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Emergency visit, moderate (level 3) at Gundersen Boscobel Area Hospital and Clinic. CPT 99283.

What Gundersen Boscobel Area Hospital and Clinic publishes for this service, straight from its standard-charges file, last updated June 27, 2026.

Outpatient / ER

$360cash price (self-pay)
$699list price
$296–$1,142range insurers pay
Insurance planNegotiated rate
Quartz | All Products$296
Quartz | All Other Self Funded$308
Quartz | Self Funded$329
Quartz | Level Funded$339
Anthem | Medicare HMO/PPO$343
Dean Health Plan | Medicare Select$343
Health Partners | Medicare Advantage$343
Humana | Medicare Advantage$343
Medical Associates | Medicare Advantage$343
Quartz | Medicare Advantage$343
Health Partners | Medicaid HMO$350
UCARE | Dually Eligible$350
UCARE | MSHO/Minnesota Special Needs$350
UCARE | Non-Dually Eligible$350
Quartz | Fully Insured$381
Health Partners | Medicare Cost$419
WPS | All Products$422
Dean Health Plan | All Products$531
Medical Associates | All Products$531
UHC | All Payer Appendix$535
Cigna | All Products$539
Alliance | Comprehensive/All Products$559
Alliance | Premier/All Products$559
Group Health of South Central | All Products$559
Medical Associates | CAH Specific$559
Trilogy | All Products$559
UCARE | Qualified Health Plan$559
Aspirus Arise Health | All Products$580
Sana | All Products$601
Multiplan/Healtheos | Mpi_phcs_healtheos$615

Inpatient

$360cash price (self-pay)
$699list price
$296–$671range insurers pay
Insurance planNegotiated rate
Quartz | All Other Self Funded$412
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All common services at Gundersen Boscobel Area Hospital and Clinic