Emergency visit, moderate (level 3) at Fort HealthCare. CPT 99283.
What Fort HealthCare publishes for this service, straight from its standard-charges file, last updated June 17, 2026.
Outpatient / ER
$247cash price (self-pay)
$771list price
$67.37–$950range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare | All Products Facility | $67.37 |
| Humana | All Products | $67.97 |
| Molina | Managed Medicaid | $84.88 |
| Fort Care | All Products | $193 |
| United Healthcare | VACCN | $264 |
| Anthem | Medicare Advantage | $267 |
| Dean Health Plan | Medicare Advantage | $267 |
| Humana | Medicare Advantage | $267 |
| Molina | Medicare Advantage | $267 |
| Quartz | Medicare Advantage | $267 |
| United Healthcare | Medicare Advantage | $267 |
| United Healthcare | Americhoice Medicare | $267 |
| Aetna | Medicare Advantage | $308 |
| Veteran Evaluation Services | All Products | $330 |
| Group Health Cooperative | All Products | $493 |
| Dean Health Plan | All Products | $499 |
| Alliance | All Products | $547 |
| MercyCare | All Products | $568 |
| Aetna | All Products | $572 |
| Trilogy | All Products | $671 |
| Anthem | Blue Priority WI | $672 |
| Quartz | All Products | $685 |
| Cigna | All Products | $725 |
| Anthem | All Products | $746 |
| Centivo | Intermediate | $912 |
| Centivo | Broad | $950 |
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