Emergency visit, highest (level 5) at UPMC East. CPT 99285.
What UPMC East publishes for this service, straight from its standard-charges file, last updated March 6, 2026.
Outpatient / ER
$1,371cash price (self-pay)
$2,285list price
$153–$1,828range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UPMC Health Plan | Managed Medicaid | $153 |
| United Healthcare Community Plan for Families | Unison Kids | $160 |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Me | $176 |
| Geisinger | Medicaid/CHIP | $193 |
| Highmark Wholecare (prev Gateway) | Medicaid | $206 |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $209 |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $217 |
| PA Health & Wellness | PA Medicaid HMO | $236 |
| UPMC Health Plan | Commercial | $386 |
| Highmark BCBS of PA | Managed Care - Social Mission | $506 |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $509 |
| UPMC Health Plan | CHIP | $547 |
| UPMC Health Plan | Managed Medicare | $586 |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $597 |
| United Healthcare | Unison Advantage Non Special Needs | $614 |
| Aetna of PA | Medicare | $614 |
| United Healthcare | Medicare | $625 |
| Highmark Wholecare (prev Gateway) | Medicare | $631 |
| Cigna | Medicare | $631 |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advant | $631 |
| AmeriHealth Caritas | Medicare | $631 |
| United Healthcare | Unison Advantage Special Needs | $643 |
| Aetna | Medicare | $643 |
| Highmark BCBS of PA | Managed Care | $678 |
| Highmark BCBS of PA | Commercial - Indemnity | $682 |
| United Healthcare | Compass Exchange | $754 |
| Aetna | Neighborhood Network | $802 |
| Aetna | EBR FI | $868 |
| Aetna | Home Depot Employer Group | $873 |
| Aetna | NBR ASO/FI | $891 |
Inpatient
$1,371cash price (self-pay)
$2,285list price
$777–$1,828range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare | Compass Exchange | $777 |
| Aetna | Neighborhood Network | $823 |
| Aetna | EBR FI | $868 |
| Aetna | Home Depot Employer Group | $896 |
| Aetna | EBR ASO | $914 |
| Aetna | NBR ASO/FI | $914 |
| Cigna | Commercial | $914 |
| Cigna | New Business ASO | $914 |
| Cigna | EBR | $914 |
| Cigna | NBR ASO/FI | $914 |
| United Healthcare | All Business | $914 |
| InterGroup | PPO | $1,143 |
| Coventry/First Health | Commercial | $1,600 |
| Private Health Care Systems | PPO | $1,828 |
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