Emergency visit, high (level 4) at UPMC Mercy. CPT 99284.
What UPMC Mercy publishes for this service, straight from its standard-charges file, last updated March 6, 2026.
Outpatient / ER
$1,249cash price (self-pay)
$2,081list price
$105–$1,873range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UPMC Health Plan | Managed Medicaid | $105 |
| United Healthcare Community Plan for Families | PA Medicaid | $110 |
| Highmark Wholecare (prev Gateway) | Medicaid | $141 |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Me | $142 |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $151 |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $162 |
| UPMC Work Partners | Workers Comp | $181 |
| UPMC Health Plan | Commercial | $252 |
| UPMC Health Plan | Managed Medicare | $338 |
| Highmark BCBS of PA | Managed Care - Social Mission | $404 |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $415 |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $417 |
| Aetna of PA | Medicare | $426 |
| AmeriHealth Caritas | Medicare | $438 |
| Highmark Wholecare (prev Gateway) | Medicare | $438 |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advant | $438 |
| Aetna | Medicare | $447 |
| UPMC Health Plan | CHIP | $449 |
| Bravo | Medicare | $450 |
| Highmark BCBS of PA | Managed Care | $541 |
| Highmark BCBS of PA | Commercial - Indemnity | $556 |
| Aetna | Neighborhood Network | $581 |
| Aetna | Home Depot Employer Group | $634 |
| Aetna | NBR ASO/FI | $645 |
| Aetna | EBR FI | $791 |
| Aetna | EBR ASO | $832 |
| Cigna | Commercial | $832 |
| Cigna | New Business ASO | $853 |
| Coventry/First Health | Commercial | $916 |
| InterGroup | PPO | $1,249 |
Inpatient
$1,249cash price (self-pay)
$2,081list price
$637–$1,873range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Neighborhood Network | $637 |
| Aetna | Home Depot Employer Group | $693 |
| Aetna | NBR ASO/FI | $708 |
| Cigna | New Business ASO | $708 |
| Aetna | EBR FI | $791 |
| Aetna | EBR ASO | $832 |
| Cigna | Commercial | $832 |
| Coventry/First Health | Commercial | $916 |
| InterGroup | PPO | $1,249 |
| Cigna Behavioral Health | Commercial | $1,249 |
| InterGroup | Approved National Affiliated PPO Business | $1,665 |
| National Provider Network | PPO | $1,706 |
| Health Payors Organization | Commercial | $1,873 |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $1,873 |
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