Emergency visit, highest (level 5) at UPMC Presbyterian. CPT 99285.
What UPMC Presbyterian publishes for this service, straight from its standard-charges file, last updated March 6, 2026.
Outpatient / ER
$3,632cash price (self-pay)
$6,053list price
$153–$5,145range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UPMC Health Plan | Managed Medicaid | $153 |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $166 |
| Highmark BCBS of PA | Medicare Advantage | $176 |
| Aetna | CHIP/Medicaid | $180 |
| Highmark Wholecare (prev Gateway) | Medicaid | $206 |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $209 |
| Geisinger | Medicaid/CHIP | $216 |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $220 |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $236 |
| UPMC Work Partners | Workers Comp | $290 |
| Multiplan | Worker's Compensation | $337 |
| UPMC Health Plan | Commercial | $466 |
| Highmark BCBS of PA | Managed Care - Social Mission | $551 |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $566 |
| AmeriHealth Caritas | Medicare | $631 |
| Cigna Lifesource | Medicare Transplant | $631 |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advant | $631 |
| Highmark Wholecare (prev Gateway) | Medicare | $631 |
| United Healthcare | Medicare | $631 |
| Aetna | Medicare | $643 |
| Aetna of PA | Medicare | $643 |
| Highmark BCBS of PA | Managed Care | $738 |
| Highmark BCBS of PA | Commercial - Indemnity | $759 |
| Highmark BCBS of PA | UPMC Emergent | $1,475 |
| Preferred Healthcare System | PPO | $3,934 |
| Coventry/First Health | Commercial | $4,237 |
| InterGroup | InterGroup Services Corporation | $4,540 |
| Fidelis | Medicare | $4,540 |
| Multiplan | PPO | $4,842 |
| Private Health Care Systems | PPO | $4,842 |
Inpatient
$3,632cash price (self-pay)
$6,053list price
$3,934–$5,145range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Preferred Healthcare System | PPO | $3,934 |
| Coventry/First Health | Commercial | $4,237 |
| InterGroup | InterGroup Services Corporation | $4,540 |
| Fidelis | Medicare | $4,540 |
| Multiplan | PPO | $4,842 |
| Private Health Care Systems | PPO | $4,842 |
| SelectCare | Commercial | $4,842 |
| Health Coalition Partners | Intergroup | $4,842 |
| Health Payors Organization | Commercial | $5,145 |
| Humana | Commercial | $5,145 |
| InterGroup | Approved National Affiliated PPO Business | $5,145 |
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