Emergency visit, high (level 4) at UPMC Hamot. CPT 99284.
What UPMC Hamot publishes for this service, straight from its standard-charges file, last updated March 6, 2026.
Outpatient / ER
$1,581cash price (self-pay)
$2,635list price
$105–$2,108range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UPMC Health Plan | Managed Medicaid | $105 |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $110 |
| Aetna | Medicaid | $114 |
| Geisinger | Medicaid/CHIP | $133 |
| Highmark Wholecare (prev Gateway) | Medicaid | $141 |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Me | $142 |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $144 |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $149 |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $162 |
| UPMC Work Partners | Workers Comp | $174 |
| Univera | Univera_Medicare_Hamot_2024 | $395 |
| Fidelis | Medicare | $469 |
| Aetna | Medicare | $478 |
| UPMC Health Plan | Partners/Select | $478 |
| Wellcare | Medicare Advantage | $483 |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Missi | $492 |
| BCBS of Western NY | Medicare Advantage | $492 |
| United Healthcare | Medicare | $501 |
| Highmark Wholecare (prev Gateway) | Medicare | $506 |
| Cigna | Medicare | $506 |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advant | $506 |
| AmeriHealth Caritas | Medicare | $506 |
| Aetna | Commercial | $659 |
| Highmark BCBS of PA | UPMC Emergent | $787 |
| Cigna | New Business ASO | $791 |
| Cigna | NBR ASO/FI | $791 |
| UPMC Health Plan | Commercial | $970 |
| Cigna | Commercial | $1,054 |
| Cigna | EBR | $1,054 |
| Univera | Commercial | $1,159 |
Inpatient
$1,581cash price (self-pay)
$2,635list price
$711–$2,108range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Commercial | $711 |
| Cigna | New Business ASO | $791 |
| Cigna | NBR ASO/FI | $791 |
| Univera | Commercial | $870 |
| Cigna | Commercial | $1,054 |
| Cigna | EBR | $1,054 |
| InterGroup | Health Coalition Partners/PPO | $1,713 |
| Aetna | AXA/MMO | $1,845 |
| Multiplan | PPO (Includes PHCS as a Payer) | $1,845 |
| InterGroup | Beech Street | $2,108 |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $2,108 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.