Emergency visit, highest (level 5) at UPMC Carlisle. CPT 99285.
What UPMC Carlisle publishes for this service, straight from its standard-charges file, last updated March 6, 2026.
Outpatient / ER
$1,829cash price (self-pay)
$3,048list price
$65.00–$2,591range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $65.00 |
| Highmark Wholecare (prev Gateway) | Medicaid | $153 |
| UPMC Health Plan | Managed Medicaid | $180 |
| United Healthcare Community Plan for Families | PA Medicaid | $182 |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $189 |
| Geisinger | Medicaid/CHIP | $202 |
| PA Health & Wellness | PA Medicaid HMO | $236 |
| UPMC Work Partners | Workers Comp | $270 |
| UPMC Health Plan | CHIP | $547 |
| Prime Net | Managed Medicare | $578 |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue | $581 |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $581 |
| Humana | Medicare | $587 |
| Capital Blue Cross | Medicare Advantage | $610 |
| Keystone Health Plan | Medicare Advantage | $610 |
| Aetna | Medicare | $612 |
| Cigna | Medicare | $616 |
| Geisinger | Medicare | $616 |
| United Healthcare | Medicare | $628 |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advant | $633 |
| Keystone Autism Services | ACAP | $938 |
| Prime Net | Legacy Commercial | $1,189 |
| Aetna | ACO | $1,198 |
| Prime Net | ACO | $1,198 |
| Prime Net | NonGateKeeper | $1,417 |
| Aetna | Commercial | $1,426 |
| Prime Net | GateKeeper | $1,426 |
| Highmark BCBS of PA | Community Blue PPO | $1,650 |
| Capital Blue Cross | CHIP | $1,667 |
| Capital Blue Cross | Commercial | $1,667 |
Inpatient
$1,829cash price (self-pay)
$3,048list price
$1,244–$2,591range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Prime Net | Legacy Commercial | $1,244 |
| Aetna | ACO | $1,253 |
| Prime Net | ACO | $1,253 |
| Prime Net | NonGateKeeper | $1,481 |
| Aetna | Commercial | $1,490 |
| Prime Net | GateKeeper | $1,490 |
| Geisinger | Commercial | $2,202 |
| Prime Net | FH-Medical Rental | $2,304 |
| Wellspan Population Health | PPO | $2,438 |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $2,591 |
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