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Emergency visit, high (level 4) at Jefferson Bucks Hospital. CPT 99284.

What Jefferson Bucks Hospital publishes for this service, straight from its standard-charges file, last updated September 15, 2026.

Outpatient / ER

$474cash price (self-pay)
$2,457list price
$95.33–$2,391range insurers pay
Insurance planNegotiated rate
PA Health and Wellness CHC | JNE001_JNE002_JNE003 CHC$160
Jefferson Health Plan Medicaid | JNE001_JNE002_JNE003 Caid MCO CHIP$192
Geisinger Medicaid | JNE001_JNE002_JNE003 Caid$450
Ibc | Jne01_jne02_jne03 PPO$1,222
Ibc | Jne01_jne02_jne03 HMO$1,222
United Healthcare | JNE001_JNE002_JNE003 Commercial$1,984
Geisinger Health Plan | JNE001 Commercial$2,391
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All common services at Jefferson Bucks Hospital