Emergency visit, moderate (level 3) at St. Luke's Health Memorial San Augustine. CPT 99283.

What St. Luke's Health Memorial San Augustine publishes for this service, straight from its standard-charges file, last updated February 28, 2026.

Outpatient / ER

$40.95cash price (self-pay)

$344list price

$49.14–$2,128range insurers pay

Insurance plan	Negotiated rate
United \| Commercial\|Exchange	$61.93
United \| Commercial\|All Other Plans	$79.13
Aetna \| Commercial\|All Plans	$86.01
SUPERIOR \| Medicaid\|All Other Plans	$172
SUPERIOR \| Medicaid\|STARPLUS	$172
TCHP \| Medicaid\|All Plans	$172
UNITED \| Medicaid\|All Other Plans	$172
UNITED \| Medicaid\|STAR	$172
Wellpoint \| Medicaid\|All Other Plans	$172
CIGNA HEALTHSPRING \| Medicaid\|STARPLUS	$175
Wellpoint \| Medicaid\|STARPLUS	$177
BCBS \| Medicaid\|All Plans	$181
PHCS \| Commercial\|All Plans	$234
Humana \| Commercial\|All Plans	$241
Multiplan \| Commercial\|All Plans	$241
AETNA \| Medicare\|All Plans	$252
HUMANA \| Medicare\|All Plans	$252
Wellpoint \| Medicare\|All Plans	$259
CIGNA HEALTHSPRING \| Medicare\|All Other Plans	$264
CIGNA HEALTHSPRING \| Medicare\|PPO	$267
SUPERIOR \| Medicaid\|STAR	$270
Wellpoint \| Medicaid\|STAR	$270
BCBS \| Medicare\|All Plans	$275
UNITED \| Medicare\|All Plans	$275
SCANHealth \| Medicare\|All Plans	$280
UNITED \| Medicaid\|STARPLUS	$308
Galaxy \| Commercial\|All Plans	$310
UNITED \| Medicaid\|CHIP	$310
UNITED \| Medicaid\|STARKIDS	$310
MD Save \| Commercial\|All Plans	$314

$40.95cash price (self-pay)

$344list price

$68.25–$2,046range insurers pay

Insurance plan	Negotiated rate
Aetna \| Commercial\|All Plans	$86.01
Humana \| Commercial\|All Plans	$241
Multiplan \| Commercial\|All Plans	$241
PHCS \| Commercial\|All Plans	$275
Galaxy \| Commercial\|All Plans	$310
United \| Commercial\|Exchange	$344

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