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Emergency visit, moderate (level 3) at Pelham Medical Center. CPT 99283.

What Pelham Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.

Outpatient / ER

$778cash price (self-pay)
$1,297list price
$260–$1,082range insurers pay
Insurance planNegotiated rate
Humana | Medicare Managed Care Plan$260
Bcbs | Medicare Managed Care Plan$262
Devoted Health Plan | Medicare Managed Care Plan$268
Aetna | Medicare Managed Care Plan$271
Absolute Total Care | Medicare Managed Care Plan$273
Cigna | Healthspring Medicare Managed Care Plan$279
Bcbs | State Health Plan Other Commercial Plan$441
Bcbs | Blue Preferred Exchange$817
Bcbs | Bluechoice Exchange$817
Bcbs | Blue Preferred Ppo$1,082
Bcbs | Bluechoice Hmo$1,082
Bcbs | Innovations Other Commercial Plan$1,082
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All common services at Pelham Medical Center