Emergency visit, moderate (level 3) at Ascension Seton Williamson (Ascension Seton). CPT 99283.
What Ascension Seton Williamson (Ascension Seton) publishes for this service, straight from its standard-charges file, last updated June 17, 2024.
Outpatient / ER
$465cash price (self-pay)
$1,714list price
$20.38–$1,980range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerigroup Star | 2295_chirp Amerigroup Star (Chi,Dcn) 20220901 | $20.38 |
| BCBS Star | 2296_chirp Blue Cross Star (Chi,Dcn) 20220901 | $20.38 |
| Dell Star | 2297_chirp Dell Star (Chi,Dcn) 20220901 | $20.38 |
| Amerigroup Star | 2327_chirp Amerigroup Star (Wil) 20220901 | $37.97 |
| BCBS Star | 2328_chirp Blue Cross Star (Wil) 20220901 | $37.97 |
| Dell Star | 2329_chirp Dell Star (Wil) 20220901 | $37.97 |
| Amerigroup Chip | 2352_amerigroup Chip/Star Kids (Wil) 20220901 | $51.36 |
| BCBS Chip | 2362_blue Cross Chip/Star Kids (Wil) 20220901 | $51.36 |
| Dell Chip | 2373_dell Chip/Star Kids (Wil) 20220901 | $51.36 |
| Amerigroup Chip | 2344_amerigroup Chip/Star Kids (Chi,Dcn) 20220901 | $51.36 |
| BCBS Chip | 2354_blue Cross Chip/Star Kids (Chi,Dcn) 20220901 | $51.36 |
| Dell Chip | 2365_dell Chip/Star Kids (Chi,Dcn) 20220901 | $51.36 |
| Champva | 1135_champva Rest_tx 20180301 | $61.50 |
| Champva | 1136_champva Austin 20180301 | $62.13 |
| Superior Ambetter | 2498_superior Ambetter (Chi,Dcn) 20220901 | $64.41 |
| Superior Star | 2298_chirp Superior Star (Chi,Dcn) 20220901 | $79.37 |
| Superior Star | 2330_chirp Superior Star (Wil) 20220901 | $95.69 |
| Tricare | 1229_tricare Cah Outpatient 20170101 | $189 |
| Tricare | 475_tricare Outpatient 20161001 | $189 |
| BCBS Bav Exchange | 2564_blue Cross Blue Shield Bav Exchange 20230101 | $332 |
| Humana Exchange | 415_humana Exchange (Chi,Dcn) 20160101 | $342 |
| Humana HMO Cust | 206_humana HMO Custom 20140201 | $359 |
| Humana Exchange | 387_humana Exchange 20160101 | $366 |
| Whole Foods | 2411_whole Foods 20221001 | $684 |
| BCBS HMO Essentials | 2562_blue Cross Blue Shield HMO Essentials 20230 | $760 |
| Employers Health Network | 2409_employers Health Network 20221001 | $806 |
| Oscar Health Exchange | 2497_oscar Health Plan 20230101 | $807 |
| Humana HMO | 2668_humana HMO 20230701 | $867 |
| Aetna HMO Exchange | 1377_aetna HMO Exchange 20200101 | $902 |
| Aetna | 235_aetna POS 20140601 | $1,009 |
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All common services at Ascension Seton Williamson (Ascension Seton)