Emergency visit, high (level 4) at Thomas Jefferson University Hospital. CPT 99284.
What Thomas Jefferson University Hospital publishes for this service, straight from its standard-charges file, last updated September 15, 2026.
Outpatient / ER
$493cash price (self-pay)
$3,088list price
$95.33–$2,534range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| PA Health and Wellness CHC | JCC001_JCC002 CHC | $160 |
| Optum Behavioral Health | JCC001 Medicare | $170 |
| Jefferson Health Plan Medicaid | JCC001_JCC002 Caid MCO CHIP | $192 |
| Geisinger Medicaid | JCC001 JCC002 Caid MCO | $450 |
| Ibc | Jcc001 PPO | $1,308 |
| Ibc | Jcc001 HMO | $1,308 |
| Aetna | JCC001_JCC002 PEBTF | $1,852 |
| Aetna | JCC001_JCC002 Commercial | $2,179 |
| Geisinger Health Plan | JCC001_JCC002 Commercial | $2,391 |
| United Healthcare | JCC001_JCC002 Commercial | $2,534 |
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