Emergency visit, moderate (level 3) at St. Mary Medical Center. CPT 99283.
What St. Mary Medical Center publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$148cash price (self-pay)
$148list price
$35.00–$1,636range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Highmark Wholecare Medicaid | Gateway Health Medicaid | $35.00 |
| Upmc Medicaid Advantage | Upmc Health Plan Medicaid | $52.50 |
| Allwell Pa Health & Wellness Medicaid Advantage | Pa Health And Wellne | $52.50 |
| Blue Cross - Pa (Independence) Medicare Advantage | Independence Blue | $294 |
| Cigna Medicare Advantage | Cigna Healthspring Medicare Advantage | $297 |
| Aetna Medicaid | Aetna Better Health Medicaid | $300 |
| Devoted Health Medicare Advantage | Devoted Health Medicare Advantage | $302 |
| Keystone First Chc Medicare Advantage | Keystone First Medicare Advant | $303 |
| Aetna Medicare Advantage | Aetna Medicare Advantage | $311 |
| Jefferson Health Plans Medicare | Health Partners Medicare Advantage | $312 |
| Health Partners Medicare Advantage | Health Partners Medicare Advantag | $312 |
| Jefferson Health Plans Medicaid | Health Partners Medicaid | $320 |
| Keystone First | Keystone Medicaid | $326 |
| Keystone First Chc Medicaid | Keystone Medicaid | $326 |
| United Healthcare Medicaid | UHC Community Plan Medicaid | $337 |
| Upmc Medicare Advantage | Upmc Health Plan Medicare Advantage | $338 |
| Highmark Wholecare Medicare Advantage | Highmark Wholecare Medicare Ad | $338 |
| Coventry Medicare Advantage | Coventry Advantra Medicare Advantage | $353 |
| Health America Advantra | Health America Medicare Advantage | $353 |
| Prime Healthcare | Prime Healthcare | $530 |
| Oscar Medicare Advantage | Oscar Medicare Advantage | $530 |
| Jefferson Health Plan Commercial | Jefferson Health Plan | $536 |
| Homestead Health Plans Woods Center | Homestead Health Plan Medicare A | $574 |
| Reedman Toll | Reedman Toll Management Group | $662 |
| Cigna | Cigna | $670 |
| Upmc Health Plan | Cigna | $670 |
| Prime Health Services | Prime Health Services | $741 |
| Blue Cross - Mi | Independence Blue Cross HMO/PPO | $746 |
| Blue Cross - IL Alternate | Independence Blue Cross HMO/PPO | $746 |
| Blue Cross - IL | Independence Blue Cross HMO/PPO | $746 |
Inpatient
$250cash price (self-pay)
$250list price
$44.94–$250range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross - Nm Medicaid Advantage | Medicaid | $56.65 |
| Sunshine State Health Plan | Medicaid | $56.65 |
| Molina Centennial Care | Medicaid | $56.65 |
| Mercycare Medicaid | Medicaid | $56.65 |
| Security Health Medicaid | Medicaid | $56.65 |
| Amerihealth Caritas Medicaid | Medicaid | $56.65 |
| Blue Cross - Tn Medicaid Advantage | Medicaid | $56.65 |
| Caresource Medicaid | Medicaid | $56.65 |
| Buckeye Health Plan Medicaid Advantage | Medicaid | $56.65 |
| Nebraska Total Care | Medicaid | $56.65 |
| Magellan Behavioral Health Medicaid | Medicaid | $56.65 |
| Community Care Plan Medicaid Advantage | Medicaid | $56.65 |
| Fallon Health Medicaid Advantage | Medicaid | $56.65 |
| Id County Other | Medicaid | $56.65 |
| Paramount Medicaid Advantage | Medicaid | $56.65 |
| Total Health Care Medicaid | Medicaid | $56.65 |
| Rx Allwin | Medicare | $70.67 |
| Molina Medicare Advantage | Medicare | $70.67 |
| Pace Cny | Medicare | $70.67 |
| Pace Southeast | Medicare | $70.67 |
| Blue Cross - Or (Regence) Medicare Advantage | Medicare | $70.67 |
| Carefirst Medicare Advantage | Medicare | $70.67 |
| Wc Sedgwick | Workers Comp | $81.48 |
| Wc Zurich | Workers Comp | $81.48 |
| Wc Berkley Admin | Workers Comp | $81.48 |
| Wc Rural Mutual | Workers Comp | $81.48 |
| Wc Pma | Workers Comp | $81.48 |
| Wc Fcci | Workers Comp | $81.48 |
| Wc Johns Eastern | Workers Comp | $81.48 |
| Wc Enablecomp | Workers Comp | $81.48 |
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