Emergency visit, highest (level 5) at Wayne Memorial Hospital. CPT 99285.
What Wayne Memorial Hospital publishes for this service, straight from its standard-charges file, last updated September 16, 2026.
Outpatient / ER
$378cash price (self-pay)
$1,082list price
$216–$1,299range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross | Blue Cross | $433 |
| KeyStone First | KEYSTONE FIRST | $433 |
| Upmc | Upmc | $584 |
| MEDICARE ADVANTAGE 100Percentage | MEDICARE ADVANTAGE 100Percentage | $633 |
| Humana | Humana | $640 |
| Upmc Medicare | Upmc Medicare | $659 |
| Ambetter | AMBETTER | $671 |
| Pa Health & Wellness | Pa Health Wellness | $671 |
| Geisinger | Geisinger | $747 |
| Cigna | Cigna | $757 |
| Phcs | Phcs | $757 |
| Self-Pay | Self-Pay | $757 |
| Aetna | Aetna | $812 |
| WELLPATH (State Prison) | WELLPATH (State Prison) | $823 |
| MultiPlan | MULTIPLAN | $866 |
| UHC | UHC | $1,137 |
| WELLPATH (Federal Prison) | WELLPATH (Federal Prison) | $1,171 |
Inpatient
$378cash price (self-pay)
$1,082list price
$216–$1,299range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| KeyStone First | KEYSTONE FIRST | $433 |
| Phcs | Phcs | $757 |
| Self-Pay | Self-Pay | $757 |
| MultiPlan | MULTIPLAN | $866 |
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