Emergency visit, moderate (level 3) at Memorial Hermann Imaging Center (Upper Kirby). CPT 99283.
What Memorial Hermann Imaging Center (Upper Kirby) publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$824cash price (self-pay)
$2,574list price
$274–$521range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicare Managed Care Plan | $274 |
| Community Health | Medicare Managed Care Plan | $302 |
| Procare Advantage | Medicare Managed Care Plan | $315 |
| Community Health | Premier/Select Exchange | $411 |
| Aetna | Exchange | $425 |
| Community Health | Ultra Exchange | $439 |
| 90 Degrees | All Commercial Plans | $521 |
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All common services at Memorial Hermann Imaging Center (Upper Kirby)