Emergency visit, highest (level 5) at UPMC Childrens. CPT 99285.
What UPMC Childrens publishes for this service, straight from its standard-charges file, last updated March 6, 2026.
Outpatient / ER
$1,703cash price (self-pay)
$2,838list price
$149–$2,554range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| CCBHN | Commercial | $149 |
| Aetna | Medicaid | $385 |
| UPMC Health Plan | Managed Medicaid | $435 |
| Highmark BCBS of PA | Managed Care - Social Mission | $496 |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $500 |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $544 |
| UPMC Health Plan | CHIP | $547 |
| Highmark Wholecare (prev Gateway) | Medicaid | $560 |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $562 |
| United Healthcare Community Plan for Families | PA Medicaid | $577 |
| Highmark BCBS of PA | Managed Care | $584 |
| Health Plan of Upper Ohio Valley | Medicare | $585 |
| Geisinger | Medicaid/CHIP | $620 |
| AmeriHealth Caritas | Medicare | $631 |
| Cigna | Medicare | $631 |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $634 |
| Aetna | Medicare | $676 |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $679 |
| UPMC Health Plan | Managed Medicare | $679 |
| Highmark BCBS of PA | Commercial - Indemnity | $746 |
| Highmark BCBS of PA | Medicare | $1,020 |
| United Healthcare | Compass Exchange | $1,135 |
| Aetna | Narrow Network | $1,200 |
| Geisinger | Commercial | $1,276 |
| Aetna | Fully Insured | $1,334 |
| Cigna | New Business ASO | $1,334 |
| Cigna | NBR ASO/FI | $1,334 |
| United Healthcare | All Business | $1,334 |
| Aetna | Commercial | $1,561 |
| Cigna | Commercial | $1,561 |
Inpatient
$1,703cash price (self-pay)
$2,838list price
$1,135–$2,554range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare | Compass Exchange | $1,135 |
| Aetna | Narrow Network | $1,200 |
| Geisinger | Commercial | $1,276 |
| Aetna | Fully Insured | $1,334 |
| Cigna | New Business ASO | $1,334 |
| Cigna | NBR ASO/FI | $1,334 |
| United Healthcare | All Business | $1,334 |
| Aetna | Commercial | $1,561 |
| Cigna | Commercial | $1,561 |
| Cigna | EBR | $1,561 |
| InterGroup | PPO | $2,129 |
| Coventry/First Health | Childrens Coventry FirstHealth Commercial | $2,270 |
| Saudi Armed Forces | Commercial | $2,270 |
| Health Payors Organization | Commercial | $2,412 |
| Multiplan | Commercial/Worker's Compensation | $2,412 |
| National Provider Network | PPO | $2,554 |
| Private Health Care Systems | PPO | $2,554 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.