Emergency visit, moderate (level 3) at Northwest Texas Healthcare System. CPT 99283.
What Northwest Texas Healthcare System publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
—cash price (self-pay)
$2,304list price
$65.25–$2,094range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Superior | Medicaid | $65.25 |
| Molina | Medicaid | $68.51 |
| First_care_chip | Medicaid | $71.78 |
| Wellpoint_starkids | Medicaid | $179 |
| Amerigroup | Medicaid | $198 |
| Oklahoma | Medicaid | $199 |
| First_care_star | Medicaid | $217 |
| Wellpoint_ Amgrp_star_plus | Medicaid | $233 |
| First_care_star_plus | Medicaid | $256 |
| Superior_star | Medicaid | $275 |
| Superior_star_plus | Medicaid | $275 |
| Superior_starkids | Medicaid | $275 |
| Aetna | Managed_care | $461 |
| Blue_cross_blue_shield_of_tx | Advantage | $896 |
| Blue_cross_blue_shield_of_tx | HMO | $1,043 |
| Blue_cross_blue_shield_of_tx | PPO | $1,253 |
| Blue_cross_blue_shield_of_tx | Managed_care | $1,337 |
| Scott_and_white_healthplan | Managed_care | $1,558 |
| United_healthcare | Managed_care | $1,669 |
| Multiplan | Managed_care | $1,843 |
| Cigna | Managed_care | $2,094 |
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