Emergency visit, moderate (level 3) at Stephens Memorial Hospital. CPT 99283.
What Stephens Memorial Hospital publishes for this service, straight from its standard-charges file, last updated September 24, 2026.
Outpatient / ER
$162cash price (self-pay)
$253list price
$83.16–$700range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare Medicare Advantage | Medicare Advantage | $90.90 |
| Humana Medicare Advantage | Medicare Advantage | $90.90 |
| Cigna - HMO/PPO/POS | HMO/PPO/POS | $179 |
| Blue Cross HMO | HMO | $202 |
| Aetna - HMO/PPO/POS | HMO/PPO/POS | $202 |
| Blue Cross Traditional | Traditional | $202 |
| Molina Medicaid | HMO | $253 |
| Aetna Better Health Medicaid | HMO | $253 |
| Superior Medicaid | HMO | $253 |
| Firstcare Medicaid | HMO | $253 |
| UHC Medicaid Replacement | HMO | $253 |
| Amerigroup Medicaid | HMO | $253 |
| Blue Advantage HMO | Advantage HMO | $324 |
| Blue Cross PPO/POS | PPO/POS | $657 |
| UHC Contract - HMO/PPO/POS | HMO/PPO/POS | $700 |
Inpatient
$162cash price (self-pay)
$253list price
$164–$659range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna - HMO/PPO/POS | HMO/PPO/POS | $179 |
| Blue Cross PPO/POS | PPO/POS | $202 |
| Blue Cross HMO | HMO | $202 |
| Blue Cross Traditional | Traditional | $202 |
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