Emergency visit, moderate (level 3) at Wayne Memorial Hospital. CPT 99283.
What Wayne Memorial Hospital publishes for this service, straight from its standard-charges file, last updated September 16, 2026.
Outpatient / ER
$155cash price (self-pay)
$471list price
$88.40–$577range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross | Blue Cross | $188 |
| KeyStone First | KEYSTONE FIRST | $188 |
| Upmc | Upmc | $254 |
| MEDICARE ADVANTAGE 100Percentage | MEDICARE ADVANTAGE 100Percentage | $290 |
| Humana | Humana | $293 |
| Upmc Medicare | Upmc Medicare | $302 |
| Ambetter | AMBETTER | $308 |
| Pa Health & Wellness | Pa Health Wellness | $308 |
| Geisinger | Geisinger | $325 |
| Cigna | Cigna | $330 |
| Phcs | Phcs | $330 |
| Self-Pay | Self-Pay | $330 |
| Aetna | Aetna | $353 |
| MultiPlan | MULTIPLAN | $377 |
| WELLPATH (State Prison) | WELLPATH (State Prison) | $377 |
| UHC | UHC | $505 |
| WELLPATH (Federal Prison) | WELLPATH (Federal Prison) | $537 |
Inpatient
$155cash price (self-pay)
$471list price
$88.40–$577range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| KeyStone First | KEYSTONE FIRST | $188 |
| Phcs | Phcs | $330 |
| Self-Pay | Self-Pay | $330 |
| MultiPlan | MULTIPLAN | $377 |
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