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Emergency visit, moderate (level 3) at Hca Houston Clear Lake. CPT 99283.

What Hca Houston Clear Lake publishes for this service, straight from its standard-charges file, last updated September 1, 2026.

Outpatient / ER

$2,772cash price (self-pay)
$2,772list price
$50.33–$4,027range insurers pay
Insurance planNegotiated rate
Aetna Better Health | MGMCD$77.04
Texas Childrens Health Plans | CHIP$128
Texas Childrens Health Plans | STAR$128
Texas Childrens Health Plans | STARKIDS$128
Molina Healthcare | CHIP$200
Molina Healthcare | STAR$200
Molina Healthcare | STARKIDS$200
Molina Healthcare | STARPLUS$200
Amerigroup | MGMCD$363
United | OptionsPPO$488
Texas Workforce Commission | WCOMP$665
BCBS | MyBlueHealth$764
Imagine Health | PPO$814
Humana | HMO$918
Humana | PPO$918
Kelsey Care (Boon-Chapman) | COMM$943
BCBS | Traditional$970
BCBS | Bav$1,064
Christus (USFHP) | TRICARE$1,109
HealthSmart Preferred Care | ACCEL$1,192
United | GlobalAppendix$1,247
Curative Administrators | COMM$1,359
Coventry National First Health | COMM$1,436
Averde Health | Commercial$1,500
BCBS | HMO$1,519
Physicians Cooperative of Texas | WC$1,525
Rockport Workers Comp | COMM$1,525
Evry Health | BroadNetwork$1,528
BCBS | Eposoa$1,561
Independent Medical System | COMM$1,663
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All common services at Hca Houston Clear Lake