Emergency visit, moderate (level 3) at Froedtert Community Hospital - Pewaukee. CPT 99283.
What Froedtert Community Hospital - Pewaukee publishes for this service, straight from its standard-charges file, last updated December 31, 2025.
Outpatient / ER
$540cash price (self-pay)
$982list price
$269–$1,752range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem Blue Cross Blue Shield | Medicare Advantage | $269 |
| Care Wisconsin | Medicare Advantage | $269 |
| Community Care | Medicare Advantage | $269 |
| Health Partners | Medicare Advantage | $269 |
| Humana | Medicare Advantage | $269 |
| ICare | Medicare Advantage | $269 |
| Molina | Medicare Advantage | $269 |
| Network Health Plan | Medicare Advantage | $269 |
| Security Health Plan Secure Savers | Medicare Advantage | $269 |
| United Healthcare | Medicare Advantage | $269 |
| Chorus Community Health Plan | All Contracted Commercial Plans | $393 |
| Medical College of Wisconsin | Employee Plan | $393 |
| Centivo | WI 2 Median | $412 |
| Centivo | WI 1 Broad | $471 |
| Cigna | All Contracted Commercial Plans | $576 |
| Common Ground | All Contracted Commercial Plans | $589 |
| Sheboygan Employers Health Network | All Contracted Commercial Payers | $589 |
| Wisconsin Physician Services | All Contracted Commercial Plans | $589 |
| Health Payment Systems | All Contracted Commercial Plans | $600 |
| Health Partners | All Contracted Commercial Payers | $638 |
| Trilogy | All Contracted Commercial Plans | $638 |
| Americas Choice | PPO | $854 |
| HealthEos | All Contracted Commercial Plans | $854 |
| Multiplan/Private Healthcare Systems | All Contracted Commercial Plans | $854 |
| Network Health Plan | ACA | $860 |
| First Health Network | All Contracted Commercial Plans | $864 |
| Network Health Plan | All Contracted Commercial Payers | $956 |
| United Healthcare | Nexus | $986 |
| United Healthcare | Choice Plus/Navigate | $1,160 |
| Anthem Blue Cross Blue Shield | Blue Preferred/HMO/POS | $1,348 |
Inpatient
$540cash price (self-pay)
$982list price
$589–$864range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Common Ground | All Contracted Commercial Plans | $589 |
| Health Payment Systems | All Contracted Commercial Plans | $600 |
| Trilogy | All Contracted Commercial Plans | $638 |
| Americas Choice | PPO | $854 |
| HealthEos | All Contracted Commercial Plans | $854 |
| Multiplan/Private Healthcare Systems | All Contracted Commercial Plans | $854 |
| First Health Network | All Contracted Commercial Plans | $864 |
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All common services at Froedtert Community Hospital - Pewaukee