Emergency visit, high (level 4) at UPMC Childrens. CPT 99284.
What UPMC Childrens publishes for this service, straight from its standard-charges file, last updated March 6, 2026.
Outpatient / ER
$1,274cash price (self-pay)
$2,124list price
$102–$1,912range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| CCBHN | Commercial | $149 |
| Aetna | Medicaid | $287 |
| UPMC Health Plan | Managed Medicaid | $333 |
| Highmark Wholecare (prev Gateway) | Medicaid | $385 |
| Highmark BCBS of PA | Managed Care - Social Mission | $404 |
| Health Plan of Upper Ohio Valley | Medicare | $406 |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $409 |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $416 |
| AmeriHealth Caritas | Medicare | $438 |
| Cigna | Medicare | $438 |
| United Healthcare Community Plan for Families | PA Medicaid | $440 |
| UPMC Health Plan | CHIP | $449 |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $450 |
| Highmark BCBS of PA | Managed Care | $476 |
| Geisinger | Medicaid/CHIP | $476 |
| Aetna | Medicare | $489 |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $517 |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $556 |
| UPMC Health Plan | Managed Medicare | $556 |
| Highmark BCBS of PA | Commercial - Indemnity | $608 |
| Highmark BCBS of PA | Medicare | $746 |
| United Healthcare | Compass Exchange | $850 |
| Aetna | Narrow Network | $898 |
| Geisinger | Commercial | $955 |
| Aetna | Fully Insured | $998 |
| Cigna | New Business ASO | $998 |
| Cigna | NBR ASO/FI | $998 |
| United Healthcare | All Business | $998 |
| Aetna | Commercial | $1,168 |
| Cigna | Commercial | $1,168 |
Inpatient
$1,274cash price (self-pay)
$2,124list price
$850–$1,912range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare | Compass Exchange | $850 |
| Aetna | Narrow Network | $898 |
| Geisinger | Commercial | $955 |
| Aetna | Fully Insured | $998 |
| Cigna | New Business ASO | $998 |
| Cigna | NBR ASO/FI | $998 |
| United Healthcare | All Business | $998 |
| Aetna | Commercial | $1,168 |
| Cigna | Commercial | $1,168 |
| Cigna | EBR | $1,168 |
| InterGroup | PPO | $1,593 |
| Coventry/First Health | Childrens Coventry FirstHealth Commercial | $1,699 |
| Saudi Armed Forces | Commercial | $1,699 |
| Health Payors Organization | Commercial | $1,805 |
| Multiplan | Commercial/Worker's Compensation | $1,805 |
| National Provider Network | PPO | $1,912 |
| Private Health Care Systems | PPO | $1,912 |
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