Emergency visit, high (level 4) at UPMC Presbyterian. CPT 99284.
What UPMC Presbyterian publishes for this service, straight from its standard-charges file, last updated March 6, 2026.
Outpatient / ER
$1,954cash price (self-pay)
$3,257list price
$105–$2,768range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UPMC Health Plan | Managed Medicaid | $105 |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $114 |
| Aetna | CHIP/Medicaid | $124 |
| Highmark Wholecare (prev Gateway) | Medicaid | $141 |
| Highmark BCBS of PA | Medicare Advantage | $143 |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $144 |
| Geisinger | Medicaid/CHIP | $148 |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $151 |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $162 |
| UPMC Work Partners | Workers Comp | $181 |
| Multiplan | Worker's Compensation | $210 |
| UPMC Health Plan | Commercial | $382 |
| AmeriHealth Caritas | Medicare | $438 |
| Cigna Lifesource | Medicare Transplant | $438 |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advant | $438 |
| Highmark Wholecare (prev Gateway) | Medicare | $438 |
| United Healthcare | Medicare | $438 |
| Aetna | Medicare | $447 |
| Aetna of PA | Medicare | $447 |
| Highmark BCBS of PA | Managed Care - Social Mission | $449 |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $462 |
| Highmark BCBS of PA | Managed Care | $601 |
| Highmark BCBS of PA | Commercial - Indemnity | $618 |
| Highmark BCBS of PA | UPMC Emergent | $1,202 |
| Preferred Healthcare System | PPO | $2,117 |
| Coventry/First Health | Commercial | $2,280 |
| InterGroup | InterGroup Services Corporation | $2,443 |
| Fidelis | Medicare | $2,443 |
| Multiplan | PPO | $2,606 |
| Private Health Care Systems | PPO | $2,606 |
Inpatient
$1,954cash price (self-pay)
$3,257list price
$2,117–$2,768range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Preferred Healthcare System | PPO | $2,117 |
| Coventry/First Health | Commercial | $2,280 |
| InterGroup | InterGroup Services Corporation | $2,443 |
| Fidelis | Medicare | $2,443 |
| Multiplan | PPO | $2,606 |
| Private Health Care Systems | PPO | $2,606 |
| SelectCare | Commercial | $2,606 |
| Health Coalition Partners | Intergroup | $2,606 |
| Health Payors Organization | Commercial | $2,768 |
| Humana | Commercial | $2,768 |
| InterGroup | Approved National Affiliated PPO Business | $2,768 |
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