Emergency visit, highest (level 5) at UPMC Somerset. CPT 99285.
What UPMC Somerset publishes for this service, straight from its standard-charges file, last updated March 6, 2026.
Outpatient / ER
$221cash price (self-pay)
$3,048list price
$51.25–$2,443range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $51.25 |
| UPMC Health Plan | Managed Medicaid | $153 |
| Highmark Wholecare (prev Gateway) | Medicaid | $155 |
| United Healthcare Community Plan for Families | PA Medicaid | $160 |
| Highmark BCBS of PA | Medicare Advantage | $172 |
| Geisinger | Medicaid | $193 |
| UPMC Work Partners | Workers Comp | $258 |
| UPMC Health Plan | CHIP | $547 |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue | $579 |
| UPMC Health Plan | Managed Medicare | $585 |
| AmeriHealth Caritas | Medicare | $585 |
| United Healthcare | Medicare | $585 |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $596 |
| Highmark Wholecare (prev Gateway) | Medicare | $631 |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Ca | $867 |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $1,097 |
| Geisinger | Commercial | $1,200 |
| Aetna of PA | TPA/Carrier | $1,219 |
| United Healthcare | Commercial | $1,314 |
| UPMC Health Plan | Commercial | $1,385 |
| Multiplan | PPO (Includes PHCS as a Payer) | $1,524 |
| Galaxy Health Plan | Commercial | $1,981 |
| Humana | Commercial | $2,286 |
Inpatient
$432cash price (self-pay)
$3,048list price
$468–$2,286range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Galaxy Health Plan | Commercial | $1,981 |
| Multiplan | PPO (Includes PHCS as a Payer) | $1,981 |
| Humana | Commercial | $2,286 |
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