Emergency visit, moderate (level 3) at WellSpan Evangelical Community Hospital. CPT 99283.
What WellSpan Evangelical Community Hospital publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$995cash price (self-pay)
$1,244list price
$66.85–$1,838range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerihealth_Caritas_Medicaid | All_Plans | $66.85 |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $70.81 |
| UPMC_Medicaid | All_Plans | $86.90 |
| UPMC | UPMC_For_Kids | $95.59 |
| Health_Partners_Medicaid | All_Plans | $98.75 |
| Geisinger_Medicaid | All_Plans | $103 |
| PA_Health_&_Wellness_Medicaid | All_Plans | $103 |
| Aetna | All_Plans | $266 |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $266 |
| First_Health_Network | All_Plans | $266 |
| Humana_Medicare | All_Plans | $266 |
| United_Medicaid | Community_Plan_For_Kids | $266 |
| Highmark_Medicare | All_Plans | $269 |
| Aetna_Advantra_Medicare | All_Plans | $272 |
| Geisinger_Gold_Medicare | All_Plans | $274 |
| Amerihealth_Medicare | All_Plans | $277 |
| Devoted_Medicare | All_Plans | $280 |
| UPMC_for_Life_Community_HealthChoices | UPMC_for_Life_Complete_Care | $280 |
| United_Medicare | ISNP_DSNP_Plans | $280 |
| Jefferson_Health_Medicare_Advantage | All_Plans | $288 |
| PA_Health_&_Wellness_Medicare | All_Plans | $288 |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $298 |
| Highmark | Higmark_Healthy_Kids | $405 |
| UPMC | All_Plans | $650 |
| Geisinger | All_Plans | $870 |
| Performance_Blue | Blue_Cross_High_Performance_Network | $967 |
| Blue_Cross | Capital_Cares_4_kids | $1,073 |
| Highmark | All_Other_Plans | $1,075 |
| Blue_Cross | All_Other_Plans | $1,533 |
| United_Healthcare | All_Plans | $1,838 |
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All common services at WellSpan Evangelical Community Hospital