Emergency visit, highest (level 5) at UPMC St. Margaret. CPT 99285.
What UPMC St. Margaret publishes for this service, straight from its standard-charges file, last updated March 6, 2026.
Outpatient / ER
$3,119cash price (self-pay)
$5,198list price
$153–$4,418range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $153 |
| UPMC Health Plan | Managed Medicaid | $153 |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Me | $176 |
| Highmark Wholecare (prev Gateway) | Medicaid | $206 |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $217 |
| PA Health & Wellness | PA Medicaid HMO | $236 |
| UPMC Work Partners | Workers Comp | $290 |
| UPMC Health Plan | Commercial | $391 |
| UPMC Health Plan | Managed Medicare | $505 |
| Highmark BCBS of PA | Managed Care - Social Mission | $506 |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $509 |
| Aetna of PA | Medicare | $614 |
| Highmark Wholecare (prev Gateway) | Medicare | $631 |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advant | $631 |
| Aetna | Medicare | $643 |
| Highmark BCBS of PA | Managed Care | $678 |
| Highmark BCBS of PA | Commercial - Indemnity | $682 |
| Aetna | Neighborhood Network | $1,310 |
| Highmark BCBS of PA | UPMC Emergent | $1,356 |
| Aetna | Home Depot Employer Group | $1,424 |
| Aetna | NBR ASO/FI | $1,455 |
| Cigna | New Business ASO | $1,455 |
| Aetna | EBR FI | $1,975 |
| Aetna | EBR ASO | $2,079 |
| Cigna | Commercial | $2,079 |
| Coventry/First Health | Commercial | $3,639 |
| Private Health Care Systems | PPO | $4,158 |
| SelectCare | Commercial | $4,158 |
| Humana | Commercial | $4,418 |
Inpatient
$3,119cash price (self-pay)
$5,198list price
$1,357–$4,418range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Neighborhood Network | $1,357 |
| Aetna | Home Depot Employer Group | $1,476 |
| Aetna | NBR ASO/FI | $1,507 |
| Cigna | New Business ASO | $1,507 |
| Aetna | EBR FI | $1,975 |
| Aetna | EBR ASO | $2,079 |
| Cigna | Commercial | $2,079 |
| Coventry/First Health | Commercial | $3,639 |
| Private Health Care Systems | PPO | $4,158 |
| SelectCare | Commercial | $4,158 |
| Humana | Commercial | $4,418 |
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