Emergency visit, moderate (level 3) at UPMC Lititz. CPT 99283.
What UPMC Lititz publishes for this service, straight from its standard-charges file, last updated March 6, 2026.
Outpatient / ER
$887cash price (self-pay)
$1,479list price
$45.50–$1,257range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $45.50 |
| Highmark Wholecare (prev Gateway) | Medicaid | $62.31 |
| UPMC Health Plan | Managed Medicaid | $73.64 |
| United Healthcare Community Plan for Families | PA Medicaid | $74.21 |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $77.16 |
| Geisinger | Medicaid/CHIP | $82.52 |
| UPMC Work Partners | Workers Comp | $120 |
| Highmark BCBS of PA | Medicare | $263 |
| Aetna | Medicare | $277 |
| Prime Net | Managed Medicare | $278 |
| Cigna | Medicare | $279 |
| Geisinger | Medicare | $279 |
| United Healthcare | Medicare | $285 |
| Capital Blue Cross | Medicare Advantage | $296 |
| Keystone Health Plan | Medicare Advantage | $296 |
| UPMC Health Plan | CHIP | $355 |
| Keystone Autism Services | ACAP | $426 |
| Prime Net | Legacy Commercial | $577 |
| Aetna | ACO | $581 |
| Prime Net | ACO | $581 |
| Prime Net | NonGateKeeper | $688 |
| Aetna | Commercial | $692 |
| Prime Net | GateKeeper | $692 |
| Capital Blue Cross | CHIP | $694 |
| Capital Blue Cross | Commercial | $694 |
| Keystone Health Plan | Commercial | $694 |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $786 |
| Preferred Healthcare System | Inter County Health Plan/Lancaster Gener | $813 |
| Highmark BCBS of PA | Medicaid | $819 |
| Highmark BCBS of PA | Commercial | $836 |
Inpatient
$887cash price (self-pay)
$1,479list price
$549–$1,257range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Prime Net | Legacy Commercial | $549 |
| Aetna | ACO | $553 |
| Prime Net | ACO | $553 |
| Prime Net | NonGateKeeper | $654 |
| Aetna | Commercial | $658 |
| Prime Net | GateKeeper | $658 |
| Preferred Healthcare System | Inter County Health Plan/Lancaster Gener | $813 |
| Geisinger | Commercial | $1,068 |
| Prime Net | FH-Medical Rental | $1,071 |
| Preferred Healthcare System | PPO | $1,109 |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $1,257 |
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