Emergency visit, highest (level 5) at WellSpan Surgery & Rehabilitation Hospital. CPT 99285.
What WellSpan Surgery & Rehabilitation Hospital publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$2,982cash price (self-pay)
$3,727list price
$173–$3,615range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UPMC_Medicaid | All_Plans | $173 |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $173 |
| Geisinger_Medicaid | All_Plans | $173 |
| Health_Partners_Medicaid | All_Other_Plans | $173 |
| PA_Health_&_Wellness_Medicaid | All_Plans | $173 |
| Amerihealth_Caritas_Medicaid | All_Plans | $197 |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $594 |
| Johns_Hopkins_HealthCare_Plan | Johns_Hopkins_US_Family_Health | $594 |
| Highmark_Medicare | All_Plans | $599 |
| Aetna_Advantra_Medicare | All_Plans | $611 |
| Aetna_Medicare | All_Plans | $611 |
| Geisinger_Gold_Medicare | All_Plans | $623 |
| Devoted_Medicare | All_Plans | $623 |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $626 |
| Amerihealth_Medicare | All_Plans | $626 |
| Jefferson_Health_Medicare_Advantage | All_Plans | $641 |
| PA_Health_&_Wellness_Medicare | All_Plans | $641 |
| Aetna_Better_Health_Kids | All_Plans | $656 |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $716 |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $716 |
| Highmark | Higmark_Healthy_Kids | $908 |
| Health_Partners_Medicaid | Kidz_Partners | $979 |
| United_Medicaid | Community_Plan_For_Kids | $1,039 |
| Blue_Cross | Capital_Cares_4_kids | $2,093 |
| Highmark | Choice_Blue_PPO | $2,323 |
| Highmark | Performance_Blue | $2,323 |
| Highmark | Blue_Cross_High_Performance_Network | $2,323 |
| Highmark | All_Other_Plans | $2,957 |
| Blue_Cross | All_Other_Plans | $2,989 |
| Blue_Cross | Capital_Blue_Performance_PPO | $2,989 |
Inpatient
$2,982cash price (self-pay)
$3,727list price
$2,158–$3,541range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue_Cross | Capital_Blue_Performance_PPO | $2,158 |
| Blue_Cross | Capital_Cares_4_kids | $2,202 |
| Aetna | All_Plans | $3,298 |
| First_Health_Network | All_Plans | $3,298 |
| Cigna | All_Plans | $3,341 |
| Blue_Cross | All_Other_Plans | $3,341 |
| UPMC | UPMC_For_Kids | $3,466 |
| UPMC | All_Plans | $3,466 |
| Geisinger | All_Plans | $3,490 |
| Johns_Hopkins_HealthCare_Plan | All_Other_Plans | $3,541 |
| PHC | All_Plans | $3,541 |
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All common services at WellSpan Surgery & Rehabilitation Hospital