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Charges for Healthcare Services
Emergency Department Charges
Average charges are estimates; your out-of-pocket expense will depend on your individual insurance coverage (such as co-insurance or deductibles). To determine your estimated out-of-pocket expenses, please contact your insurance company by calling the number on the back of your insurance card, have your policy number and group number available. If you have questions, please contact Customer Service.
(Estimates valid between January 1, 2008 and December 31, 2008.)
(Where enough data existed, all average charges are based on cases occurring in January to March of 2007, with low and high cost outliers excluded.)
Emergency Department Visit |
Insurance Information |
| * Visit to hospital-based emergency department for unscheduled services for patients requiring immediate medical attention.(excluding admission or observation) |
Type of Visit
|
|
|
Total Charge
Estimated Average w/Ancillary Services
|
|
Level 1 |
$114 |
$72 |
$280
|
99281 |
Level 2 |
$182 |
$96 |
$470 |
99282 |
Level 3 |
$299 |
$162 |
$700
|
99283 |
Level 4 |
$360 |
$241 |
$1050
|
99284 |
Level 5 |
$544 |
$375 |
$2300
|
99285 |
The services you receive from your provider are based on your individual need and medical condition. Actual charges will vary based on services delivered, medical condition. Additional tests or services not listed in the estimate may be ordered by your doctor or provider, in order to treat, diagnose or care for individual needs.
*The levels of service are based on time, complexity, preparation and documentation. Time evaluating and documenting records may take place when a patient is not with the doctor or other provider. Total average charges include diagnostic testing such as lab services or X-rays that your physician may order as part of your care.
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