Emergency visit, moderate (level 3) at WellSpan Chambersburg Hospital. CPT 99283.
What WellSpan Chambersburg Hospital publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$1,228cash price (self-pay)
$1,535list price
$98.75–$2,625range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Geisinger_Medicaid | All_Plans | $98.75 |
| Health_Partners_Medicaid | All_Other_Plans | $98.75 |
| PA_Health_&_Wellness_Medicaid | All_Plans | $98.75 |
| UPMC_Medicaid | All_Plans | $98.75 |
| Amerihealth_Caritas_Medicaid | All_Plans | $200 |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $255 |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $286 |
| United_Medicaid | Community_Plan_For_Kids | $286 |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $289 |
| Highmark_Medicare | All_Plans | $289 |
| Aetna_Advantra_Medicare | All_Plans | $295 |
| Aetna_Medicare | All_Plans | $295 |
| Devoted_Medicare | All_Plans | $301 |
| Amerihealth_Medicare | All_Plans | $302 |
| Geisinger_Gold_Medicare | All_Plans | $306 |
| Jefferson_Health_Medicare_Advantage | All_Plans | $309 |
| PA_Health_&_Wellness_Medicare | All_Plans | $309 |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $372 |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $372 |
| Highmark | Higmark_Healthy_Kids | $409 |
| Health_Partners_Medicaid | Kidz_Partners | $472 |
| Blue_Cross | Capital_Cares_4_kids | $895 |
| UPMC | UPMC_For_Kids | $921 |
| Blue_Cross | Capital_Blue_Performance_PPO | $953 |
| Aetna_Better_Health_Kids | All_Plans | $973 |
| Highmark | Choice_Blue_PPO | $1,072 |
| Performance_Blue | Blue_Cross_High_Performance_Network | $1,072 |
| Highmark | Blue_Cross_High_Performance_Network | $1,072 |
| Highmark | All_Other_Plans | $1,072 |
| WellSpan_Capital_Blue_Cross | All_Plans | $1,105 |
Inpatient
$1,228cash price (self-pay)
$1,535list price
$1,030–$1,458range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | All_Plans | $1,030 |
| Geisinger | All_Plans | $1,136 |
| Cigna | All_Plans | $1,143 |
| Aetna | PPO_Plan | $1,168 |
| Cigna | PPO_Plan | $1,201 |
| UPMC | UPMC_For_Kids | $1,305 |
| First_Health_Network | All_Plans | $1,458 |
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