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Emergency visit, moderate (level 3) at St. David's Georgetown. CPT 99283.

What St. David's Georgetown publishes for this service, straight from its standard-charges file, last updated September 1, 2026.

Outpatient / ER

$2,253cash price (self-pay)
$2,253list price
$47.31–$2,476range insurers pay
Insurance planNegotiated rate
Molina Healthcare | CHIP$200
Molina Healthcare | MCDSTAR$200
Molina Healthcare | STAR+PLUS$200
Molina Healthcare | STARKIDS$200
Humana | HMO$626
Humana | PPO$626
IMO Med - Select Network | WC$676
BCBS | Traditional$719
Healthcare Highways | EPO$812
Healthcare Highways | PPO$828
BCBS | MyBlueHealth$896
MODA Health | EPO$1,020
BCBS | BlueAdvantage$1,029
MODA Health | PPO$1,041
Moda | Hix$1,048
Covenant Management Systems | HMO$1,118
Comanche County | LOCALGOV$1,127
Vista 360 | COMM$1,175
United | NarrowNetworkHIX$1,227
HealthSmart Preferred Care | Accel$1,239
Independent Medical Systems | COMM$1,239
Physicians Cooperative of Texas | WC$1,239
Nomi Health | COMMTier1OutofNetwork$1,354
Curative Administrators | COMM$1,359
Nomi Health | COMMTier1$1,425
Nomi Health | Tier2OutofNetwork$1,425
United | SmallGroup$1,441
Evry Health | BroadNetwork$1,448
Coastal Comp Health Networks | WORKERSCOMP$1,464
National Health Care | COMM$1,464
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All common services at St. David's Georgetown