Emergency visit, moderate (level 3) at St. Luke's Health - Brazosport Hospital. CPT 99283.
What St. Luke's Health - Brazosport Hospital publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$846cash price (self-pay)
$2,418list price
$51.36–$3,616range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UNITED | Medicaid|All Other Plans | $51.36 |
| UNITED | Medicaid|STAR | $51.36 |
| UNITED | Medicaid|STARPLUS | $51.36 |
| BCBS | Medicaid|All Plans | $53.93 |
| SUPERIOR | Medicaid|All Plans | $53.93 |
| Wellpoint | Medicaid|All Other Plans | $115 |
| Wellpoint | Medicaid|STAR | $115 |
| TCHP | Medicaid|All Other Plans | $145 |
| TCHP | Medicaid|STAR | $145 |
| BCBS | Medicare|All Plans | $277 |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $277 |
| HUMANA | Medicare|All Plans | $277 |
| KELSEY | Medicare|All Plans | $277 |
| UNITED | Medicare|All Plans | $277 |
| SELECTCARE | Medicare|All Plans | $286 |
| WellcareTP | Medicare|All Plans | $286 |
| Community Health Choice | Commercial|Exchange | $291 |
| Devoted | Medicare|All Plans | $297 |
| SCANHealth | Medicare|All Plans | $297 |
| Aetna | Medicare|All Plans | $363 |
| Bright Health | Commercial|All Plans | $387 |
| Ambetter | Commercial|All Plans | $402 |
| Wellpoint | Commercial|Exchange | $416 |
| Aetna | Commercial|Exchange | $427 |
| United | Commercial|Exchange | $430 |
| BCBS-TX | Commercial|Blue Options | $434 |
| BCBS-TX | Commercial|Traditional | $482 |
| BCBS-TX | Commercial|PPO-POS | $527 |
| BCBS-TX | Commercial|HMO | $558 |
| Humana | Commercial|All Plans | $586 |
Inpatient
$846cash price (self-pay)
$2,418list price
$1,209–$1,209range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health First | Commercial|All Plans | $1,209 |
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All common services at St. Luke's Health - Brazosport Hospital