Emergency visit, moderate (level 3) at Fairfield Hospital District. CPT 99283.
What Fairfield Hospital District publishes for this service, straight from its standard-charges file, last updated April 28, 2026.
Outpatient / ER
$543cash price (self-pay)
$775list price
$80.63–$672range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Community Medicaid | Medicaid | $80.63 |
| BCBS Blue Advantage HMO | HMO | $189 |
| Medicare Advantage Plans | Medicare | $273 |
| Medicare | Medicare | $273 |
| Curative | PPO | $388 |
| 90 Degrees Benefits | PPO | $409 |
| Aetna Commercial | PPO | $500 |
| United Healthcare Commercial | PPO | $521 |
| BCBS Blue Essentials | HMO | $553 |
| BCBS Blue Traditional/PPO/POS | PPO | $672 |
Inpatient
$543cash price (self-pay)
$775list price
$388–$388range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Curative | PPO | $388 |
| BCBS Blue Traditional/PPO/POS | PPO | $388 |
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