Emergency visit, moderate (level 3) at Emplify Health Behavioral Health. CPT 99283.
What Emplify Health Behavioral Health publishes for this service, straight from its standard-charges file, last updated June 27, 2026.
Outpatient / ER
$418cash price (self-pay)
$903list price
$137–$930range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Healthpartners | Select | $137 |
| WPS Insurance | BROAD | $189 |
| AETNA | Medicare | $233 |
| COMMUNITY CARE | Medicare Advantage | $233 |
| HUMANA | Medicare Advantage | $233 |
| ICARE | Managed Medicare | $233 |
| Managed Health Service | Medicare Advantage | $233 |
| My Choice | Medicare Advantage | $233 |
| Network Health | Medicare Advantage | $233 |
| Security Health Plan | Medicare Advantage | $233 |
| Healthpartners | Focus | $270 |
| ANTHEM | Managed Medicare | $279 |
| Healthpartners | Broad | $292 |
| Anthem | Priority | $542 |
| Chorus Community Health Plan | ALL PRODUCTS | $581 |
| Anthem | PPO | $605 |
| Anthem | HMO/POS | $605 |
| Aspirus Arise | ALL PRODUCTS | $606 |
| Network Health | ALL PRODUCTS | $650 |
| HPS/Paymedix | Medical Rental Network Tier 1 | $677 |
| Evernorth | Behavioral Health | $722 |
| HEALTHSMART | Medical Rental Network | $722 |
| HPS/PayMedix | Medical Rental Network Tier 2 | $722 |
| IHS(ClaimsBridge) | Medical Rental Network | $722 |
| Medical College of WI | Self-funded employer | $722 |
| Multiplan/Healtheos | All Products | $722 |
| Allied National | Core Value Programs | $768 |
| FIRST HEALTH | Medical Rental Network | $768 |
| Galaxy Health | All Products | $768 |
| Three Rivers Provider Network | Medical Rental Network | $813 |
Inpatient
$418cash price (self-pay)
$903list price
$233–$813range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| COMMUNITY CARE | Medicare Advantage | $507 |
| HUMANA | Medicare Advantage | $507 |
| Managed Health Service | Medicare Advantage | $507 |
| Network Health | Medicare Advantage | $507 |
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