Code Reality Check
99283 reimbursement rate: Emergency dept visit, level 3
Emergency dept visit, level 3 (CPT 99283) pays a median $252.80 in Indiana and $65.18 in Kentucky, against a Medicare anchor of $109.62. 51 of 51 states clear the publication floor.
spread 3.9x top to bottom
Medicare anchor $109.62
51/51 states published
The 50-state spread
as of 2026-07-15| State | Median | vs Medicare | Band | Rate points | Tier |
|---|---|---|---|---|---|
| Indiana | $252.80 | 2.31x | $138–$316 · P90 $316 | 39,868 | Benchmark |
| Wisconsin | $158.60 | 1.45x | $67–$263 · P90 $287 | 29,344 | Benchmark |
| North Carolina | $124.70 | 1.14x | $107–$125 · P90 $135 | 95,362 | Benchmark |
| Minnesota | $119.52 | 1.09x | $73–$161 · P90 $348 | 5,243 | Benchmark |
| Vermont | $116.63 | 1.06x | $86–$123 · P90 $125 | 849 | Benchmark |
| Colorado | $115.52 | 1.05x | $89–$214 · P90 $214 | 8,026 | Benchmark |
| Michigan | $113.71 | 1.04x | $75–$238 · P90 $316 | 3,860 | Benchmark |
| South Carolina | $106.75 | 0.97x | $76–$125 · P90 $139 | 5,437 | Benchmark |
| Oregon | $100.90 | 0.92x | $73–$146 · P90 $255 | 1,437 | Benchmark |
| Idaho | $100.57 | 0.92x | $73–$133 · P90 $255 | 493 | Benchmark |
| Utah | $98.38 | 0.90x | $73–$142 · P90 $276 | 765 | Benchmark |
| Alaska | $96.46 | 0.88x | $70–$125 · P90 $209 | 262 | Benchmark |
| South Dakota | $96.21 | 0.88x | $69–$132 · P90 $229 | 193 | Benchmark |
| Hawaii | $95.33 | 0.87x | $73–$125 · P90 $253 | 660 | Benchmark |
| Delaware | $94.00 | 0.86x | $73–$126 · P90 $169 | 488 | Benchmark |
| Illinois | $93.75 | 0.86x | $70–$209 · P90 $316 | 10,893 | Benchmark |
| Ohio | $93.21 | 0.85x | $69–$145 · P90 $223 | 40,609 | Benchmark |
| Montana | $93.20 | 0.85x | $72–$125 · P90 $229 | 348 | Benchmark |
| Pennsylvania | $92.93 | 0.85x | $76–$122 · P90 $191 | 10,098 | Benchmark |
| District of Columbia | $92.88 | 0.85x | $79–$115 · P90 $140 | 1,448 | Benchmark |
| Maryland | $92.88 | 0.85x | $74–$124 · P90 $178 | 3,509 | Benchmark |
| Virginia | $92.88 | 0.85x | $79–$107 · P90 $127 | 14,303 | Benchmark |
| Louisiana | $92.33 | 0.84x | $70–$128 · P90 $236 | 1,042 | Benchmark |
| Washington | $92.17 | 0.84x | $73–$139 · P90 $255 | 2,600 | Benchmark |
| Iowa | $91.97 | 0.84x | $73–$156 · P90 $265 | 994 | Benchmark |
| Arizona | $91.25 | 0.83x | $73–$137 · P90 $261 | 2,737 | Benchmark |
| Massachusetts | $89.07 | 0.81x | $76–$125 · P90 $196 | 5,354 | Benchmark |
| North Dakota | $88.98 | 0.81x | $73–$130 · P90 $187 | 234 | Benchmark |
| New Hampshire | $88.45 | 0.81x | $88–$124 · P90 $259 | 5,428 | Benchmark |
| New Mexico | $88.24 | 0.80x | $73–$125 · P90 $229 | 742 | Benchmark |
| Oklahoma | $88.12 | 0.80x | $70–$125 · P90 $227 | 890 | Benchmark |
| Maine | $88.05 | 0.80x | $74–$132 · P90 $135 | 9,506 | Benchmark |
| Mississippi | $87.59 | 0.80x | $71–$125 · P90 $196 | 528 | Benchmark |
| Nebraska | $86.66 | 0.79x | $70–$125 · P90 $229 | 438 | Benchmark |
| Nevada | $85.54 | 0.78x | $73–$135 · P90 $255 | 1,286 | Benchmark |
| Wyoming | $82.56 | 0.75x | $73–$113 · P90 $141 | 543 | Benchmark |
| Tennessee | $82.31 | 0.75x | $70–$120 · P90 $185 | 4,935 | Benchmark |
| California | $82.01 | 0.75x | $73–$201 · P90 $255 | 126,688 | Benchmark |
| New Jersey | $81.98 | 0.75x | $66–$127 · P90 $211 | 14,457 | Benchmark |
| Florida | $80.77 | 0.74x | $70–$125 · P90 $211 | 11,807 | Benchmark |
| Arkansas | $80.60 | 0.74x | $69–$109 · P90 $153 | 896 | Benchmark |
| Connecticut | $79.66 | 0.73x | $69–$144 · P90 $197 | 3,240 | Benchmark |
| Rhode Island | $79.59 | 0.73x | $68–$80 · P90 $116 | 4,585 | Benchmark |
| West Virginia | $79.06 | 0.72x | $67–$107 · P90 $180 | 985 | Benchmark |
| Texas | $77.89 | 0.71x | $64–$106 · P90 $195 | 26,272 | Benchmark |
| New York | $72.73 | 0.66x | $66–$133 · P90 $189 | 151,030 | Benchmark |
| Alabama | $71.86 | 0.66x | $69–$110 · P90 $145 | 1,962 | Benchmark |
| Georgia | $71.49 | 0.65x | $70–$120 · P90 $144 | 62,401 | Benchmark |
| Missouri | $71.27 | 0.65x | $68–$111 · P90 $560 | 46,574 | Benchmark |
| Kansas | $70.26 | 0.64x | $68–$103 · P90 $152 | 1,271 | Benchmark |
| Kentucky | $65.18 | 0.59x | $55–$85 · P90 $125 | 16,451 | Benchmark |
Payer-blind local peer percentiles per state, full verified distribution. Publication floor: 11 verified rate points and a non-degenerate spread; the P25–P75 band unlocks at 25 points, P90 at 100 (a smaller cell's P90 is one contract, not a statistic).
Documented reimbursement figures are modeled, not guaranteed. Derived from federally mandated Transparency in Coverage data (45 CFR 147.212). No PHI.
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Cite this page
Source: Reddenda Code Reality Check, CPT 99283. Reddenda. https://reddenda.health/code/99283/
Derivation federally mandated TiC MRFs, verified to provider identity779,371 verified rate points across 51 statesas of 2026-07-15 · methodology v1.0