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Emergency visit, moderate (level 3) at Jefferson Einstein Montgomery Hospital. CPT 99283.

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

Outpatient / ER

—cash price (self-pay)
—list price
$103–$1,917range insurers pay
Insurance planNegotiated rate
PA | Health$103
Health | Partners$256
Jefferson | Health$260
US | Family$268
IBC | Medicare$274
Humana | Medicare$274
Trinity | Health$274
Devoted | Health$274
Keystone | First$278
United | Healthcare$281
United | Medicare$284
Cigna | Medicare$285
UPMC | Medicare$288
Provider | Partners$288
Highmark | Medicare$288
Aetna | Medicare$291
Advantra | Medicare$291
Highmark | Wholecare$296
United | Group$296
Wellcare | Medicare$302
UPMC | Medicaid$310
Geisinger | Medicare$315
IBC | Proactive$384
Ambetter | Commercial$397
Geisinger | Medicaid$450
Highmark | ACA$604
Highmark | Blue$710
IBC | Indemnity$840
Ibc | PPO$903
Ibc | HMO$903
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All common services at Jefferson Einstein Montgomery Hospital