Emergency visit, moderate (level 3) at Baylor Scott & White Medical Center - Grapevine. CPT 99283.
What Baylor Scott & White Medical Center - Grapevine publishes for this service, straight from its standard-charges file, last updated June 29, 2026.
Outpatient / ER
$770cash price (self-pay)
$1,283list price
$193–$2,691range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Superior Health Plan | Medicaid | $193 |
| Aetna | Medicaid | $196 |
| United Healthcare | Medicaid/CHIP | $206 |
| Baylor Scott & White Health Plan | Medicare Advantage | $261 |
| CORVEL | Worker's Compensation | $266 |
| Aetna | Medicare Advantage | $275 |
| Humana | Medicare | $275 |
| TriWest | Community Care Network | $275 |
| American Health Plan | Medicare Advantage | $288 |
| Blue Cross Blue Shield | Medicare Advantage | $288 |
| HealthSpring | Medicare Advantage | $288 |
| ProCare Advantage | Medicare Advantage | $288 |
| Superior Health Plan | Medicare | $288 |
| United Healthcare | Medicare Advantage | $308 |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $330 |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $345 |
| Prime Health Services | Worker's Compensation | $346 |
| Sedgwick | Preferred Network | $411 |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $453 |
| Superior Ambetter | Ambetter Exchange | $591 |
| Employers Health Network | BSWQA Direct/EHN Rental | $603 |
| QuikTrip | Employee Benefit Plan | $706 |
| Employers Health Network | EHN Network | $706 |
| Blue Cross Blue Shield | Blue Advantage | $728 |
| Curative | Commercial | $834 |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premi | $868 |
| First Health | PPO | $898 |
| Humana | Commercial PPO | $898 |
| HealthSmart | Accel Network | $963 |
| HealthSmart | Preferred Network | $963 |
Inpatient
$770cash price (self-pay)
$1,283list price
$706–$898range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| QuikTrip | Employee Benefit Plan | $706 |
| Curative | Commercial | $834 |
| First Health | PPO | $898 |
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All common services at Baylor Scott & White Medical Center - Grapevine