Emergency visit, high (level 4) at Jefferson Einstein Philadelphia Hospital. CPT 99284.
What Jefferson Einstein Philadelphia 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–$6,028range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| PA | Health | $160 |
| United | Healthcare | $281 |
| UPMC | Medicaid | $310 |
| Health | Partners | $338 |
| Keystone | First | $360 |
| Jefferson | Health | $412 |
| IBC | Medicare | $423 |
| US | Family | $424 |
| Humana | Medicare | $434 |
| Trinity | Health | $434 |
| Devoted | Health | $434 |
| United | Medicare | $449 |
| Geisinger | Medicaid | $450 |
| Cigna | Medicare | $452 |
| UPMC | Medicare | $456 |
| Provider | Partners | $456 |
| Highmark | Medicare | $456 |
| Aetna | Medicare | $460 |
| Advantra | Medicare | $460 |
| United | Group | $469 |
| Highmark | Wholecare | $478 |
| Wellcare | Medicare | $478 |
| Geisinger | Medicare | $499 |
| IBC | Proactive | $608 |
| Ambetter | Commercial | $630 |
| Highmark | ACA | $956 |
| Ibc | PPO | $1,066 |
| Ibc | HMO | $1,066 |
| Highmark | Blue | $1,124 |
| Aetna | Commercial | $1,193 |
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All common services at Jefferson Einstein Philadelphia Hospital