Emergency visit, high (level 4) at Holy Redeemer Hospital. CPT 99284.
What Holy Redeemer Hospital publishes for this service, straight from its standard-charges file, last updated September 21, 2026.
Outpatient / ER
$1,022cash price (self-pay)
$1,703list price
$236–$1,311range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare | Commercial | $236 |
| United Healthcare Community Plan | Managed Care | $237 |
| Keystone Family Health Plan | Managed Medicaid | $418 |
| Health Partners | Medicaid & CHIP | $420 |
| Independence Blue Cross | Medicare Advantage | $423 |
| Health Partners | Medicare Advantage | $439 |
| Aetna | Medicare Advantage | $443 |
| Cigna HealthSpring | Medicare Advantage | $443 |
| Highmark | Wholecare | $446 |
| Jefferson Health Plan | HMO/PPO | $628 |
| Independence Blue Cross | HMO PPACA | $761 |
| Independence Blue Cross | PPO | $761 |
| Independence Blue Cross | HMO | $801 |
| Aetna | Commercial | $1,227 |
| Cigna | Commercial | $1,311 |
Inpatient
$1,022cash price (self-pay)
$1,703list price
—range insurers pay
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