Emergency visit, high (level 4) at UPMC Community Osteopathic. CPT 99284.
What UPMC Community Osteopathic publishes for this service, straight from its standard-charges file, last updated March 6, 2026.
Outpatient / ER
$151cash price (self-pay)
$2,200list price
$65.00–$2,528range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $65.00 |
| 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 | Community Health Choices/PA Medicaid HMO | $162 |
| UPMC Work Partners | Workers Comp | $170 |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue | $415 |
| Highmark BCBS of PA | Freedom Blue Medicare Advantage | $421 |
| Humana | Medicare | $431 |
| Aetna | Medicare | $437 |
| Cigna | Medicare | $440 |
| Capital Blue Cross | Medicare Advantage | $440 |
| Keystone Health Plan | Medicare Advantage | $440 |
| United Healthcare | Medicare | $448 |
| UPMC Health Plan | CHIP | $449 |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advant | $452 |
| Prime Net | Managed Medicare | $532 |
| Highmark BCBS of PA | CHIP | $760 |
| Highmark BCBS of PA | Commercial | $760 |
| InterGroup | PPO | $910 |
| Aetna | ACO | $1,419 |
| Aetna | PEBTF ACO | $1,565 |
| Prime Net | FH-Medical Rental | $1,654 |
| Aetna | Commercial | $1,842 |
| Wellspan Population Health | Commercial | $1,870 |
| Capital Blue Cross | CHIP | $2,408 |
| Capital Blue Cross | Commercial | $2,408 |
| Keystone Health Plan | Commercial | $2,528 |
Inpatient
$275cash price (self-pay)
$2,200list price
$298–$1,870range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| InterGroup | PPO | $1,430 |
| Prime Net | FH-Medical Rental | $1,654 |
| Wellspan Population Health | Commercial | $1,870 |
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