Emergency visit, highest (level 5) at UPMC Lititz. CPT 99285.
What UPMC Lititz publishes for this service, straight from its standard-charges file, last updated March 6, 2026.
Outpatient / ER
$1,829cash price (self-pay)
$3,048list price
$65.00–$2,591range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $65.00 |
| Highmark Wholecare (prev Gateway) | Medicaid | $153 |
| UPMC Health Plan | Managed Medicaid | $180 |
| United Healthcare Community Plan for Families | PA Medicaid | $182 |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $189 |
| Geisinger | Medicaid/CHIP | $202 |
| UPMC Work Partners | Workers Comp | $270 |
| UPMC Health Plan | CHIP | $547 |
| Prime Net | Managed Medicare | $573 |
| Highmark BCBS of PA | Medicare | $583 |
| Capital Blue Cross | Medicare Advantage | $610 |
| Keystone Health Plan | Medicare Advantage | $610 |
| Aetna | Medicare | $614 |
| Cigna | Medicare | $618 |
| Geisinger | Medicare | $618 |
| United Healthcare | Medicare | $630 |
| Keystone Autism Services | ACAP | $942 |
| Prime Net | Legacy Commercial | $1,189 |
| Aetna | ACO | $1,198 |
| Prime Net | ACO | $1,198 |
| Prime Net | NonGateKeeper | $1,417 |
| Aetna | Commercial | $1,426 |
| Prime Net | GateKeeper | $1,426 |
| Capital Blue Cross | CHIP | $1,430 |
| Capital Blue Cross | Commercial | $1,430 |
| Keystone Health Plan | Commercial | $1,430 |
| Preferred Healthcare System | Inter County Health Plan/Lancaster Gener | $1,676 |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $1,741 |
| Highmark BCBS of PA | Medicaid | $1,813 |
| Cigna | Commercial | $1,850 |
Inpatient
$1,829cash price (self-pay)
$3,048list price
$1,131–$2,591range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Prime Net | Legacy Commercial | $1,131 |
| Aetna | ACO | $1,140 |
| Prime Net | ACO | $1,140 |
| Prime Net | NonGateKeeper | $1,347 |
| Aetna | Commercial | $1,356 |
| Prime Net | GateKeeper | $1,356 |
| Preferred Healthcare System | Inter County Health Plan/Lancaster Gener | $1,676 |
| Geisinger | Commercial | $2,202 |
| Prime Net | FH-Medical Rental | $2,207 |
| Preferred Healthcare System | PPO | $2,286 |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $2,591 |
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