Emergency visit, moderate (level 3) at Lewisgale Hospital-montgomery. CPT 99283.
What Lewisgale Hospital-montgomery publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$2,297cash price (self-pay)
$2,297list price
$400–$3,591range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna | NPR | $400 |
| Virginia Health Network | ULTRA | $804 |
| United | OptionsPPO | $889 |
| Cigna | HMO | $956 |
| Cigna | PPO | $956 |
| United | GlobalBenefitPlan | $1,034 |
| Anthem | HIX | $1,173 |
| Sentara Optima Health | HMO | $1,228 |
| Sentara Optima Health | POS | $1,228 |
| Sentara Optima Health | PPO | $1,228 |
| Anthem | HMO | $1,303 |
| Anthem | PPO | $1,303 |
| Greenvbrier Sporting Club | COMM | $1,378 |
| Multiplan | PHCS | $1,539 |
| Virginia Health Network | COMM | $1,631 |
| Virginia Health Network | WC | $1,631 |
| CorVel | WorkersComp | $1,654 |
| Richfield Nursing Center | COMM | $1,723 |
| Richfield Retirement Community | COMM | $1,723 |
| Aetna | SharedSavings | $1,783 |
| Community Care Network | COMM | $1,838 |
| Graham-White Manufacturing | COMM | $1,838 |
| OccuNet Workers Comp | WorkersComp | $1,838 |
| One Health Plan | POS | $1,838 |
| One Health Plan | PPO | $1,838 |
| Phcs | Comm | $1,952 |
| Patients Choice | COMM | $2,021 |
| 4Most | COMM | $2,067 |
| American Postal Workers Union | COMM | $2,067 |
| Star Transportation | COMM | $2,067 |
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