Emergency visit, high (level 4) at Chan Soon Shiong Medical Center at Windber. CPT 99284.
What Chan Soon Shiong Medical Center at Windber publishes for this service, straight from its standard-charges file, last updated February 25, 2026.
Outpatient / ER
$165cash price (self-pay)
$194list price
$55.00–$1,030range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UPMC Health Plan | UPMC Medicaid | $62.50 |
| UPMC Health Plan | UPMC CHIP | $98.75 |
| Geisinger | Geisinger Medicaid | $102 |
| Highmark Wholecare | Highmark Wholecare Medicaid | $112 |
| PA Health & Wellness | PA Health Wellness- Medicaid | $114 |
| Cigna | Cigna | $116 |
| Aetna | Aetna | $128 |
| AmeriHealth Caritas | AmeriHealth Caritas Medicaid | $129 |
| UPMC Health Plan | UPMC | $163 |
| Highmark | Highmark MCR Freedom Blue | $233 |
| Highmark | Highmark MCR Community/Complete Blue | $246 |
| United | United Medicare | $257 |
| Aetna | Aetna Medicare | $257 |
| AmeriHealth Caritas | AmeriHealth Caritas Medicare | $257 |
| Geisinger | Geisinger Medicare | $257 |
| Humana | Humana Medicare | $257 |
| PA Health & Wellness | PA Health and Wellness- Medicare | $257 |
| UPMC Health Plan | UPMC Medicare | $257 |
| Highmark | Highmark Wholecare Medicare | $261 |
| Senior Life | Senior Life- Medicare | $261 |
| Va Ccn | Va Ccn | $261 |
| Highmark | Highmark MCR Security Blue | $272 |
| Highmark | Highmark CHIP / Social Mission | $277 |
| Highmark | Highmark Comm Performance Blue | $441 |
| Highmark | Highmark Comm Community Blue | $456 |
| Highmark | Highmark ACA / My Direct Blue / My Blue Access PPO | $457 |
| Highmark | Highmark Comm Managed/Indemnity | $469 |
| United | United | $492 |
| Geisinger | Geisinger | $671 |
Inpatient
$165cash price (self-pay)
$194list price
—range insurers pay
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All common services at Chan Soon Shiong Medical Center at Windber