Emergency visit, high (level 4) at St Lukes Hospital Warren Campus. CPT 99284.
What St Lukes Hospital Warren Campus publishes for this service, straight from its standard-charges file, last updated February 27, 2026.
Outpatient / ER
$5,175cash price (self-pay)
$5,750list price
$112–$2,699range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Geisinger | Medicaid/CHIP | $112 |
| UPMC Health Plan | Medicaid | $114 |
| AmeriHealth Caritas | Medicaid | $148 |
| Independence Blue Cross | Medicare Advantage | $469 |
| United Healthcare | Medicare Advantage | $469 |
| Aetna | Medicare | $478 |
| Geisinger | Medicare | $478 |
| Humana | Medicare | $488 |
| UPMC Health Plan | Medicare Advantage | $492 |
| Independence Blue Cross | HMO | $1,483 |
| Independence Blue Cross | PPO | $1,483 |
| Oscar | Commercial | $1,495 |
| United Healthcare | Commercial | $1,553 |
| Horizon BCBS NJ | Indemnity | $1,574 |
| Horizon BCBS NJ | Managed Care | $1,574 |
| Horizon BCBS NJ | PPO | $1,574 |
| UPMC Health Plan | Commercial | $1,576 |
| Geisinger | Commercial | $1,616 |
| Horizon BCBS NJ | Omnia | $1,858 |
| Aetna | Medical Rental | $1,978 |
| Aetna | Commercial | $2,007 |
| Cigna | Commercial | $2,520 |
| Capital Blue Cross | Commercial | $2,699 |
Inpatient
$5,175cash price (self-pay)
$5,750list price
$1,495–$1,617range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Oscar | Commercial | $1,495 |
| United Healthcare | Commercial | $1,541 |
| UPMC Health Plan | Commercial | $1,572 |
| Geisinger | Commercial | $1,617 |
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