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Emergency visit, high (level 4) at Penn Highlands Mon Valley. CPT 99284.

What Penn Highlands Mon Valley publishes for this service, straight from its standard-charges file, last updated February 2, 2026.

Outpatient / ER

$3,093cash price (self-pay)
$5,155list price
$95.33–$6,317range insurers pay
Insurance planNegotiated rate
Traditional Medicaid | Traditional Medicaid$95.33
Aetna | MCD Advantage$103
Geisinger | MCD Advantage$105
Jefferson Health | MCD Advantage$105
Blue Cross | Community Blue MCR ADV$108
Blue Cross | Complete Blue MCR ADV$108
Blue Cross | Freedom Blue MCR ADV$109
Traditional Medicare | Traditional Medicare$114
Upmc | HMO EPO$117
UPMC | MCR Advantage$117
Geisinger | MCR Advantage$118
Humana | MCR Advantage$118
UHC | MCR Advantage$118
Aetna | MCR Advantage$124
Blue Cross | Security Blue MCR ADV$125
Aetna | Commercial$1,387
Blue Cross | Highmark - ACA$1,418
Blue Cross | Highmark - All Social Mission$1,418
Blue Cross | Highmark - Indemnity$1,418
Blue Cross | Highmark - Managed Care$1,418
Blue Cross | Highmark - My Blue Access PPO$1,418
Blue Cross | Highmark - Performance Blue$1,418
Upmc | Chip$1,804
UPMC | Commercial$2,062
Aetna | Coventry$3,227
UHC | Commercial$4,124
UPMC | MCD Advantage$6,317

Inpatient

$3,093cash price (self-pay)
$5,155list price
$2,320–$2,320range insurers pay
Insurance planNegotiated rate
Aetna | Coventry$2,320
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All common services at Penn Highlands Mon Valley