Emergency visit, moderate (level 3) at Aspirus Divine Savior Hospital. CPT 99283.
What Aspirus Divine Savior Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$259cash price (self-pay)
$399list price
$32.35–$1,989range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem Blue Cross Blue Shield Wisconsin | Anthem Wisconsin Medicaid Pl | $33.00 |
| Group Health Cooperative Of Eau Claire | Group Health Wisconsin Medica | $33.00 |
| Dean Health Plan | Dean Health Plan Wisconsin Medicaid Plans | $52.91 |
| Aspirus Health Plan, Inc. | Aspirus Health Plan Medicare Advantage | $53.57 |
| Anthem Blue Cross Blue Shield Wisconsin | Anthem Mediblue Dual Hmo Snp | $54.95 |
| Quartz Health Solutions, Inc. | Quartz Medicare Advantage Plans | $54.95 |
| Security Health Plan Of Wisconsin, Inc. | Security Health Plan Wiscons | $55.72 |
| Anthem Blue Cross Blue Shield Wisconsin | Anthem Mediblue Plus Hmo | $56.05 |
| Anthem Blue Cross Blue Shield Wisconsin | Anthem Medicare Advantage Pl | $63.01 |
| Dean Health Plan | Dean Health Plan Medicare Advantage | $63.01 |
| Humana | Humana Medicare Ppo/Pos/Hmo Network Plans | $63.01 |
| Forest County Potowatomi | Forest County Potowatomi Self-Funded Ppo Pl | $64.30 |
| Managed Health Services Insurance Corp. | Managed Health Wisconsin Med | $66.17 |
| Dean Health Plan | Dean Health Plan Commercial Ppo | $119 |
| Multiplan, Inc | Multiplan Ppo Network Plans | $124 |
| Dean Health Plan | Dean Health Plan Commercial Pos | $136 |
| Dean Health Plan | Dean Health Plan Commercial Hmo | $137 |
| Dean Health Plan | Dean Health Plan Commercial Aso Hmo | $139 |
| Multiplan, Inc | Aetna Health Plan Ppo Networks | $158 |
| First Health Group Corp | First Health National Rental Ppo Network | $161 |
| Anthem Blue Cross Blue Shield Wisconsin | Anthem Mediblue Access Ppo | $167 |
| Aspirus Health Plan, Inc. | Aspirus Health Plan Hmo/Pos | $177 |
| Quartz Health Solutions, Inc. | Quartz Fully Insured And Self Insured | $200 |
| Group Health Cooperative Of South Central Wisconsin | Group Health Coo | $231 |
| Group Health Cooperative Of South Central Wisconsin | Group Health Wis | $231 |
| Multiplan, Inc | Health Eos Ppos Network Plans | $238 |
| Anthem Blue Cross Blue Shield Wisconsin | Anthem Blue Preferred Pos | $247 |
| Anthem Blue Cross Blue Shield Wisconsin | Anthem Blue Traditional Netw | $247 |
| Anthem Blue Cross Blue Shield Wisconsin | Anthem Federal Employee Prog | $247 |
| Aetna | Medicare Advantage Esa | $308 |
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