Emergency visit, high (level 4) at UPMC Williamsport. CPT 99284.
What UPMC Williamsport publishes for this service, straight from its standard-charges file, last updated March 6, 2026.
Outpatient / ER
$1,244cash price (self-pay)
$2,073list price
$105–$1,658range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Geisinger | Medicaid/CHIP | $105 |
| UPMC Health Plan | CHIP | $105 |
| UPMC Health Plan | Managed Medicaid | $105 |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $107 |
| United Healthcare Community Plan for Families | PA Medicaid | $122 |
| Highmark Wholecare (prev Gateway) | Medicaid | $134 |
| PA Health & Wellness | PA Medicaid HMO | $162 |
| UPMC Work Partners | Workers Comp | $174 |
| Three Rivers Provider Network | All | $186 |
| Multiplan | Worker's Compensation | $192 |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue | $410 |
| UPMC Health Plan | Managed Medicare | $414 |
| AmeriHealth Caritas | Medicare | $418 |
| United Healthcare | Medicare | $434 |
| Highmark Wholecare (prev Gateway) | Medicare | $438 |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advant | $438 |
| Aetna | Medicare | $489 |
| Highmark BCBS of PA | Managed Care - Social Mission | $825 |
| Aetna | PEBTF Custom Network | $841 |
| UPMC Health Plan | Commercial | $904 |
| Highmark BCBS of PA | Bluecare HMO/FPLIC PPO/Traditional Products | $971 |
| Aetna | Commercial | $989 |
| Coventry/First Health | Commercial | $1,039 |
| Wirerope Works | Commercial | $1,153 |
| Aetna | First Health | $1,368 |
| Geisinger | Commercial | $1,389 |
| Coventry/First Health | FH-Medical Rental | $1,395 |
| United Healthcare | Commercial | $1,418 |
| Cigna | Commercial | $1,420 |
| Multiplan | Auto | $1,617 |
Inpatient
$1,244cash price (self-pay)
$2,073list price
$888–$1,866range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | PEBTF Custom Network | $888 |
| Aetna | Commercial | $1,045 |
| Coventry/First Health | Commercial | $1,097 |
| Wirerope Works | Commercial | $1,153 |
| Aetna | First Health | $1,368 |
| Coventry/First Health | FH-Medical Rental | $1,395 |
| United Healthcare | Commercial | $1,418 |
| Cigna | Commercial | $1,420 |
| Multiplan | Auto | $1,617 |
| Multiplan | PPO (Includes PHCS as a Payer) | $1,617 |
| America's Choice | PPO | $1,658 |
| InterGroup | PPO | $1,658 |
| Three Rivers Provider Network | All | $1,866 |
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