Emergency visit, highest (level 5) at UPMC Mercy. CPT 99285.
What UPMC Mercy publishes for this service, straight from its standard-charges file, last updated March 6, 2026.
Outpatient / ER
$2,410cash price (self-pay)
$4,017list price
$153–$3,615range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UPMC Health Plan | Managed Medicaid | $153 |
| United Healthcare Community Plan for Families | PA Medicaid | $160 |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Me | $174 |
| Highmark Wholecare (prev Gateway) | Medicaid | $206 |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $220 |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $236 |
| UPMC Work Partners | Workers Comp | $290 |
| UPMC Health Plan | Commercial | $307 |
| Bravo | Medicare | $450 |
| UPMC Health Plan | Managed Medicare | $487 |
| Highmark BCBS of PA | Managed Care - Social Mission | $496 |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $510 |
| UPMC Health Plan | CHIP | $547 |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $600 |
| Aetna of PA | Medicare | $614 |
| AmeriHealth Caritas | Medicare | $631 |
| Highmark Wholecare (prev Gateway) | Medicare | $631 |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advant | $631 |
| Aetna | Medicare | $643 |
| Highmark BCBS of PA | Managed Care | $664 |
| Highmark BCBS of PA | Commercial - Indemnity | $683 |
| Aetna | Neighborhood Network | $1,121 |
| Aetna | Home Depot Employer Group | $1,223 |
| Aetna | NBR ASO/FI | $1,245 |
| Aetna | EBR FI | $1,526 |
| Aetna | EBR ASO | $1,607 |
| Cigna | Commercial | $1,607 |
| Cigna | New Business ASO | $1,647 |
| Coventry/First Health | Commercial | $1,767 |
| InterGroup | PPO | $2,410 |
Inpatient
$2,410cash price (self-pay)
$4,017list price
$1,229–$3,615range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Neighborhood Network | $1,229 |
| Aetna | Home Depot Employer Group | $1,338 |
| Aetna | NBR ASO/FI | $1,366 |
| Cigna | New Business ASO | $1,366 |
| Aetna | EBR FI | $1,526 |
| Aetna | EBR ASO | $1,607 |
| Cigna | Commercial | $1,607 |
| Coventry/First Health | Commercial | $1,767 |
| InterGroup | PPO | $2,410 |
| Cigna Behavioral Health | Commercial | $2,410 |
| InterGroup | Approved National Affiliated PPO Business | $3,214 |
| National Provider Network | PPO | $3,294 |
| Health Payors Organization | Commercial | $3,615 |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $3,615 |
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