Emergency visit, highest (level 5) at UPMC Wellsboro. CPT 99285.
What UPMC Wellsboro publishes for this service, straight from its standard-charges file, last updated March 6, 2026.
Outpatient / ER
$208cash price (self-pay)
$1,947list price
$55.00–$2,039range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $55.00 |
| Geisinger | Medicaid/CHIP | $153 |
| UPMC Health Plan | CHIP | $153 |
| UPMC Health Plan | Managed Medicaid | $153 |
| Highmark Wholecare (prev Gateway) | Medicaid | $155 |
| United Healthcare Community Plan for Families | PA Medicaid | $178 |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $209 |
| Aetna | Medicare | $223 |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $236 |
| Highmark BCBS of PA | Medicare | $248 |
| Highmark Wholecare (prev Gateway) | Medicare | $248 |
| UPMC Health Plan | Managed Medicare | $253 |
| UPMC Work Partners | Workers Comp | $258 |
| Cigna | Medicare | $260 |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advant | $267 |
| United Healthcare | Medicare | $438 |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $532 |
| UPMC Health Plan | Commercial | $540 |
| Highmark BCBS of PA | Commercial | $626 |
| Wirerope Works | Commercial | $688 |
| Geisinger | Commercial | $829 |
| Aetna | PEBTF Custom Network | $908 |
| Multiplan | Auto | $966 |
| Multiplan | PPO (Includes PHCS as a Payer) | $966 |
| United Healthcare | Commercial | $1,052 |
| Aetna | Commercial | $1,068 |
| America's Choice | PPO | $1,114 |
| InterGroup | PPO | $1,114 |
| Multiplan | Worker's Compensation | $1,176 |
Inpatient
$208cash price (self-pay)
$1,238list price
$193–$2,039range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Wirerope Works | Commercial | $688 |
| Aetna | PEBTF Custom Network | $908 |
| Multiplan | Auto | $966 |
| Multiplan | PPO (Includes PHCS as a Payer) | $966 |
| United Healthcare | Commercial | $1,052 |
| Aetna | Commercial | $1,068 |
| America's Choice | PPO | $1,114 |
| InterGroup | PPO | $1,114 |
| Multiplan | Worker's Compensation | $1,176 |
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