Emergency visit, moderate (level 3) at Jefferson Hospital. CPT 99283.
What Jefferson Hospital publishes for this service, straight from its standard-charges file, last updated April 14, 2026.
Outpatient / ER
$37.81cash price (self-pay)
$889list price
$56.00–$932range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerihealth | Amerihealth Medicaid CHC | $56.00 |
| Amerihealth | Amerihealth Medicaid HC | $56.00 |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $59.48 |
| University of Pittsburgh Medical Center | University of Pittsburgh Med | $65.15 |
| Aetna | Aetna Better Health CHIP | $67.98 |
| Highmark Wholecare | Highmark Wholecare Medicaid HC | $78.18 |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $82.14 |
| Amerihealth | Amerihealth Caritas HC Medicaid | $82.14 |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Me | $84.98 |
| Geisinger | Geisinger CHIP | $90.64 |
| Geisinger | Geisinger Medicaid HC | $90.64 |
| United Healthcare | United Healthcare Medicaid | $100 |
| Community Care Behavorial Health University of Pittsburgh Medical Cent | $103 |
| Community Care Behavorial Health HealthChoices | Community Care Behavo | $103 |
| Highmark | Highmark Together Blue | $105 |
| United Healthcare | United Healthcare CHIP | $118 |
| Highmark | Highmark My Direct Blue | $154 |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $170 |
| Highmark | Highmark Social Mission Indemnity | $189 |
| Highmark | Highmark Social Mission Managed Care | $189 |
| Highmark | Highmark My Blue Access | $198 |
| Highmark | Highmark Blue High Performance | $222 |
| Highmark | Highmark Performance Blue | $222 |
| Highmark | Highmark Connect Blue | $242 |
| Highmark | Highmark Community Blue Medicare PPO | $245 |
| Highmark | Highmark Complete Blue Medicare | $245 |
| Highmark | Highmark Freedom Blue | $248 |
| Highmark | Highmark Community Blue | $264 |
| Highmark | Highmark Indemnity | $264 |
| Highmark | Highmark Managed Care | $264 |
Inpatient
$1,278cash price (self-pay)
$1,578list price
$57.92–$125range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Univera | Univera Essential Plan | $57.92 |
| Univera | Univera Healthy New York | $57.92 |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $59.48 |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $59.48 |
| Univera | Univera Medicare | $68.14 |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $74.78 |
| Univera | Univera Commercial | $81.77 |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $82.14 |
| Amerihealth | Amerihealth Caritas HC Medicaid | $82.14 |
| Geisinger | Geisinger CHIP | $82.14 |
| Geisinger | Geisinger Medicaid HC | $82.14 |
| United Healthcare | United Healthcare Medicaid | $82.14 |
| Highmark | Highmark Together Blue | $84.84 |
| Highmark | Highmark Blue High Performance | $89.75 |
| Highmark | Highmark Community Blue | $89.75 |
| Highmark | Highmark Connect Blue | $89.75 |
| Highmark | Highmark Indemnity | $89.75 |
| Highmark | Highmark Managed Care | $89.75 |
| Highmark | Highmark My Blue Access | $89.75 |
| Highmark | Highmark My Direct Blue | $89.75 |
| Highmark | Highmark Performance Blue | $89.75 |
| Highmark | Highmark Social Mission Indemnity | $89.75 |
| Highmark | Highmark Social Mission Managed Care | $89.75 |
| Community Care Behavorial Health University of Pittsburgh Medical Cent | $103 |
| Community Care Behavorial Health HealthChoices | Community Care Behavo | $103 |
| Cigna | Cigna Commercial | $114 |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $118 |
| United Healthcare | United Healthcare Of OH Medicaid | $125 |
| United Healthcare | United Healthcare Commercial | $125 |
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