Emergency · procedure code 99283

ER visit, moderate cost in Jacksonville, NC

What health plans have contracted to pay providers for Emergency department visit, moderate severity in the Jacksonville market, from the machine-readable files those plans publish under federal law. Not billed charges, and not an estimate.

Metro market

ER visit, moderate

Jacksonville, NC · procedure code 99283

Local · metro· n=1,159Pooled filings, payers not identified
Medicare
$107
25th
$107
Median
$125
75th
$125
90th
$10725th
$107Median
$12575th
$12590th
$66Medicare

Middle price

$107

Half of this market is above it, half below

Middle half spans

$107 to $125

1.2x from low to high

The expensive end

$125

What the priciest providers charge

Medicare reference · North Carolina (nearest published locality)

$66

Performed in an office

Negotiated prices from published filings, reported only where the sample supports it. For your city, not a statewide average. What plans have agreed to pay, not what a patient is billed. Filings as of July 20, 2026.

Reading it

What this distribution actually says.

The spread

The middle half of this market runs from $107 to $125, a 1.2x difference for the same procedure code in the same city. That gap is between contracts, not between quality.

Against Medicare

The middle price sits at 161% of what Medicare pays for the same service at its North Carolina locality. Medicare is a fixed reference line most finance teams already have a feel for, which is why we print it beside every figure. It is not a fair price and not what anything should cost.

The expensive end

One in ten filings sits at or above $125. If a plan's network is weighted toward that end, the difference does not show up in a premium quote. It shows up in the claims.

How wide the data runs

The carriers that filed for this procedure in this market. What each plan has agreed to pay, side by side. These are prices, not bills, so they do not show how often anyone needs it.

The same service elsewhere

ER visit, moderate across other markets.

Of the 6 markets compared here, Jacksonville, NC has the 6th highest middle price.

Local · metro
MarketLow endMiddleHigh endProvidersBasis
Jacksonville, NC this page$107$107$1251,159Local · metro
Charlotte, NC$107$125$12522,777Local · metro
Raleigh, NC$107$125$12513,847Local · metro
Durham, NC$107$125$1259,408Local · metro
Greensboro, NC$107$125$1255,428Local · metro
Asheville, NC$107$114$1255,761Local · metro

Put this in front of a client.

Every figure on this page carries its source, its scope and the date the corpus was built, so it survives being forwarded to someone who was not in the meeting.

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