Emergency visit, moderate (level 3) at Nacogdoches Memorial Hospital. CPT 99283.
What Nacogdoches Memorial Hospital publishes for this service, straight from its standard-charges file.
Outpatient / ER
$40.00cash price (self-pay)
$760list price
$74.00–$1,386range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Humana | Medicare Advantage | $273 |
| WellMed | Medicare Advantage | $273 |
| HealthSpring | Medicare Advantage | $287 |
| Molina | Medicare Advantange | $287 |
| Blue Cross Blue Shield of Texas | PPO | $418 |
| Blue Cross Blue Shield of Texas | Commercial | $418 |
| Galaxy | PPO | $494 |
| Aetna | Commercial | $608 |
| Blue Cross Blue Shield of Texas | HMO | $608 |
| HealthSmart | Commercial | $608 |
| Phcs | PPO | $608 |
| HIET Benefit Plan | HIET | $760 |
| USA Health Network | Commercial | $1,109 |
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