Emergency visit, moderate (level 3) at Jefferson Memorial Hospital. CPT 99283.
What Jefferson Memorial Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$373cash price (self-pay)
$1,685list price
$64.71–$1,685range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Veterans Eval Services | Veterans Eval Services | $64.71 |
| BlueCare | BCBS TN TennCare Select | $74.42 |
| BlueCare | BCBS TN CoverKids | $80.64 |
| BlueCare | BCBS TN BlueCare | $111 |
| NODE Tricare | NODE Tricare | $235 |
| Humana | NODE Humana MCR ADV | $244 |
| NODE Medicare Non Par | NODE Medicare Non Par | $244 |
| NODE Medicare Traditional | NODE Medicare Traditional | $244 |
| Node UHC Mcr Adv | Node UHC Mcr Adv | $244 |
| NODE ChampVA | NODE ChampVA | $248 |
| NODE BlueCare Plus TN MCR ADV | NODE BlueCare Plus TN MCR ADV | $248 |
| NODE Hospice Non Par Agree | NODE Hospice Non Par | $248 |
| NODE United Optum VA CCN | NODE United Optum VA CCN | $248 |
| Node Va | Node Va | $248 |
| NODE Devoted Health MCR ADV | NODE Devoted Health MCR ADV | $249 |
| NODE Farm Bureau MCR ADV | NODE Farm Bureau MCR ADV | $249 |
| NODE Aetna MCR ADV | NODE Aetna MCR ADV | $251 |
| Node BCBS Mcr Adv | Node BCBS Mcr Adv | $251 |
| NODE Healthspring MCR ADV | NODE Healthspring MCR ADV | $251 |
| NODE Amerigroup MCR ADV | NODE Amerigroup MCR ADV | $256 |
| United Healthcare | NODE UHC MCR Dual ADV | $256 |
| NODE Wellcare MCR ADV | NODE Wellcare MCR ADV | $258 |
| Node Nhc Mcr Adv | Node Nhc Mcr Adv | $268 |
| NODE US Dept of Labor | NODE US Dept of Labor | $310 |
| CHS Group Health Plan BCBST | CHS Group Health Plan BCBST | $342 |
| Self Pay | Self Pay | $373 |
| NovaNet Work Comp TN | NovaNet Work Comp TN | $411 |
| Amerigroup | Amerigroup Community Care | $415 |
| Occunet Work Comp TN | Occunet Work Comp TN | $415 |
| NODE Ambetter Health Exchange | NODE Ambetter Health Exchange | $458 |
Inpatient
$373cash price (self-pay)
$1,685list price
$342–$1,685range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| CHS Group Health Plan BCBST | CHS Group Health Plan BCBST | $342 |
| Multiplan Complementary | Multiplan Complementary | $1,331 |
| United Healthcare | UHC APA | $1,685 |
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