Emergency visit, high (level 4) at UPMC Somerset. CPT 99284.
What UPMC Somerset publishes for this service, straight from its standard-charges file, last updated March 6, 2026.
Outpatient / ER
$151cash price (self-pay)
$2,200list price
$51.25–$1,650range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $51.25 |
| UPMC Health Plan | Managed Medicaid | $105 |
| Highmark Wholecare (prev Gateway) | Medicaid | $106 |
| United Healthcare Community Plan for Families | PA Medicaid | $110 |
| Geisinger | Medicaid | $133 |
| Highmark BCBS of PA | Medicare Advantage | $141 |
| UPMC Work Partners | Workers Comp | $168 |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue | $402 |
| UPMC Health Plan | Managed Medicare | $406 |
| AmeriHealth Caritas | Medicare | $406 |
| United Healthcare | Medicare | $406 |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $414 |
| Highmark Wholecare (prev Gateway) | Medicare | $438 |
| UPMC Health Plan | CHIP | $449 |
| UPMC Health Plan | Commercial | $450 |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Ca | $602 |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $762 |
| Geisinger | Commercial | $866 |
| Aetna of PA | TPA/Carrier | $880 |
| United Healthcare | Commercial | $948 |
| Multiplan | PPO (Includes PHCS as a Payer) | $1,100 |
| Galaxy Health Plan | Commercial | $1,430 |
| Humana | Commercial | $1,650 |
Inpatient
$275cash price (self-pay)
$2,200list price
$298–$1,650range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Galaxy Health Plan | Commercial | $1,430 |
| Multiplan | PPO (Includes PHCS as a Payer) | $1,430 |
| Humana | Commercial | $1,650 |
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