Emergency visit, moderate (level 3) at Gundersen Moundview Hospital and Clinics. CPT 99283.
What Gundersen Moundview Hospital and Clinics publishes for this service, straight from its standard-charges file, last updated June 27, 2026.
Outpatient / ER
$481cash price (self-pay)
$947list price
$401–$1,142range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Quartz | All Products | $401 |
| Quartz | All Other Self Funded | $417 |
| Security Health Plan | Medicare Advantage | $436 |
| Anthem | Medicare HMO/PPO | $436 |
| Health Partners | Medicare Advantage | $436 |
| Quartz | Medicare Advantage | $436 |
| Security Health Plan | Medicare + Choice | $436 |
| UCARE | Dually Eligible | $436 |
| Quartz | Self Funded | $445 |
| UCARE | MSHO/Minnesota Special Needs | $455 |
| UCARE | Non-Dually Eligible | $455 |
| Quartz | Level Funded | $459 |
| Health Partners | Medicaid HMO | $474 |
| Quartz | Fully Insured | $516 |
| Health Partners | Medicare Cost | $568 |
| WPS | All Products | $730 |
| WPS - ARISE | All Products | $730 |
| Cigna | All Products | $730 |
| Dean Health Plan | ASO | $744 |
| Alliance | Premier/All Products | $758 |
| Alliance | Comprehensive/All Products | $758 |
| Group Health of South Central | All Products | $758 |
| Trilogy | All Products | $758 |
| UCARE | Qualified Health Plan | $758 |
| Aspirus Arise Health | All Products | $786 |
| UHC | All Payer Appendix | $796 |
| Sana | All Products | $814 |
| Multiplan/Healtheos | Mpi_phcs_healtheos | $833 |
| Health Partners | All Products | $836 |
| Group Health Eau Claire | All Products | $852 |
Inpatient
$481cash price (self-pay)
$947list price
$401–$919range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Quartz | All Other Self Funded | $558 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.
All common services at Gundersen Moundview Hospital and Clinics