Price Checker / CPT 99283

How much does ER visit — moderate (level 3) cost?

CPT 99283 · Based on 2026 Medicare rates and hospital-published pricing

Overcharged

The average hospital charge is roughly 6.8x the fair price. This is well above fair — push back or dispute it.

Fair price

$100–$210

What this should cost

With insurance

~$77,300

Typical out-of-pocket

Overcharged if over

$260

Push back above this

The average hospital charge of $1,086 is $926 over the fair price (about 6.8x the fair rate).

What hospitals charge for ER visit — moderate (level 3)

From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.

HospitalGross ChargeCash Ratevs Medicare
Antelope Valley Medical Center

, CA

$2,081142815%
Grundy County Memorial Hospital

GRUNDY CENTER, IA

$3,6315127%
"Ascension Saint Alexius Women And Children's Hospital (Ascension St. Alexius Medical Center)"

, IL

3463%
Atrium Health Floyd Polk Medical Center

CEDARTOWN, GA

$1,831$9162536%
UM R Adams Cowley Shock Trauma Center

Baltimore, MD

$1,3301814%
Granville Health System

Oxford, NC

$1,3261809%
Buchanan General Hospital

GRUNDY, VA

$1,263$4421718%
Yuma District Hospital & Clinics

YUMA, CO

$981$7361312%
Higgins General Hospital

Bremen, GA

$1,0751260%
Ascension Via Christi Hospital Pittsburg, Inc.

, KS

1151%
Mercy Hospital Pittsburg

COON RAPIDS, KS

1151%
Molokai General Hospital

KAUNAKAKAI, HI

$2,3281099%
McBride Orthopedic Hospital

OKLAHOMA CITY, OK

$831$8311096%
Putnam County Memorial Hospital

UNIONVILLE, MO

$816$5711074%
Arbuckle Memorial Hospital

SULPHUR, OK

$800$6401052%

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About ER visit — moderate (level 3)

CPT code 99283 refers to er visit — moderate (level 3) (billing description: "Emergency dept visit low mdm"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $69 in a facility (hospital or surgery center) and $69 in a doctor's office.

The Medicare rate is the closest thing to an objective "what this work is actually worth." A fair cash price for the uninsured is generally 1.5–3x that rate. Hospital sticker (gross) charges are often far higher — but almost nobody actually pays them.

What to do if you were overcharged

  1. 1Send us your billwe'll identify this code and compare it against the rates shown above.
  2. 2Get a dispute letterciting the Medicare rate and your hospital's own published pricing data.
  3. 3We negotiate for you25% of savings, no savings = no fee.

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