Emergency visit, high (level 4) at UPMC Carlisle. CPT 99284.
What UPMC Carlisle publishes for this service, straight from its standard-charges file, last updated March 6, 2026.
Outpatient / ER
$1,320cash price (self-pay)
$2,200list price
$65.00–$1,870range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $65.00 |
| Highmark Wholecare (prev Gateway) | Medicaid | $105 |
| UPMC Health Plan | Managed Medicaid | $124 |
| United Healthcare Community Plan for Families | PA Medicaid | $125 |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $130 |
| Geisinger | Medicaid/CHIP | $139 |
| PA Health & Wellness | PA Medicaid HMO | $162 |
| UPMC Work Partners | Workers Comp | $176 |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue | $403 |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $403 |
| Humana | Medicare | $407 |
| Prime Net | Managed Medicare | $417 |
| Aetna | Medicare | $425 |
| Cigna | Medicare | $428 |
| Geisinger | Medicare | $428 |
| United Healthcare | Medicare | $436 |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advant | $440 |
| Capital Blue Cross | Medicare Advantage | $440 |
| Keystone Health Plan | Medicare Advantage | $440 |
| UPMC Health Plan | CHIP | $449 |
| Keystone Autism Services | ACAP | $652 |
| Prime Net | Legacy Commercial | $858 |
| Aetna | ACO | $865 |
| Prime Net | ACO | $865 |
| Prime Net | NonGateKeeper | $1,023 |
| Aetna | Commercial | $1,030 |
| Prime Net | GateKeeper | $1,030 |
| Highmark BCBS of PA | Community Blue PPO | $1,146 |
| Highmark BCBS of PA | CHIP - Managed Care | $1,194 |
| Capital Blue Cross | CHIP | $1,203 |
Inpatient
$1,320cash price (self-pay)
$2,200list price
$898–$1,870range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Prime Net | Legacy Commercial | $898 |
| Aetna | ACO | $904 |
| Prime Net | ACO | $904 |
| Prime Net | NonGateKeeper | $1,069 |
| Aetna | Commercial | $1,076 |
| Prime Net | GateKeeper | $1,076 |
| Geisinger | Commercial | $1,589 |
| Prime Net | FH-Medical Rental | $1,663 |
| Wellspan Population Health | PPO | $1,760 |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $1,870 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.