Emergency visit, high (level 4) at UPMC Passavant-McCandless. CPT 99284.
What UPMC Passavant-McCandless publishes for this service, straight from its standard-charges file, last updated March 7, 2026.
Outpatient / ER
$1,146cash price (self-pay)
$1,910list price
$105–$1,624range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UPMC Health Plan | Managed Medicaid | $105 |
| United Healthcare Community Plan for Families | Unison Kids | $110 |
| Highmark Wholecare (prev Gateway) | Medicaid | $141 |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Me | $143 |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $149 |
| PA Health & Wellness | PA Medicaid HMO | $162 |
| UPMC Work Partners | Workers Comp | $174 |
| Private Health Care Systems | Workers' Comp | $202 |
| UPMC Health Plan | Commercial | $299 |
| UPMC Health Plan | Managed Medicare | $377 |
| Highmark BCBS of PA | Managed Care - Social Mission | $394 |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $398 |
| Health Plan of Upper Ohio Valley | Medicare | $406 |
| Health Plan of Upper Ohio Valley | Medicaid | $406 |
| United Healthcare | Unison Advantage Non Special Needs | $426 |
| Aetna of PA | Medicare | $426 |
| Highmark Wholecare (prev Gateway) | Medicare | $438 |
| AmeriHealth Caritas | Medicare | $438 |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advant | $438 |
| United Healthcare | Unison Advantage Special Needs | $447 |
| Aetna | Medicare | $447 |
| Highmark BCBS of PA | Managed Care | $527 |
| Highmark BCBS of PA | Commercial - Indemnity | $533 |
| Cigna | New Business ASO | $649 |
| Cigna | Commercial | $764 |
| Health Plan of Upper Ohio Valley | Commercial | $882 |
| Highmark BCBS of PA | UPMC Emergent | $1,054 |
| Coventry/First Health | Commercial | $1,337 |
| InterGroup | PPO | $1,585 |
| Humana | Commercial | $1,624 |
Inpatient
$1,146cash price (self-pay)
$1,910list price
$688–$1,776range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna | New Business ASO | $688 |
| Cigna | Commercial | $764 |
| Coventry/First Health | Commercial | $1,337 |
| InterGroup | PPO | $1,719 |
| Humana | Commercial | $1,776 |
| Multiplan | PPO (Includes Workers' Comp) | $1,776 |
| Private Health Care Systems | PPO | $1,776 |
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