Emergency visit, high (level 4) at Jefferson Lansdale Hospital. CPT 99284.
What Jefferson Lansdale Hospital publishes for this service, straight from its standard-charges file, last updated September 15, 2026.
Outpatient / ER
$481cash price (self-pay)
$3,088list price
$95.33–$2,391range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| PA Health and Wellness CHC | JAB002 CHC | $160 |
| Jefferson Health Plan Medicaid | JAB002 Caid MCO CHIP | $192 |
| Geisinger Medicaid | JAB002 Caid | $450 |
| IBC | JAB002 Indem_Trad | $642 |
| Ibc | Jab002 HMO | $668 |
| Ibc | Jab002 PPO | $668 |
| Aetna | JAB001_JAB002 Savings Plus | $813 |
| Aetna | JAB001_JAB002 PEBTF | $868 |
| Aetna | JAB001_JAB002 Commercial | $904 |
| United Healthcare | JAB001_JAB002 Commercial | $1,984 |
| Geisinger Health Plan | JAB002 Commercial | $2,391 |
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