Emergency visit, highest (level 5) at UPMC Northwest. CPT 99285.
What UPMC Northwest publishes for this service, straight from its standard-charges file, last updated March 6, 2026.
Outpatient / ER
$703cash price (self-pay)
$1,172list price
$153–$996range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UPMC Health Plan | Managed Medicaid | $153 |
| United Healthcare Community Plan for Families | Unison Kids | $160 |
| Aetna | Medicaid | $166 |
| Highmark Wholecare (prev Gateway) | Medicaid | $206 |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $217 |
| PA Health & Wellness | PA Medicaid HMO | $236 |
| UPMC Work Partners | Workers Comp | $266 |
| UPMC Health Plan | Commercial | $369 |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Ca | $452 |
| Aetna | EBR ASO | $469 |
| Cigna | Commercial | $469 |
| UPMC Health Plan | Managed Medicare | $530 |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $557 |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue | $585 |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $598 |
| Aetna | Medicare | $602 |
| United Healthcare | Unison Advantage Non Special Needs | $614 |
| Aetna of PA | Medicare | $614 |
| Highmark Wholecare (prev Gateway) | Medicare | $631 |
| AmeriHealth Caritas | Medicare | $631 |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advant | $631 |
| United Healthcare | Unison Advantage Special Needs | $643 |
| Aetna | EBR FI | $703 |
| Aetna | Neighborhood Network | $703 |
| Aetna | Home Depot Employer Group | $723 |
| Aetna | NBR ASO/FI | $738 |
| Cigna | New Business ASO | $738 |
| InterGroup | PPO | $803 |
| Coventry/First Health | Commercial | $820 |
| Health Coalition Partners | PPO | $844 |
Inpatient
$703cash price (self-pay)
$1,172list price
$469–$3,704range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | EBR ASO | $469 |
| Cigna | Commercial | $469 |
| Aetna | EBR FI | $680 |
| Aetna | Neighborhood Network | $727 |
| Aetna | Home Depot Employer Group | $747 |
| Aetna | NBR ASO/FI | $762 |
| Cigna | New Business ASO | $762 |
| Coventry/First Health | Commercial | $820 |
| Private Health Care Systems | PPO | $938 |
| Humana | Commercial | $996 |
| InterGroup | PPO | $2,233 |
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