Emergency visit, high (level 4) at LECOM Medical Center and Behavioral Health Pavilion. CPT 99284.
What LECOM Medical Center and Behavioral Health Pavilion publishes for this service, straight from its standard-charges file, last updated May 8, 2026.
Outpatient / ER
$615cash price (self-pay)
$1,229list price
$50.00–$848range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Upmc_commercial | Commercial | $50.00 |
| Upmc_for_life | Commercial | $50.00 |
| Upmc_for_life_hmo_premier_rx | Commercial | $50.00 |
| Upmc_partner | Commercial | $50.00 |
| Upmc_value | Commercial | $50.00 |
| Upmc_value_select | Commercial | $50.00 |
| UHC | Commercial | $121 |
| Highmark_bcbs_social_mission_indemnity | Medicare | $433 |
| Highmark_bcbs_my_direct_blue | Medicare | $487 |
| Aetna_ccppo | Commercial | $515 |
| Aetna_hmo | Commercial | $515 |
| Aetna_ppo | Commercial | $515 |
| Aetna_tpa | Commercial | $515 |
| Highmark_bcbs_connect_blue_epo | Medicare | $549 |
| Highmark_bcbs_indemnity | Medicare | $609 |
| Highmark_bcbs_managed_care | Medicare | $609 |
| Gateway_medicare | Commercial | $615 |
| Healthchoice_berks | Commercial | $615 |
| Healthchoice_blair | Commercial | $615 |
| Healthchoice_carbon_monroe_pike | Commercial | $615 |
| Healthchoice_chester | Commercial | $615 |
| Healthchoice_erie | Commercial | $615 |
| Healthchoice_lycoming_clinton | Commercial | $615 |
| Healthchoice_northcentral | Commercial | $615 |
| Healthchoice_northeast | Commercial | $615 |
| Healthchoice_somerset_bedford | Commercial | $615 |
| Healthchoice_york_adams | Commercial | $615 |
| Cigna_customer_specific_network | Commercial | $848 |
| Cigna_disability_management_programs | Commercial | $848 |
| Cigna_employee_assistances_programs | Commercial | $848 |
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All common services at LECOM Medical Center and Behavioral Health Pavilion