Emergency visit, moderate (level 3) at HSHS St. Nicholas Hospital. CPT 99283.
What HSHS St. Nicholas Hospital publishes for this service, straight from its standard-charges file, last updated March 24, 2026.
Outpatient / ER
$840cash price (self-pay)
$1,272list price
$267–$1,272range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Aetna Medicare | $267 |
| Anthem | Anthem Medicare Advantage HMO | $267 |
| Humana | Humana Medicare Advantage | $267 |
| Medica | Medica Medicare Advantage | $267 |
| Medicare Managed | Managed Medicare No Sequestration | $267 |
| Molina Healthcare | Molina Medicare | $267 |
| United Healthcare | United Health Care Medicare | $267 |
| Security Health Plan | Medicare Advantage Security Health Plan Of Wi | $270 |
| Naphcare | All Commerical Naphcare | $601 |
| Hshs Employees | Hshs Employees | $618 |
| Molina Healthcare Of Wi | All Commerical Molina Marketplace | $636 |
| Arise Health Plan | All Commercial Arise Health Plan | $763 |
| Security Health Plan | All Commercial Security Health Plan Broad Netwo | $812 |
| Cigna | All Commercial Cigna | $890 |
| Interplan | All Commercial Interplan Health Group | $890 |
| Health Eos | All Commercial Health Eos | $954 |
| Healthsmart | All Commercial Healthsmart | $954 |
| Network Health Plan | All Commerical Network Health Plan | $954 |
| Triology | All Commercial Triology | $1,005 |
| Health Care Alliance | The Alliance | $1,068 |
| Multiplan/Phcs | All Commercial Multiplan | $1,068 |
| Choicecare | All Commercial Choice Care | $1,081 |
| Humana | Humana Choice Care PPO | $1,081 |
| North Central Healthcare Alliance | Neha | $1,170 |
| First Health | All Commercial First Health Network | $1,208 |
| Aetna | All Commercial Aetna | $1,272 |
| Anthem | Anthem POS/HMO | $1,272 |
| Anthem | Anthem PPO | $1,272 |
| Caterpillar, Inc. | UHC Caterpillar Employer Group | $1,272 |
| Cofinity | Cofinity | $1,272 |
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