Emergency visit, high (level 4) at UPMC East. CPT 99284.
What UPMC East publishes for this service, straight from its standard-charges file, last updated March 6, 2026.
Outpatient / ER
$1,120cash price (self-pay)
$1,867list price
$105–$1,494range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UPMC Health Plan | Managed Medicaid | $105 |
| United Healthcare Community Plan for Families | Unison Kids | $110 |
| Geisinger | Medicaid/CHIP | $133 |
| Highmark Wholecare (prev Gateway) | Medicaid | $141 |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Me | $143 |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $144 |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $149 |
| PA Health & Wellness | PA Medicaid HMO | $162 |
| UPMC Health Plan | Commercial | $317 |
| UPMC Health Plan | Managed Medicare | $407 |
| Highmark BCBS of PA | Managed Care - Social Mission | $413 |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $415 |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $415 |
| United Healthcare | Unison Advantage Non Special Needs | $426 |
| Aetna of PA | Medicare | $426 |
| United Healthcare | Medicare | $434 |
| Highmark Wholecare (prev Gateway) | Medicare | $438 |
| Cigna | Medicare | $438 |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advant | $438 |
| AmeriHealth Caritas | Medicare | $438 |
| United Healthcare | Unison Advantage Special Needs | $447 |
| Aetna | Medicare | $447 |
| UPMC Health Plan | CHIP | $449 |
| Highmark BCBS of PA | Managed Care | $553 |
| Highmark BCBS of PA | Commercial - Indemnity | $556 |
| United Healthcare | Compass Exchange | $616 |
| Aetna | Neighborhood Network | $655 |
| Aetna | EBR FI | $709 |
| Aetna | Home Depot Employer Group | $713 |
| Aetna | NBR ASO/FI | $728 |
Inpatient
$1,120cash price (self-pay)
$1,867list price
$635–$1,494range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare | Compass Exchange | $635 |
| Aetna | Neighborhood Network | $672 |
| Aetna | EBR FI | $709 |
| Aetna | Home Depot Employer Group | $732 |
| Aetna | EBR ASO | $747 |
| Aetna | NBR ASO/FI | $747 |
| Cigna | Commercial | $747 |
| Cigna | New Business ASO | $747 |
| Cigna | EBR | $747 |
| Cigna | NBR ASO/FI | $747 |
| United Healthcare | All Business | $747 |
| InterGroup | PPO | $934 |
| Coventry/First Health | Commercial | $1,307 |
| Private Health Care Systems | PPO | $1,494 |
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