Emergency visit, moderate (level 3) at UPMC Wellsboro. CPT 99283.
What UPMC Wellsboro publishes for this service, straight from its standard-charges file, last updated March 6, 2026.
Outpatient / ER
$122cash price (self-pay)
$1,125list price
$36.72–$1,178range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $38.50 |
| Geisinger | Medicaid/CHIP | $62.31 |
| UPMC Health Plan | CHIP | $62.31 |
| UPMC Health Plan | Managed Medicaid | $62.31 |
| Highmark Wholecare (prev Gateway) | Medicaid | $63.16 |
| United Healthcare Community Plan for Families | PA Medicaid | $72.51 |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $85.43 |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $96.54 |
| UPMC Work Partners | Workers Comp | $114 |
| Aetna | Medicare | $176 |
| Highmark BCBS of PA | Medicare | $195 |
| Highmark Wholecare (prev Gateway) | Medicare | $195 |
| UPMC Health Plan | Managed Medicare | $199 |
| Cigna | Medicare | $205 |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advant | $211 |
| United Healthcare | Medicare | $253 |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $419 |
| UPMC Health Plan | Commercial | $426 |
| Highmark BCBS of PA | Commercial | $494 |
| Wirerope Works | Commercial | $543 |
| Geisinger | Commercial | $654 |
| Aetna | PEBTF Custom Network | $716 |
| Multiplan | Auto | $761 |
| Multiplan | PPO (Includes PHCS as a Payer) | $761 |
| United Healthcare | Commercial | $830 |
| Aetna | Commercial | $842 |
| America's Choice | PPO | $878 |
| InterGroup | PPO | $878 |
| Multiplan | Worker's Compensation | $927 |
Inpatient
$122cash price (self-pay)
$976list price
$113–$1,178range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Wirerope Works | Commercial | $543 |
| Aetna | PEBTF Custom Network | $716 |
| Multiplan | Auto | $761 |
| Multiplan | PPO (Includes PHCS as a Payer) | $761 |
| United Healthcare | Commercial | $830 |
| Aetna | Commercial | $842 |
| America's Choice | PPO | $878 |
| InterGroup | PPO | $878 |
| Multiplan | Worker's Compensation | $927 |
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