Emergency visit, moderate (level 3) at Intermountain Health Logan Regional Hospital. CPT 99283.
What Intermountain Health Logan Regional Hospital publishes for this service, straight from its standard-charges file, last updated August 5, 2026.
Outpatient / ER
$1,245cash price (self-pay)
$1,660list price
$70.48–$1,593range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicare Adv HMO | $70.48 |
| Aetna | Medicare Adv PPO | $70.48 |
| American Health | Medicare Adv UT HMO I-SNP | $70.48 |
| Health Partners of Nevada | Medicare Advantage | $70.48 |
| Healthy U | Medicaid | $70.48 |
| Humana | Medicare Choice PPO | $70.48 |
| Molina | Medicaid | $70.48 |
| Molina | Medicare Advantage | $70.48 |
| Molina | Medicare Choice Care HMO | $70.48 |
| Molina | Medicare Complete Care HMO SNP | $70.48 |
| Regence BCBS | MedAdvantage PPO | $70.48 |
| SelectHealth | Medicare Advantage | $70.48 |
| Southwest Behavioral Health | Behavioral Health | $70.48 |
| UHC | Medicare Advantage | $70.48 |
| Health Plan of Nevada | Medicaid | $276 |
| SelectHealth | Medicaid | $276 |
| Donor Connect | Other | $441 |
| Intermountain Caregiver Plan | Med Network | $704 |
| Intermountain Caregiver Plan | Share Network | $704 |
| EMI | Commercial | $1,152 |
| Deseret Mutual | All Other | $1,155 |
| Deseret Mutual | Select | $1,155 |
| Campbell Scientific | Commercial | $1,162 |
| Franklin County | Commercial | $1,162 |
| CorVel Corporation | Workers Comp | $1,245 |
| Corporation of the President | Workers Comp | $1,245 |
| AWH Connected | Connected Utah | $1,291 |
| EMI Health | Mint | $1,333 |
| EMI Health | Network Care | $1,333 |
| AG Administrators | USU Athletics | $1,411 |
Inpatient
$1,245cash price (self-pay)
$1,660list price
$34.85–$1,577range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Donor Connect | Other | $34.85 |
| Health Plan of Nevada | Medicaid | $498 |
| Intermountain Caregiver Plan | Med Network | $704 |
| Intermountain Caregiver Plan | Share Network | $704 |
| Campbell Scientific | Commercial | $1,162 |
| Franklin County | Commercial | $1,162 |
| Juniper Systems | Commercial | $1,162 |
| LW Miller | Commercial | $1,162 |
| CorVel Corporation | Workers Comp | $1,245 |
| Corporation of the President | Workers Comp | $1,245 |
| Injury Care of Nevada | Workers Comp | $1,245 |
| AG Administrators | USU Athletics | $1,411 |
| Altius MHNet Behavioral Health | Behavioral Health | $1,411 |
| BYU Athletics | Commercial | $1,411 |
| BYU Risk Management | Workers Comp | $1,411 |
| Cigna | Open Access Flex | $1,411 |
| Global Excel | Commercial | $1,411 |
| MedCare International | Commercial | $1,411 |
| AWH Connected | Connected Utah | $1,416 |
| Deseret Mutual | All Other | $1,416 |
| Deseret Mutual | Select | $1,416 |
| EMI Health | Mint | $1,416 |
| EMI Health | Network Care | $1,416 |
| EMI | Commercial | $1,416 |
| Managed Care Admin | Commercial | $1,416 |
| PEHP | Advantage Non-State | $1,416 |
| PEHP | Advantage State | $1,416 |
| PEHP | Capital Care | $1,416 |
| Aetna | Connected | $1,577 |
| Aetna | Extended | $1,577 |
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All common services at Intermountain Health Logan Regional Hospital