Emergency visit, high (level 4) at WellSpan Waynesboro Hospital. CPT 99284.
What WellSpan Waynesboro Hospital publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$1,797cash price (self-pay)
$2,246list price
$83.12–$3,359range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health_Partners_Medicaid | All_Other_Plans | $83.12 |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $129 |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $129 |
| UPMC_Medicaid | All_Plans | $130 |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $154 |
| Geisinger_Medicaid | All_Plans | $154 |
| PA_Health_&_Wellness_Medicaid | All_Plans | $154 |
| Amerihealth_Caritas_Medicaid | All_Plans | $175 |
| PA_Health_&_Wellness_Medicare | All_Plans | $453 |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $454 |
| Highmark | All_Other_Plans | $454 |
| Jefferson_Health_Medicare_Advantage | All_Plans | $454 |
| Highmark_Medicare | All_Plans | $459 |
| Aetna_Advantra_Medicare | All_Plans | $468 |
| Aetna_Medicare | All_Plans | $468 |
| Devoted_Medicare | All_Plans | $477 |
| United_Medicare | ISNP_DSNP_Plans | $477 |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $479 |
| Amerihealth_Medicare | All_Plans | $479 |
| Geisinger_Gold_Medicare | All_Plans | $568 |
| Highmark | Higmark_Healthy_Kids | $695 |
| Health_Partners_Medicaid | Kidz_Partners | $749 |
| Cigna | All_Plans | $1,250 |
| Cigna | PPO_Plan | $1,313 |
| UPMC | UPMC_For_Kids | $1,348 |
| Aetna | All_Plans | $1,509 |
| Aetna_Better_Health_Kids | All_Plans | $1,544 |
| Highmark | My_Direct_Blue | $1,621 |
| Highmark | Shared_Cost_Blue_PPO | $1,621 |
| Highmark | Choice_Blue_PPO | $1,648 |
Inpatient
$1,797cash price (self-pay)
$2,246list price
$1,348–$2,134range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UPMC | UPMC_For_Kids | $1,348 |
| Cigna | All_Plans | $1,646 |
| Aetna | All_Plans | $1,658 |
| Geisinger | All_Plans | $1,662 |
| Cigna | PPO_Plan | $1,728 |
| First_Health_Network | All_Plans | $2,134 |
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