Emergency visit, moderate (level 3) at Peninsula Behavioral Health. CPT 99283.
What Peninsula Behavioral Health publishes for this service, straight from its standard-charges file, last updated August 5, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$77.51–$983range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Commercial | $77.51 |
| Optum | VA CCN | $248 |
| Tricare | Humana Military | $248 |
| Humana | DSNP | $255 |
| Humana | Medicare Advantage | $255 |
| American Health Plan | ISNP | $260 |
| Blue Cross of TN | BlueEssential DSNP | $260 |
| Blue Cross of TN | BlueEssential HMO | $260 |
| Blue Cross of TN | Med Adv Diamond | $260 |
| Blue Cross of TN | Med Adv PPO | $260 |
| Blue Cross of TN | Med Adv Ruby | $260 |
| Blue Cross of TN | Med Adv Sapphire | $260 |
| Cigna | Medicare HMO-POS | $260 |
| Cigna | Medicare PPO | $260 |
| Devoted Health | HMO | $260 |
| Devoted Health | PPO | $260 |
| NHC Advantage | ISNP | $260 |
| Wellcare | Medicare Advantage | $260 |
| Ambetter | Exchange | $983 |
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