Emergency visit, moderate (level 3) at Ascension Saint Thomas Hickman. CPT 99283.
What Ascension Saint Thomas Hickman publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$56.40–$2,453range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | 3161_rptn Aetna 20250701 | $56.40 |
| Aetna | 3162_rhtn Aetna 20250701 | $56.40 |
| Aetna | 3164_thtn Aetna 20250701 | $59.88 |
| Amerigroup Mcr Replacement | 2958_rptn Rhtn Thtn Sdtn Medicare Advanta | $326 |
| Amerigroup Mcr Replacement | 2959_sttn Mttn Medicare Advantage Amerigr | $326 |
| BCBS Missionpoint | 2422_blue Cross Blue Shield Missionpoint Regional | $679 |
| BCBS Network E | 3149_blue Cross Blue Shield Network E Regional 202504 | $697 |
| BCBS Network L | 3150_blue Cross Blue Shield Network L Regional 202504 | $758 |
| BCBS Select | 3182_blue Cross Blue Shield Select Regional 20250701 | $799 |
| BCBS Aca Exchange | 3147_sttn Blue Cross Blue Shield Network E 2024123 | $856 |
| BCBS Preferred | 3181_blue Cross Blue Shield Preferred Regional 202507 | $926 |
| BCBS Aca Exchange | 3146_mttn Blue Cross Blue Shield Network E 2024123 | $1,013 |
| Aetna (Rutherford Only) | 3160_mttn Aetna 20250701 | $1,243 |
| Aetna | 3159_sttn Aetna 20250701 | $1,269 |
| Cigna Localplus | 3187_sttn Cigna Localplus 20250601 | $1,592 |
| UHC Compass/Exchange | 3166_uhc Sttn Exchange 20250715 | $1,630 |
| UHC Compass/Exchange | 3165_mttn UHC Exchange 20250715 | $1,694 |
| UHC Compass/Exchange | 3170_thtn UHC Compass 20250715 | $1,756 |
| UHC Compass/Exchange | 3167_rptn UHC Exchange 20250715 | $1,756 |
| UHC Compass/Exchange | 3168_rhtn UHC Exchange 20250715 | $1,756 |
| UHC Compass/Exchange | 3169_sdtn UHC Compass 20250715 | $1,756 |
| UHC | 3176_uhc (Sttn) 20250715 | $2,166 |
| UHC | 3171_mttn UHC 20250715 | $2,166 |
| UHC | 3172_rptn UHC 20250715 | $2,453 |
| UHC | 3173_rhtn UHC 20250715 | $2,453 |
| UHC | 3174_sdtn UHC 20250715 | $2,453 |
| UHC | 3175_thtn UHC 20250715 | $2,453 |
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