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Emergency visit, high (level 4) at Children's Hospital of Philadelphia. CPT 99284.

What Children's Hospital of Philadelphia publishes for this service, straight from its standard-charges file, last updated December 31, 2025.

Outpatient / ER

$2,545cash price (self-pay)
$2,545list price
$129–$2,942range insurers pay
Insurance planNegotiated rate
Geisinger Medical Assistance | All plan types$129
Aetna Better Health | All plan types$578
Geisinger Health Plan Commercial | All plan types$664
UPMC Medical Assistance | All plan types$695
Highmark Wholecare | All plan types$697
UHC Community Plans PA | All plan types$700
Horizon NJ Health | All plan types$734
Keystone First Medicaid | All plan types$772
Health Partners | All plan types$785
Keystone Health Plan East | HMO$805
Independence Blue Cross | PPO$1,020
Aetna | All plan types$1,034
Jefferson Health Plans | All plan types$1,204
Cigna HMO | HMO$1,273
Cigna PPO | PPO$1,273
Highmark | All plan types$1,273
Qualcare | All plan types$1,400
Horizon Blue Cross Blue Shield of New Jersey | All plan types$1,401
Keystone First CHIP | All CHIP plant types$1,467
First Health Network | PPO$1,654
Devon Health, Intergroup, Multiplan, Valley Preferred/Populytics | All$2,036
Private Health Care Systems | All plan types$2,036
Choice Care Network | All plan types$2,291
United Healthcare | All plan types$2,942
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All common services at Children's Hospital of Philadelphia