Emergency visit, moderate (level 3) at Johnston Memorial Hospital. CPT 99283.
What Johnston Memorial Hospital publishes for this service, straight from its standard-charges file, last updated March 23, 2026.
Outpatient / ER
$205cash price (self-pay)
$1,365list price
$51.00–$1,365range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare | Tenncare United Healthcare | $51.00 |
| Amerigroup | Amerigroup | $60.00 |
| Blue Cross | Tenncare Blue Care | $86.00 |
| Blue Cross | Tenncare Blue Select | $86.00 |
| Aetna | Aetna Healthcare Medicare | $266 |
| Allcare Medicare | Allcare Medicare | $266 |
| Blue Cross | Blue Cross Medicare | $266 |
| Humana | Humana Medicare | $266 |
| Managed Medicaire | Managed Medicaire | $266 |
| Mountain Empire Pace | Mountain Empire Pace | $266 |
| Sentara Health | Sentara Medicare | $266 |
| United Healthcare | United Healthcare Medicare | $266 |
| United Mine Workers Of America | United Mine Workers Of America | $266 |
| Aetna | Aetna Better Health Of Virginia Medicare | $274 |
| Blue Cross | Anthem Medicare Virginia | $274 |
| Amerigroup | Amerigroup Medicare Wellpoint | $277 |
| Molina Healthcare | Molina Healthcare Medicare | $277 |
| Cigna Healthcare | Cigna Medicare | $280 |
| Devoted Health Plan | Devoted Health Plan Medicare | $280 |
| Nhc Advantage | Nhc Advantage | $280 |
| Wellcare | Wellcare Medicare | $282 |
| Blue Cross | Blue Cross Ballad Health Employee | $371 |
| Sentara Health | Sentara Health | $458 |
| Medcost | Medcost Vhn | $478 |
| Cigna Healthcare | Cigna HMO | $540 |
| Cigna Healthcare | Cigna Open Access Plus | $540 |
| Ambetter | Ambetter | $581 |
| Cigna Healthcare | Cigna PPO | $602 |
| Cigna Healthcare | Cigna Individual Family Plan | $624 |
| Aetna | Aetna | $871 |
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