Emergency visit, moderate (level 3) at Roxborough Memorial Hospital. CPT 99283.
What Roxborough Memorial Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$279cash price (self-pay)
$1,352list price
$56.65–$1,312range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Traditional Medicaid | Traditional Medicaid | $56.65 |
| UHC | UHC Medicaid | $64.01 |
| Humana Military Tricare | Humana Military Tricare | $223 |
| Health Partners Plan | Health Partners Plan Medicare | $279 |
| Independence Blue Cross | IBC Medicare | $279 |
| PA Health & Wellness | PA Health & Wellness Medicare & Duals | $279 |
| Traditional Medicare | Traditional Medicare | $279 |
| Tricare | Tricare | $279 |
| UHC | UHC Medicare | $279 |
| UHC | UHC Va Ccn | $279 |
| Providers Partner Health Plan | Provider Partners Health Plan | $287 |
| Keystone | Keystone First Medicare | $290 |
| Ally-Align Medicare | Ally-Align Medicare | $293 |
| Spartan | Spartan Plan | $293 |
| Auto Insurance | Auto Insurance | $307 |
| Worker Compensation | Worker Compensation | $315 |
| Health Partners Plan | Health Partners Plan Medicaid | $334 |
| PA Health & Wellness | PA Health & Wellness Commercial Insurance Excha | $335 |
| PA Health & Wellness | PA Health & Wellness Medicaid | $380 |
| Keystone | Keystone First Medicaid | $387 |
| Employer Direct Healthcare | Employer Direct Healthcare | $391 |
| Health Partners Plan | Health Partners Plan Exchange | $419 |
| Naphcare | Naphcare | $433 |
| UHC | UHC Exchange | $439 |
| UHC | UHC Commercial All Payer | $583 |
| Highmark | Highmark Commercial (02-01-2024 to 12-31-2026) | $608 |
| Cigna | Cigna Commercial (05-01-2023 to 12-31-2026) | $660 |
| Independence Blue Cross | IBC PPACA | $666 |
| Independence Blue Cross | IBC Commercial HMO PPO | $886 |
| Independence Blue Cross | IBC Indemnity | $886 |
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