Emergency visit, moderate (level 3) at Medical City Fort Worth Hospital. CPT 99283.
What Medical City Fort Worth Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$3,303cash price (self-pay)
$3,303list price
$51.36–$3,303range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina | CHIP | $200 |
| Molina | MCDSTAR | $200 |
| Molina | STAR+PLUS | $200 |
| Molina | STARKIDS | $200 |
| Cigna Healthspring | MGMCD | $350 |
| Amerigroup | CHIP | $363 |
| Amerigroup | MGMCD | $363 |
| Cigna | IFP | $446 |
| Cigna | QHP | $462 |
| Healthcare Highways | NarrowNetwork | $1,032 |
| Evry Health | COMM | $1,064 |
| Healthcare Highways | CityofPlano | $1,116 |
| BCBS | BlueAdvantageHMO | $1,148 |
| BCBS | MyBlueHealth | $1,148 |
| Curative Administrators | COMM | $1,359 |
| BCBS | Traditional | $1,367 |
| City of McKinney | COMM | $1,486 |
| United | NarrowNetworkIndivExchange | $1,545 |
| BCBS | BlueEssentials | $1,589 |
| BCBS | BlueEssentialsAccess | $1,589 |
| Emerging Therapy Solutions | MGMCR | $1,618 |
| BCBS | Eposoa | $1,666 |
| Aetna | ASA | $1,668 |
| BCBS | PPO | $1,743 |
| Aetna | WCOMP | $1,817 |
| Cigna | LocalPlus | $1,829 |
| Cigna | NewBusiness | $1,831 |
| Aetna Coventry First Health | EXCLUSIVE | $1,893 |
| Aetna Coventry First Health | NONEXCLUSIVE | $1,893 |
| Averde Health, Inc | PPO | $1,916 |
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