Emergency visit, moderate (level 3) at UPMC Northwest. CPT 99283.
What UPMC Northwest publishes for this service, straight from its standard-charges file, last updated March 6, 2026.
Outpatient / ER
$337cash price (self-pay)
$561list price
$62.31–$477range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UPMC Health Plan | Managed Medicaid | $62.31 |
| United Healthcare Community Plan for Families | Unison Kids | $65.15 |
| Aetna | Medicaid | $67.98 |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $88.44 |
| PA Health & Wellness | PA Medicaid HMO | $96.54 |
| UPMC Work Partners | Workers Comp | $113 |
| Aetna | EBR ASO | $224 |
| Cigna | Commercial | $224 |
| UPMC Health Plan | Commercial | $239 |
| UPMC Health Plan | Managed Medicare | $239 |
| Highmark Wholecare (prev Gateway) | Medicaid | $240 |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue | $264 |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $270 |
| Aetna | Medicare | $272 |
| United Healthcare | Unison Advantage Non Special Needs | $277 |
| Aetna of PA | Medicare | $277 |
| Highmark Wholecare (prev Gateway) | Medicare | $285 |
| AmeriHealth Caritas | Medicare | $285 |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advant | $285 |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Ca | $290 |
| United Healthcare | Unison Advantage Special Needs | $290 |
| Aetna | EBR FI | $337 |
| Aetna | Neighborhood Network | $337 |
| Aetna | Home Depot Employer Group | $346 |
| Aetna | NBR ASO/FI | $353 |
| Cigna | New Business ASO | $353 |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $357 |
| InterGroup | PPO | $384 |
| Coventry/First Health | Commercial | $393 |
| Health Coalition Partners | PPO | $404 |
Inpatient
$337cash price (self-pay)
$561list price
$224–$3,704range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | EBR ASO | $224 |
| Cigna | Commercial | $224 |
| Aetna | EBR FI | $325 |
| Aetna | Neighborhood Network | $348 |
| Aetna | Home Depot Employer Group | $357 |
| Aetna | NBR ASO/FI | $365 |
| Cigna | New Business ASO | $365 |
| Coventry/First Health | Commercial | $393 |
| Private Health Care Systems | PPO | $449 |
| Humana | Commercial | $477 |
| InterGroup | PPO | $2,034 |
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