Emergency visit, high (level 4) at Indiana Regional Medical Center. CPT 99284.
What Indiana Regional Medical Center publishes for this service, straight from its standard-charges file, last updated February 24, 2026.
Outpatient / ER
$847cash price (self-pay)
$2,354list price
$60.50–$2,354range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UPMC Health Plan | UPMC Medicaid | $60.50 |
| AmeriHealth Caritas | AmeriHealth Caritas Medicaid | $162 |
| Highmark | Highmark MCR Freedom Blue | $253 |
| Highmark | Highmark MCR Community/Complete Blue | $264 |
| Humana Inc. | Humana Medicare | $271 |
| Highmark Wholecare | Highmark Wholecare Medicare | $276 |
| UnitedHealthcare Insurance Company | VA CCN Optum | $276 |
| United Mine Workers of America | UMWA | $276 |
| Medicare Senior Life | Medicare Senior Life | $276 |
| Aetna | Aetna Medicare | $276 |
| Centene Corporation | PA H and W Medicare | $285 |
| Geisinger Health Plan | Geisinger - Medicare | $285 |
| AmeriHealth Caritas | AmeriHealth Caritas Medicare | $285 |
| Highmark Wholecare | Highmark Wholecare Medicaid | $296 |
| Highmark | Highmark MCR Security Blue | $296 |
| UPMC Health Plan | UPMC Medicare | $364 |
| Highmark | Highmark CHIP / Social Mission | $369 |
| UPMC Health Plan | UPMC | $580 |
| UPMC Health Plan | UPMC CHIP | $598 |
| Cigna | Cigna | $621 |
| Highmark | Highmark ACA / My Direct Blue / My Blue Access PPO | $627 |
| Highmark | Highmark Comm Managed/Indemnity | $675 |
| PA Health and Wellness Commercial | PA Health and Wellness Commercial | $691 |
| Geisinger | Geisinger | $691 |
| Centene Corporation | PA H and W Medicaid | $942 |
| UnitedHealthcare Insurance Company | United | $942 |
| Tricare | Tricare | $1,234 |
| Aetna | Aetna | $1,332 |
| Department of Human Services and Torrance State Hospital | Torrance St | $1,483 |
| Premier Comp Solutions, LLC | Premier Comp Solutions | $2,119 |
Inpatient
$847cash price (self-pay)
$2,354list price
$2,354–$2,354range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Miscellaneous Commercial | Miscellaneous Commercial | $2,354 |
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