Emergency visit, high (level 4) at UPMC Jameson. CPT 99284.
What UPMC Jameson publishes for this service, straight from its standard-charges file, last updated March 6, 2026.
Outpatient / ER
$605cash price (self-pay)
$1,009list price
$65.01–$1,733range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $65.01 |
| UPMC Health Plan | Managed Medicaid | $105 |
| Aetna | Medicaid | $108 |
| Geisinger | Medicaid/CHIP | $133 |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue | $144 |
| PA Health & Wellness | PA Medicaid HMO | $162 |
| UPMC Work Partners | Workers Comp | $163 |
| UPMC Health Plan | Commercial | $276 |
| Cigna | Commercial | $311 |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $375 |
| Humana | Medicare | $406 |
| United Healthcare | Medicare | $406 |
| Aetna of PA | Medicare | $406 |
| UPMC Health Plan | Managed Medicare | $423 |
| UPMC Health Plan | EPO Partners/Partners/Select | $424 |
| Highmark Wholecare (prev Gateway) | Medicare | $438 |
| AmeriHealth Caritas | Medicare | $438 |
| Cigna | Medicare | $438 |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advant | $438 |
| UPMC Health Plan | CHIP | $449 |
| Occunet | Commercial | $507 |
| Humana | Commercial | $807 |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $807 |
| National Provider Network | PPO | $888 |
| United Healthcare | Commercial | $1,733 |
Inpatient
$605cash price (self-pay)
$1,009list price
$757–$888range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $757 |
| Humana | Commercial | $807 |
| National Provider Network | PPO | $888 |
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