Emergency visit, moderate (level 3) at HSHS St. Clare Memorial Hospital. CPT 99283.
What HSHS St. Clare Memorial Hospital publishes for this service, straight from its standard-charges file, last updated March 24, 2026.
Outpatient / ER
$329cash price (self-pay)
$499list price
$120–$499range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Aetna Medicare | $120 |
| Anthem | Anthem Medicare Advantage HMO | $120 |
| Humana | Humana Medicare Advantage | $120 |
| Molina Healthcare | Molina Medicare | $120 |
| United Healthcare | United Health Care Medicare | $120 |
| Security Health Plan | Medicare Advantage Security Health Plan Of Wi | $121 |
| Hshs Employees | Hshs Employees | $243 |
| Molina Healthcare Of Wi | All Commerical Molina Marketplace | $250 |
| Naphcare | All Commerical Naphcare | $269 |
| Unity Health Plan | Unity Hospice | $279 |
| Cigna | All Commercial Cigna | $312 |
| Security Health Plan | All Commercial Security Health Plan Broad Netwo | $319 |
| Triology | All Commercial Triology | $394 |
| Arise Health Plan | All Commercial Arise Health Plan | $399 |
| Health Care Alliance | The Alliance | $419 |
| Choicecare | All Commercial Choice Care | $424 |
| Humana | All Commercial Humana Hpn Choicecare | $424 |
| Humana | Humana Choice Care PPO | $424 |
| Humana | Humana Natiional POS HMO | $424 |
| Health Eos | All Commercial Health Eos | $444 |
| Multiplan/Phcs | All Commercial Multiplan | $444 |
| Cofinity | Cofinity | $449 |
| Interplan | All Commercial Interplan Health Group | $449 |
| Network Health Plan | All Commerical Network Health Plan | $449 |
| North Central Healthcare Alliance | Neha | $459 |
| First Health | All Commercial First Health Network | $474 |
| Wea Provider Network | Wea Insurance Corporation | $474 |
| Aetna | All Commercial Aetna | $499 |
| Anthem | Anthem POS/HMO | $499 |
| Anthem | Anthem PPO | $499 |
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