Emergency visit, moderate (level 3) at Brattleboro Memorial Hospital. CPT 99283.
What Brattleboro Memorial Hospital publishes for this service, straight from its standard-charges file, last updated December 29, 2025.
Outpatient / ER
$126cash price (self-pay)
$237list price
$57.55–$1,050range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerihealth-Caritas | Managed Medicaid | $57.55 |
| New Hampshire Healthy Families | Managed Medicaid | $57.55 |
| Wellsense | Managed Medicaid | $57.55 |
| Anthem | Individual Pathway Exchange | $65.68 |
| Anthem | Medicare Advantage | $65.68 |
| Cigna | Medicare Advantage | $65.68 |
| Harvard Pilgrim Health Care | Medicare Advantage | $65.68 |
| Martin's Point | Medicare Advantage | $65.68 |
| MVP Healthcare | Medicare Advantage | $65.68 |
| New Hampshire Healthy Families (WellCare) | Medicare Advantage | $68.96 |
| Wellsense | Medicare Advantage | $70.28 |
| Harvard Pilgrim Health Care | Commercial | $78.56 |
| Harvard Pilgrim Health Care | Elevate Health | $78.56 |
| Harvard Pilgrim Health Care | Exchange | $78.56 |
| Anthem | Commercial | $85.89 |
| Blue Cross Blue Shield of Vermont | Commercial | $87.26 |
| Vermont Health Plan | All Plans | $87.26 |
| Blue Cross Blue Shield of Vermont | Medicare Advantage | $89.01 |
| Anthem | Group Pathway Exchange | $91.95 |
| Tufts Health Plan | All Commercial Plans | $109 |
| Tufts Health Plan | Managed Medicaid | $109 |
| Tufts Health Plan | Medicare Advantage | $109 |
| Aetna | All Plans | $230 |
| Coventry | All Plans | $230 |
| United Healthcare | Medicare Advantage | $266 |
| Humana | Medicare Advantage | $266 |
| MultiPlan | All Plans | $319 |
| MVP Healthcare | Commercial | $319 |
| Cigna | Commercial | $1,028 |
| United Healthcare | Commercial | $1,028 |
Inpatient
$758cash price (self-pay)
$1,082list price
$630–$1,050range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Harvard Pilgrim Health Care | Exchange | $630 |
| Harvard Pilgrim Health Care | Elevate Health | $823 |
| Tufts Health Plan | Managed Medicaid | $832 |
| Harvard Pilgrim Health Care | Commercial | $942 |
| Tufts Health Plan | Medicare Advantage | $943 |
| Vermont Health Plan | All Plans | $969 |
| Blue Cross Blue Shield of Vermont | Commercial | $974 |
| MVP Healthcare | Commercial | $974 |
| Tufts Health Plan | All Commercial Plans | $984 |
| Cigna | Commercial | $1,028 |
| United Healthcare | Commercial | $1,028 |
| Aetna | All Plans | $1,050 |
| Coventry | All Plans | $1,050 |
| Health New England | All Plans | $1,050 |
| MultiPlan | All Plans | $1,050 |
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