan Managed Medicaid | Medicaid | $386 |
| Medicaid - Pa | Medicaid | $386 |
| Community Care Plan Medicaid Advantage | Medicaid | $386 |
| Magellan Behavioral Health Medicaid | Medicaid | $386 |
| Medicaid - Ri | Medicaid | $386 |
Inpatient
$158cash price (self-pay)
$158list price
$44.30–$153range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Green Mountain Medicaid Advantage | Medicaid | $54.81 |
| Blue Cross - De (Highmark) Medicaid Advantage | Medicaid | $54.81 |
| Simply Healthcare Medicaid | Medicaid | $54.81 |
| Delta Dental Nj | Medicaid | $54.81 |
| Freedom First Healthcare | Medicaid | $54.81 |
| Wellsense Health Plan | Medicaid | $54.81 |
| Parkland Community Health Plan | Medicaid | $54.81 |
| Independent Care Medicaid | Medicaid | $54.81 |
| Carelon Health Medicaid | Medicaid | $54.81 |
| Blue Cross - NY (Excellus) Medicaid Advantage | Medicaid | $54.81 |
| Chhuny | Medicaid | $54.81 |
| Keystone First Chc Medicaid | Medicaid | $54.81 |
| Maryland Physicians Care | Medicaid | $54.81 |
| Texas Children'S Health Plan | Medicaid | $54.81 |
| Tufts Health Public Plans | Medicaid | $54.81 |
| Community Health Choice | Medicaid | $54.81 |
| Sandhills Center Lme | Medicaid | $54.81 |
| Emblem Health Medicaid | Medicaid | $54.81 |
| Fidelis Care Medicaid Advantage | Medicaid | $54.81 |
| Healthfirst Medicaid Advantage | Medicaid | $54.81 |
| Presbyterian Centennial Care | Medicaid | $54.81 |
| Priority Partners | Medicaid | $54.81 |
| Childrens Medical Services Title 19 | Medicaid | $54.81 |
| Childrens Medical Center Health Plan Managed Medicaid | Medicaid | $54.81 |
| Superior Health | Medicaid | $54.81 |
| Caresource Medicaid | Medicaid | $54.81 |
| Sunshine State Health Plan | Medicaid | $54.81 |
| Molina Centennial Care | Medicaid | $54.81 |
| Prestige Health Choice | Medicaid | $54.81 |
| Blue Cross - Nm Medicaid Advantage | Medicaid | $54.81 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.
All common services at Saint Alphonsus Medical Center-Ontario