Emergency visit, high (level 4) at UPMC Hanover. CPT 99284.
What UPMC Hanover publishes for this service, straight from its standard-charges file, last updated March 6, 2026.
Outpatient / ER
$1,320cash price (self-pay)
$2,200list price
$65.00–$1,914range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $65.00 |
| Highmark Wholecare (prev Gateway) | Medicaid | $105 |
| UPMC Health Plan | Managed Medicaid | $124 |
| 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 | PA Medicaid HMO | $162 |
| UPMC Work Partners | Workers Comp | $170 |
| Highmark BCBS of PA | Medicare | $403 |
| Humana | Medicare | $407 |
| Capital Blue Cross | Medicare Advantage | $418 |
| Keystone Health Plan | Medicare Advantage | $418 |
| Aetna | Medicare | $424 |
| Cigna | Medicare | $427 |
| Geisinger | Medicare | $427 |
| United Healthcare | Medicare | $435 |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advant | $439 |
| UPMC Health Plan | CHIP | $449 |
| Prime Net | Managed Medicare | $609 |
| Keystone Autism Services | ACAP | $651 |
| Aetna | ACO | $1,250 |
| Highmark BCBS of PA | Medicaid | $1,349 |
| Geisinger | Commercial | $1,441 |
| Highmark BCBS of PA | Commercial | $1,447 |
| Capital Blue Cross | CHIP | $1,495 |
| Capital Blue Cross | Commercial | $1,495 |
| Keystone Health Plan | Commercial | $1,495 |
| UPMC Health Plan | Commercial | $1,540 |
| Aetna | Commercial | $1,602 |
| Cigna | Commercial | $1,850 |
Inpatient
$1,320cash price (self-pay)
$2,200list price
$1,589–$1,914range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Geisinger | Commercial | $1,589 |
| CareFirst | Commercial | $1,870 |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $1,870 |
| Wellspan Population Health | Commercial | $1,914 |
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