Emergency visit, moderate (level 3) at Bellin Memorial Hospital. CPT 99283.
What Bellin Memorial Hospital publishes for this service, straight from its standard-charges file, last updated June 27, 2026.
Outpatient / ER
$408cash price (self-pay)
$882list price
$137–$2,058range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Healthpartners | Select | $137 |
| WPS Insurance | BROAD | $222 |
| AETNA | Medicare | $265 |
| ANTHEM | Managed Medicare | $265 |
| COMMUNITY CARE | Medicare Advantage | $265 |
| HUMANA | Medicare Advantage | $265 |
| ICARE | Managed Medicare | $265 |
| Managed Health Service | Medicare Advantage | $265 |
| My Choice | Medicare Advantage | $265 |
| Network Health | Medicare Advantage | $265 |
| Security Health Plan | Medicare Advantage | $265 |
| Healthpartners | Focus | $270 |
| United Health Care | Medicare Advantage | $272 |
| Healthpartners | Broad | $292 |
| Chorus Community Health Plan | ALL PRODUCTS | $567 |
| Aspirus Arise | ALL PRODUCTS | $591 |
| Cigna Health and Life Insurance Company | ALL PRODUCTS | $616 |
| United Health Care | PPO Options | $617 |
| HPS/Paymedix | Medical Rental Network Tier 1 | $635 |
| Security Health Plan | All Products | $670 |
| Trilogy | MEDICAL RENTAL | $670 |
| HPS/PayMedix | Medical Rental Network Tier 2 | $688 |
| Evernorth | Behavioral Health | $706 |
| HEALTHSMART | Medical Rental Network | $706 |
| IHS(ClaimsBridge) | Medical Rental Network | $706 |
| Medical College of WI | Self-funded employer | $706 |
| Multiplan/Healtheos | All Products | $706 |
| Allied National | Core Value Programs | $750 |
| FIRST HEALTH | Medical Rental Network | $750 |
| Galaxy Health | All Products | $750 |
Inpatient
$408cash price (self-pay)
$882list price
$567–$813range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna Health and Life Insurance Company | ALL PRODUCTS | $623 |
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