Emergency visit, highest (level 5) at UPMC Hamot. CPT 99285.
What UPMC Hamot publishes for this service, straight from its standard-charges file, last updated March 6, 2026.
Outpatient / ER
$2,165cash price (self-pay)
$3,609list price
$153–$2,887range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UPMC Health Plan | Managed Medicaid | $153 |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $160 |
| Aetna | Medicaid | $166 |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Me | $174 |
| 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 | Community Health Choices/PA Medicaid HMO | $236 |
| UPMC Work Partners | Workers Comp | $290 |
| Univera | Univera_Medicare_Hamot_2024 | $541 |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Missi | $603 |
| Fidelis | Medicare | $675 |
| Aetna | Medicare | $688 |
| UPMC Health Plan | Partners/Select | $689 |
| Wellcare | Medicare Advantage | $695 |
| BCBS of Western NY | Medicare Advantage | $708 |
| United Healthcare | Medicare | $722 |
| Highmark Wholecare (prev Gateway) | Medicare | $729 |
| Cigna | Medicare | $729 |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advant | $729 |
| AmeriHealth Caritas | Medicare | $729 |
| Aetna | Commercial | $902 |
| Highmark BCBS of PA | UPMC Emergent | $965 |
| Cigna | New Business ASO | $1,083 |
| Cigna | NBR ASO/FI | $1,083 |
| UPMC Health Plan | Commercial | $1,328 |
| United Healthcare | Commercial | $1,354 |
| Cigna | Commercial | $1,444 |
| Cigna | EBR | $1,444 |
Inpatient
$2,165cash price (self-pay)
$3,609list price
$974–$2,887range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Commercial | $974 |
| Cigna | New Business ASO | $1,083 |
| Cigna | NBR ASO/FI | $1,083 |
| Univera | Commercial | $1,191 |
| Cigna | Commercial | $1,444 |
| Cigna | EBR | $1,444 |
| InterGroup | Health Coalition Partners/PPO | $2,346 |
| Aetna | AXA/MMO | $2,526 |
| Multiplan | PPO (Includes PHCS as a Payer) | $2,526 |
| InterGroup | Beech Street | $2,887 |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $2,887 |
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