Emergency visit, moderate (level 3) at Froedtert West Bend Hospital. CPT 99283.
What Froedtert West Bend Hospital publishes for this service, straight from its standard-charges file, last updated December 31, 2025.
Outpatient / ER
$635cash price (self-pay)
$1,155list price
$269–$4,037range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Allwell | Medicare Advantage | $269 |
| Anthem Blue Cross Blue Shield | 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 |
| Aetna | Medicare Advantage | $274 |
| Care Wisconsin | Medicare Advantage | $277 |
| UMR | MCW Employees | $381 |
| Centivo | WI 2 Median | $485 |
| Froedtert South | All Contracted Commercial Plans | $485 |
| Chorus Community Health Plan | All Contracted Commercial Plans | $497 |
| Centivo | WI 1 Broad | $554 |
| Common Ground | All Contracted Commercial Plans | $693 |
| Health Payment Systems | Group Specific | $727 |
| Health Partners | All Contracted Commercial Plans | $751 |
| Aetna | All Contracted Commercial Plans | $809 |
| Wisconsin Physician Services | All Contracted Commercial Plans | $924 |
| Health Payment Systems | Other Commercial Plans | $934 |
| Trilogy | All Contracted Commercial Plans | $947 |
| Anthem Blue Cross Blue Shield | PPO | $982 |
| Americas Choice | PPO | $1,005 |
| HealthEos | All Contracted Commercial Plans | $1,005 |
| Multiplan/Private Healthcare Systems | All Contracted Commercial Plans | $1,005 |
| First Health Network | All Contracted Commercial Plans | $1,016 |
| Hfn | PPO | $1,040 |
Inpatient
$635cash price (self-pay)
$1,155list price
$693–$1,097range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Common Ground | All Contracted Commercial Plans | $693 |
| Health Payment Systems | Group Specific | $727 |
| Aetna | All Contracted Commercial Plans | $809 |
| Health Payment Systems | Other Commercial Plans | $934 |
| Trilogy | All Contracted Commercial Plans | $947 |
| Americas Choice | PPO | $1,005 |
| HealthEos | All Contracted Commercial Plans | $1,005 |
| Multiplan/Private Healthcare Systems | All Contracted Commercial Plans | $1,005 |
| First Health Network | All Contracted Commercial Plans | $1,016 |
| Hfn | PPO | $1,040 |
| IBSI Passport | All Contracted Commercial Plans | $1,040 |
| Cigna | All Contracted Commercial Plans | $1,097 |
| HealthSmart | All Contracted Commercial Plans | $1,097 |
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