Emergency visit, high (level 4) at Jefferson Einstein Montgomery Hospital. CPT 99284.
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
$160–$1,917range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| PA | Health | $160 |
| United | Healthcare | $281 |
| UPMC | Medicaid | $310 |
| Health | Partners | $332 |
| Keystone | First | $354 |
| Jefferson | Health | $401 |
| US | Family | $412 |
| IBC | Medicare | $422 |
| Humana | Medicare | $422 |
| Trinity | Health | $422 |
| Devoted | Health | $422 |
| United | Medicare | $436 |
| Cigna | Medicare | $438 |
| UPMC | Medicare | $443 |
| Provider | Partners | $443 |
| Highmark | Medicare | $443 |
| Aetna | Medicare | $447 |
| Advantra | Medicare | $447 |
| Geisinger | Medicaid | $450 |
| Highmark | Wholecare | $455 |
| United | Group | $455 |
| Wellcare | Medicare | $464 |
| Geisinger | Medicare | $485 |
| IBC | Proactive | $590 |
| Ambetter | Commercial | $611 |
| IBC | Indemnity | $840 |
| Ibc | PPO | $903 |
| Ibc | HMO | $903 |
| Highmark | ACA | $928 |
| Highmark | Blue | $1,092 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.
All common services at Jefferson Einstein Montgomery Hospital