Emergency visit, moderate (level 3) at Gundersen St. Josephs Hospital and Clinic. CPT 99283.
What Gundersen St. Josephs Hospital and Clinic publishes for this service, straight from its standard-charges file, last updated June 27, 2026.
Outpatient / ER
$436cash price (self-pay)
$829list price
$351–$1,233range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Quartz | All Products | $351 |
| Quartz | All Other Self Funded | $365 |
| Quartz | Self Funded | $390 |
| Quartz | Level Funded | $402 |
| Anthem | Medicare HMO/PPO | $423 |
| Dean Health Plan | Medicare Select | $423 |
| Humana | Medicare Advantage | $423 |
| Quartz | Medicare Advantage | $423 |
| UCARE | Dually Eligible | $423 |
| UHC | Medicare Advantage | $423 |
| UCARE | MSHO/Minnesota Special Needs | $431 |
| UCARE | Non-Dually Eligible | $431 |
| Quartz | Fully Insured | $452 |
| UHC | All Payer Appendix | $579 |
| Cigna | All Products | $639 |
| Alliance | Premier/All Products | $662 |
| Group Health of South Central | All Products | $663 |
| Trilogy | All Products | $663 |
| UCARE | Qualified Health Plan | $663 |
| Dean Health Plan | All Products | $666 |
| WPS | Narrow | $672 |
| Aspirus Arise Health | All Products | $688 |
| Alliance | Comprehensive/All Products | $703 |
| WPS | Broad | $704 |
| Allied National | Core Value Programs | $705 |
| Sana | All Products | $713 |
| Multiplan/Healtheos | Mpi_phcs_healtheos | $721 |
| Group Health Eau Claire | All Products | $746 |
| Security Health Plan | All Products | $746 |
| Coventry Health Care | All Products | $788 |
Inpatient
$436cash price (self-pay)
$829list price
$351–$788range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Quartz | All Other Self Funded | $488 |
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All common services at Gundersen St. Josephs Hospital and Clinic