Emergency visit, moderate (level 3) at Ascension Seton Smithville (Ascension Seton). CPT 99283.
What Ascension Seton Smithville (Ascension Seton) publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$92.52cash price (self-pay)
$932list price
$11.12–$2,032range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Dell Star | 4230_chirp Dell Star (Chi,Dcn) Outpatient 20241201 | $14.47 |
| UHC Star | 4253_chirp UHC Star (Chi,Dcn) Outpatient 20241201 | $14.47 |
| UHC Star Kids | 4311_uhc Star Kids (Chi,Dcn) Outpatient 20241201 | $18.47 |
| 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 |
| UHC Star Kids | 4322_uhc Star Kids (Chi,Dcn) Inpatient 20240901 | $20.38 |
| UHC Star Plus | 3748_chirp UHC Star Plus (Chi,Dcn) Inpatient 20240901 | $20.38 |
| BCBS Star | 4225_chirp Blue Cross Star (Smv) Outpatient 20241201 | $24.00 |
| Dell Star | 4236_chirp Dell Star (Smv) Outpatient 20241201 | $24.00 |
| UHC Star | 4259_chirp UHC Star (Smv) Outpatient 20241201 | $24.00 |
| BCBS Star | 3699_chirp Blue Cross Star (Smv) Inpatient 20240901 | $25.30 |
| Dell Star | 3710_chirp Dell Star (Smv) Inpatient 20240901 | $25.30 |
| UHC Star | 3743_chirp UHC Star (Smv) Inpatient 20240901 | $25.30 |
| UHC Star Kids | 4328_uhc Star Kids (Smv) Inpatient 20240901 | $25.30 |
| UHC Star Plus | 3754_chirp UHC Star Plus (Smv) Inpatient 20240901 | $25.30 |
| UHC Star Plus | 4264_chirp UHC Star Plus (Chi,Dcn) Outpatient 20241201 | $42.80 |
| BCBS Chip/Chip Perinate | 3594_blue Cross Chip/Star Kids (Chi,Dcn) Inp | $51.36 |
| BCBS Chip/Chip Perinate | 3600_blue Cross Chip/Star Kids (Smv) 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 | 4174_blue Cross Chip (Smv) Outpatient 202412 | $51.36 |
| BCBS Chip/Chip Perinate | 4174_blue Cross Chip/Star Kids (Smv) Outpati | $51.36 |
| BCBS Star Kids | 5003_blue Cross Star Kids (Chi,Dcn) Outpatient 202412 | $51.36 |
| BCBS Star Kids | 5015_blue Cross Star Kids (Smv) Outpatient 20241201 | $51.36 |
| Dell Chip/Chip Perinate | 3611_dell Chip/Star Kids (Smv) Inpatient 202 | $51.36 |
| Dell Chip/Chip Perinate | 4185_dell Chip/Star Kids (Smv) Outpatient 20 | $51.36 |
| UHC Star Kids | 4317_uhc Star Kids (Smv) Outpatient 20241201 | $51.36 |
| Superior Ambetter | 3879_superior Ambetter (Chi,Dcn) Inpatient 2024090 | $77.47 |
| Superior Ambetter | 3880_superior Ambetter (Chi,Dcn) Outpatient 202409 | $77.47 |
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All common services at Ascension Seton Smithville (Ascension Seton)