Emergency visit, high (level 4) at St Lukes Hospital Upper Bucks Campus. CPT 99284.
What St Lukes Hospital Upper Bucks Campus publishes for this service, straight from its standard-charges file, last updated February 26, 2026.
Outpatient / ER
$1,530cash price (self-pay)
$4,166list price
$112–$5,492range 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 |
| Keystone First | Medicaid | $146 |
| Highmark Wholecare | Medicaid | $300 |
| Capital Blue Cross | Medicare | $436 |
| Highmark | Medicare Advantage | $436 |
| Horizon BCBS NJ | Medicare | $436 |
| Independence Blue Cross | Medicare Advantage | $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 |
| United Healthcare | Commercial | $768 |
| Oscar | Commercial | $1,081 |
| Independence Blue Cross | HMO | $1,128 |
| Independence Blue Cross | PPO | $1,128 |
| Cigna | Commercial | $1,140 |
| UPMC Health Plan | Commercial | $1,142 |
| Geisinger | Commercial | $1,171 |
| Independence Blue Cross | Indemnity | $1,424 |
| Aetna | Medical Rental | $1,433 |
| Aetna | Commercial | $1,454 |
| Highmark | Commercial/Special Care | $1,506 |
| Capital Blue Cross | Commercial | $3,450 |
Inpatient
$1,530cash price (self-pay)
$4,166list price
$441–$1,865range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Oscar | Commercial | $1,081 |
| UPMC Health Plan | Commercial | $1,139 |
| Geisinger | Commercial | $1,171 |
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