Emergency visit, moderate (level 3) at WTH Bolivar Hospital. CPT 99283.
What WTH Bolivar Hospital publishes for this service, straight from its standard-charges file, last updated June 2, 2026.
Outpatient / ER
$444cash price (self-pay)
$1,480list price
$287–$1,462range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| River Valley Plan | TennCare | $287 |
| Veterans Affairs | Community Care Network | $355 |
| Blue Cross Blue Shield of Tennessee | BlueCare | $366 |
| Blue Cross Blue Shield of Tennessee | BlueChoice HMO | $366 |
| Cigna-HealthSpring | Medicare Advantage | $369 |
| Celtic Insurance Company | Commercial-Exchange | $432 |
| Aetna | AWH/Vanderbilt Health Affiliated Network (VHAN)/VHAN - Employe | $748 |
| Blue Cross Blue Shield of Tennessee | Network S/E | $870 |
| Blue Cross Blue Shield of Tennessee | Network P | $945 |
| Aetna | Commercial | $1,021 |
| United Healthcare | All Payer | $1,165 |
| Oscar | HMO/Medicare Advantage/PPO/EPO/POS | $1,462 |
Inpatient
$444cash price (self-pay)
$1,480list price
$1,021–$1,021range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Commercial | $1,021 |
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