Emergency visit, moderate (level 3) at Ascension Seton Northwest (Ascension Seton). CPT 99283.
What Ascension Seton Northwest (Ascension Seton) publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$522cash price (self-pay)
$2,032list price
$11.12–$2,032range 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 Star | 4223_chirp Blue Cross Star (Nw) Outpatient 20241201 | $24.00 |
| Dell Star | 4234_chirp Dell Star (Nw) Outpatient 20241201 | $24.00 |
| BCBS Star | 3697_chirp Blue Cross Star (Nw) Inpatient 20240901 | $25.30 |
| Dell Star | 3708_chirp Dell Star (Nw) Inpatient 20240901 | $25.30 |
| UHC Star | 3741_chirp UHC Star (Nw) Inpatient 20240901 | $25.30 |
| BCBS Chip/Chip Perinate | 3594_blue Cross Chip/Star Kids (Chi,Dcn) Inp | $51.36 |
| BCBS Chip/Chip Perinate | 3598_blue Cross Chip/Star Kids (Nw) Inpatien | $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 | 4172_blue Cross Chip (Nw) Outpatient 2024120 | $51.36 |
| BCBS Chip/Chip Perinate | 4172_blue Cross Chip/Star Kids (Nw) Outpatie | $51.36 |
| BCBS Star Kids | 5003_blue Cross Star Kids (Chi,Dcn) Outpatient 202412 | $51.36 |
| BCBS Star Kids | 5011_blue Cross Star Kids (Nw) Outpatient 20241201 | $51.36 |
| Dell Chip/Chip Perinate | 3609_dell Chip/Star Kids (Nw) Inpatient 2024 | $51.36 |
| Dell Chip/Chip Perinate | 4183_dell Chip/Star Kids (Nw) Outpatient 202 | $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 |
| Superior Star | 3513_chirp Superior Star (Nw) Inpatient 20240901 | $98.52 |
| Superior Star Plus | 4379_chirp Superior Star Plus (Nw) Inpatient 2024 | $98.52 |
| Whole Foods | 4512_whole Foods 20251001 | $684 |
| Oscar Health Exchange | 4511_oscar Health Plan 20251001 | $831 |
| Seton Performance Plus | 785_seton Performance EPO PPO (Aus,Nw,Sw,Hay) | $833 |
| Seton Performance Plus | 788_seton Performance EPO PPO (Wil,Del,Brk,Ba | $833 |
| Humana HMO | 2668_humana HMO 20230701 | $867 |
Inpatient
—cash price (self-pay)
—list price
$263–$483range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aarp Mc Wellmed | 4656_medicare Advantage Aarp Wellmed Inpatient (Aus, | $263 |
| Sendero Chap | 4651_sendero Chap Inpatient 20251001 | $266 |
| Addr Cancer Together | 4681_addr Cancer Together Inpatient 20251001 | $268 |
| Aetna Mcr Replacement | 4659_medicare Advantage Aetna Inpatient 202510 | $268 |
| Ascension Complete Medicare Replacement | 4682_medicare Advantage Asce | $268 |
| Covid Hrsa | 4693_covid Hrsa Unin Q80 Inpatient 20251001 | $268 |
| Cshcn Cidc | 4694_cshcn Cidc Ip (Adult) 20251001 | $268 |
| Devoted Health Mcr Replacement | 4684_medicare Advantage Devoted Healt | $268 |
| Humana Mcr Replacement | 4661_medicare Advantage Humana Inpatient (Aus | $268 |
| Medicare Oon | 4666_medicare Advantage Inpatient Oon 20251001 | $268 |
| Medicare Replacement | 4665_medicare Advantage Inpatient 100% 20251001 | $268 |
| Research Study | 4650_research Study Ip 20251001 | $268 |
| Smarthealth | 4680_smarthealth Ip 20251001 | $268 |
| Superior Allwell | 4686_medicare Advantage Superior Allwell Inpatient | $268 |
| Tricare | 4696_tricare Inpatient 20251001 | $268 |
| Wellcare Med Advantage | 4691_medicare Advantage Wellcare Inpatient 20 | $268 |
| Welmed Medicare | 4669_medicare Advantage Welmed Inpatient (Aus,Nw,Sw, | $268 |
| UHC Mcr Replacement | 4687_medicare Advantage United Healthcare Inpati | $274 |
| Connected Senior Care | 4660_medicare Advantage Connected Senior Care | $276 |
| Pphp Mcr Advantage | 4668_medicare Advantage Pphp Inpatient 20251001 | $282 |
| TX Independence Hp | 4671_tx Independence Hp Ip 20251001 | $282 |
| Occunet | 4674_occunet Ip 20251001 | $376 |
| Sendero Idealcare | 4675_sendero Idealcare Ip 20251001 | $470 |
| Superior Ambetter | 4652_superior Ambetter Inpatient 20251001 | $483 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.
All common services at Ascension Seton Northwest (Ascension Seton)