Emergency visit, high (level 4) at WellSpan York Hospital. CPT 99284.
What WellSpan York Hospital publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$2,678cash price (self-pay)
$3,348list price
$154–$3,820range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Geisinger_Medicaid | All_Plans | $154 |
| Health_Partners_Medicaid | All_Other_Plans | $154 |
| PA_Health_&_Wellness_Medicaid | All_Plans | $154 |
| UPMC_Medicaid | All_Plans | $154 |
| Amerihealth_Caritas_Medicaid | All_Plans | $200 |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $255 |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $417 |
| Johns_Hopkins_HealthCare_Plan | Johns_Hopkins_US_Family_Health | $417 |
| Aetna_Better_Health_Kids | All_Plans | $418 |
| Highmark_Medicare | All_Plans | $421 |
| Aetna_Advantra_Medicare | All_Plans | $429 |
| Aetna_Medicare | All_Plans | $429 |
| Geisinger_Gold_Medicare | All_Plans | $438 |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $440 |
| Amerihealth_Medicare | All_Plans | $440 |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $440 |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $440 |
| Jefferson_Health_Medicare_Advantage | All_Plans | $450 |
| PA_Health_&_Wellness_Medicare | All_Plans | $450 |
| Health_Partners_Medicaid | Kidz_Partners | $459 |
| Highmark | Higmark_Healthy_Kids | $625 |
| United_Medicaid | Community_Plan_For_Kids | $730 |
| Highmark | Choice_Blue_PPO | $1,945 |
| Highmark | Performance_Blue | $1,945 |
| Highmark | Blue_Cross_High_Performance_Network | $1,945 |
| Highmark | My_Direct_Blue | $1,945 |
| Highmark | My_Priority_Blue_Flex | $1,945 |
| Blue_Cross | Capital_Cares_4_kids | $2,109 |
| Highmark | All_Other_Plans | $2,431 |
| Blue_Cross | All_Other_Plans | $3,013 |
Inpatient
$2,678cash price (self-pay)
$3,348list price
$1,861–$3,181range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue_Cross | Capital_Blue_Performance_PPO | $1,861 |
| Blue_Cross | Capital_Cares_4_kids | $1,907 |
| Blue_Cross | All_Other_Plans | $2,724 |
| Aetna | All_Plans | $2,903 |
| First_Health_Network | All_Plans | $2,903 |
| Cigna | All_Plans | $2,989 |
| PHC | All_Plans | $3,013 |
| WellSpan_Capital_Blue_Cross | All_Plans | $3,080 |
| Johns_Hopkins_HealthCare_Plan | All_Other_Plans | $3,181 |
| UPMC | UPMC_For_Kids | $3,181 |
| UPMC | Employees_And_Dependents | $3,181 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.