Emergency visit, moderate (level 3) at Ascension Seton Edgar B. Davis (Ascension Seton). CPT 99283.
What Ascension Seton Edgar B. Davis (Ascension Seton) publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$500cash price (self-pay)
$1,390list price
$14.47–$1,980range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Dell Star | 4230_chirp Dell Star (Chi,Dcn) Outpatient 20241201 | $14.47 |
| BCBS Star | 3693_chirp Blue Cross Star (Chi,Dcn) Inpatient 20240901 | $20.38 |
| Dell Star | 3704_chirp Dell Star (Chi,Dcn) Inpatient 20240901 | $20.38 |
| UHC Star | 3737_chirp UHC Star (Chi,Dcn) Inpatient 20240901 | $20.38 |
| BCBS Chip/Chip Perinate | 3594_blue Cross Chip/Star Kids (Chi,Dcn) Inp | $51.36 |
| BCBS Chip/Chip Perinate | 3596_blue Cross Chip/Star Kids (Ebd) Inpatie | $51.36 |
| BCBS Chip/Chip Perinate | 4168_blue Cross Chip (Chi,Dcn) Outpatient 20 | $51.36 |
| BCBS Chip/Chip Perinate | 4168_blue Cross Chip/Star Kids (Chi,Dcn) Out | $51.36 |
| BCBS Chip/Chip Perinate | 4170_blue Cross Chip (Ebd) Outpatient 202412 | $51.36 |
| BCBS Chip/Chip Perinate | 4170_blue Cross Chip/Star Kids (Ebd) Outpati | $51.36 |
| BCBS Star | 3695_chirp Blue Cross Star (Ebd) Inpatient 20240901 | $51.36 |
| BCBS Star Kids | 5003_blue Cross Star Kids (Chi,Dcn) Outpatient 202412 | $51.36 |
| BCBS Star Kids | 5007_blue Cross Star Kids (Ebd) Outpatient 20241201 | $51.36 |
| Dell Chip/Chip Perinate | 3607_dell Chip/Star Kids (Ebd) Inpatient 202 | $51.36 |
| Dell Chip/Chip Perinate | 4181_dell Chip/Star Kids (Ebd) Outpatient 20 | $51.36 |
| Superior Ambetter | 3879_superior Ambetter (Chi,Dcn) Inpatient 2024090 | $77.47 |
| Superior Ambetter | 3880_superior Ambetter (Chi,Dcn) Outpatient 202409 | $77.47 |
| Superior Star | 3509_chirp Superior Star (Chi,Dcn) Inpatient 20240901 | $79.37 |
| Superior Star Plus | 4375_chirp Superior Star Plus (Chi,Dcn) Inpatient | $79.37 |
| BCBS Star | 4221_chirp Blue Cross Star (Ebd) Outpatient 20241201 | $90.37 |
| Dell Star | 3706_chirp Dell Star (Ebd) Inpatient 20240901 | $90.37 |
| Dell Star | 4232_chirp Dell Star (Ebd) Outpatient 20241201 | $90.37 |
| UHC Star | 3739_chirp UHC Star (Ebd) Inpatient 20240901 | $90.37 |
| Superior Star | 3511_chirp Superior Star (Ebd) Inpatient 20240901 | $200 |
| Superior Star Plus | 4377_chirp Superior Star Plus (Ebd) Inpatient 202 | $200 |
| Seton Performance Plus | 785_seton Performance EPO PPO (Aus,Nw,Sw,Hay) | $570 |
| Seton Performance Plus | 788_seton Performance EPO PPO (Wil,Del,Brk,Ba | $570 |
| Cigna HMO | 4475_cigna HMO (Aus,Nw,Sw,Hay) 20250701 | $626 |
| Cigna HMO | 4476_cigna HMO (Wil,Del) 20250701 | $626 |
| Whole Foods | 4512_whole Foods 20251001 | $684 |
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All common services at Ascension Seton Edgar B. Davis (Ascension Seton)