Emergency visit, moderate (level 3) at Dell Children's Medical Center (Ascension Seton). CPT 99283.
What Dell Children's Medical Center (Ascension Seton) publishes for this service, straight from its standard-charges file, last updated June 17, 2024.
Outpatient / ER
—cash price (self-pay)
—list 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 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 |
| 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 |
| 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 |
| Aetna Choice | 236_aetna Elect Choice 20140601 | $1,009 |
| BCBS PPO | 2560_blue Cross Blue Shield PPO 20230101 | $1,013 |
| Aetna Sha Aisd | 2694_aetna Sha Aisd 20230701 | $1,020 |
| Aetna Aco HMO | 2692_aetna Aco HMO 20230701 | $1,046 |
| UHC Standard Nexus Aco | 2576_united Healthcare Standard Nexus Aco (Au | $1,147 |
| Aetna Multi-Tier Whole Health Sha | 2693_aetna Multi-Tier Whole Health | $1,148 |
| Aetna HMO | 2691_aetna HMO 20230701 | $1,263 |
| UHC | 2573_united Healthcare (Aus,Hay,Nw,Sw, Bas) 20230101 | $1,374 |
| Humana PPO | 2673_humana PPO 20230701 | $1,980 |
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All common services at Dell Children's Medical Center (Ascension Seton)