Emergency visit, highest (level 5) at UPMC Memorial. CPT 99285.
What UPMC Memorial 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–$3,598range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $65.00 |
| Highmark BCBS of PA | Medicare | $142 |
| 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 | $278 |
| UPMC Health Plan | CHIP | $547 |
| Capital Blue Cross | Medicare Advantage | $610 |
| Keystone Health Plan | Medicare Advantage | $610 |
| Aetna | Medicare | $613 |
| Cigna | Medicare | $617 |
| Geisinger | Medicare | $617 |
| Prime Net | Managed Medicare | $620 |
| United Healthcare | Medicare | $629 |
| Keystone Autism Services | ACAP | $941 |
| Prime Net | ACO/Legacy Commercial | $1,250 |
| Aetna | ACO | $1,259 |
| Prime Net | GateKeeper/NonGateKeeper | $1,454 |
| Aetna | Commercial | $1,463 |
| Cigna | Commercial | $1,850 |
| Highmark BCBS of PA | Medicaid | $1,947 |
| Geisinger | Commercial | $1,996 |
| Highmark BCBS of PA | Commercial | $2,072 |
| UPMC Health Plan | Commercial | $2,134 |
| Wellspan Population Health | Commercial | $2,134 |
| Prime Net | FH-Medical Rental | $2,271 |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $2,591 |
| Capital Blue Cross | CHIP | $3,598 |
Inpatient
$1,829cash price (self-pay)
$3,048list price
$1,478–$2,591range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Prime Net | ACO/Legacy Commercial | $1,478 |
| Aetna | ACO | $1,487 |
| Prime Net | GateKeeper/NonGateKeeper | $1,719 |
| Aetna | Commercial | $1,731 |
| Geisinger | Commercial | $2,202 |
| Prime Net | FH-Medical Rental | $2,271 |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $2,591 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.