Emergency visit, high (level 4) at St Lukes Hospital Monroe Campus. CPT 99284.
What St Lukes Hospital Monroe Campus publishes for this service, straight from its standard-charges file, last updated February 27, 2026.
Outpatient / ER
$1,500cash price (self-pay)
$2,896list price
$112–$2,699range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Geisinger | Medicaid/CHIP | $112 |
| UPMC Health Plan | Medicaid | $114 |
| AmeriHealth Caritas | Medicaid | $131 |
| Jefferson Health Plan | CHIP/Medicaid | $137 |
| Highmark Wholecare | Medicaid | $300 |
| Capital Blue Cross | Medicare | $436 |
| Highmark | Medicare Advantage | $436 |
| Horizon BCBS NJ | Medicare | $436 |
| Highmark | Freedom Blue Medicare Advantage | $440 |
| Aetna | Medicare | $445 |
| Geisinger | Medicare | $445 |
| Humana | Medicare | $453 |
| UPMC Health Plan | Medicare Advantage | $458 |
| United Healthcare | Medicare Advantage | $471 |
| Oscar | Commercial | $752 |
| United Healthcare | Commercial | $784 |
| Cigna | Commercial | $793 |
| UPMC Health Plan | Commercial | $794 |
| Geisinger | Commercial | $814 |
| Aetna | Medical Rental | $996 |
| Aetna | Commercial | $1,011 |
| Highmark | Commercial/Special Care | $1,057 |
| Independence Blue Cross | AmeriHealth | $1,647 |
| Capital Blue Cross | Commercial | $1,692 |
Inpatient
$1,500cash price (self-pay)
$2,896list price
$469–$1,121range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Oscar | Commercial | $752 |
| UPMC Health Plan | Commercial | $792 |
| Geisinger | Commercial | $814 |
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