Emergency visit, moderate (level 3) at Grace Surgical Hospital. CPT 99283.
What Grace Surgical Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$725cash price (self-pay)
$1,725list price
$266–$1,164range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Bcbs | Vapc3 Government | $266 |
| Aetna | Medicare Managed Care Plan | $274 |
| Superior | Wellcare Medicare Managed Care Plan | $288 |
| Unitedhealthcare | Medicare Managed Care Plan | $289 |
| Aetna | Preferred Other Commercial Plan | $292 |
| Baylor Scott And White | Individual Bsw Premier Exchange | $317 |
| Baylor Scott And White | Group Bsw Premier/Covenant Preferred All Comm | $384 |
| Baylor Scott And White | Group Bsw Plus All Commercial Plans | $535 |
| Bcbs | Hmo | $762 |
| Bcbs | Par Traditional | $887 |
| Bcbs | Ers Hmo | $1,097 |
| Bcbs | Ppo | $1,164 |
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