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Emergency Department Visit for Problem That May Not Require Health Care Professi… Cost in Pennsylvania
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 70 Pennsylvania hospitals. CPT 99281. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
📊 Median $122
📉 Low $8.64
📈 High $681
🏥 70 hospitals
🏛️ 54 with insurance contracts
🇺🇸 Medicare $11.13
Hospital comparison — Pennsylvania
Sorted by cash price (lowest first). Showing top 60 of 70 hospitals.
Billed more than $122 for this? That gap is evidence.
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| Hospital | Cash | UHC | Aetna | Cigna | Medicare | Humana | Medicaid | BCBS | Molina |
|---|---|---|---|---|---|---|---|---|---|
| AHN SAINT VINCENT HOSPITAL ERIE |
$8.64 | $25.60 | $99.63 | $18.30 | $98.67 | $102 | — | $101 | $104 |
| AHN JEFFERSON HOSPITAL JEFFERSON HILLS |
$9.12 | $25.60 | $88.09 | $18.30 | $87.25 | $89.79 | — | — | $92.33 |
| AHN FORBES HOSPITAL MONROEVILLE |
$10.56 | $25.60 | $88.09 | $18.30 | $87.25 | $89.79 | — | — | $92.33 |
| AHN CANONSBURG GENERAL HOSPITAL CANONSBURG |
$10.56 | $25.60 | $88.09 | $18.30 | $87.25 | $89.79 | — | — | $92.33 |
| AHN ALLEGHENY VALLEY HOSPITAL NATRONA HEIGHTS |
$11.04 | $25.60 | $88.09 | $18.30 | $87.25 | $89.79 | — | — | $92.33 |
| AHN GROVE CITY MEDICAL CENTER GROVE CITY |
$11.04 | $25.60 | $88.09 | $18.30 | $87.25 | $89.79 | — | — | $92.33 |
| AHN ALLEGHENY GENERAL HOSPITAL PITTSBURGH |
$11.52 | $25.60 | $88.09 | $18.30 | $89.79 | $89.79 | — | — | $92.33 |
| AHN WEXFORD HOSPITAL WEXFORD |
$12.48 | $25.60 | $88.09 | $18.30 | $87.25 | $89.79 | — | — | $92.33 |
| WEST PENN HOSPITAL PITTSBURGH |
$12.96 | $25.60 | $88.09 | $18.30 | $87.25 | $89.79 | — | — | $92.33 |
| ST MARY MEDICAL CENTER LANGHORNE |
$24.00 | — | — | — | — | — | — | — | — |
| BARNES-KASSON COUNTY HOSPITAL SUSQUEHANNA |
$35.00 | $42.91 | $40.00 | $53.53 | $40.00 | $30.86 | $8.82 | — | — |
| WAYNE MEMORIAL HOSPITAL PARK ST. HONESDALE |
$46.90 | $70.00 | $75.00 | $70.00 | — | $100 | — | $40.00 | — |
| BUCKTAIL MEDICAL CENTER RENOVO |
$49.50 | — | $12.45 | $18.84 | $10.61 | $12.32 | — | $42.90 | — |
| GUTHRIE ROBERT PACKER HOSPITAL, TOWANDA CAMPUS TOWANDA |
$63.84 | — | — | — | — | — | — | — | — |
| GUTHRIE TROY COMMUNITY HOSPITAL TROY |
$63.84 | — | — | — | — | — | — | — | — |
| GUTHRIE ROBERT PACKER HOSPITAL SAYRE |
$63.84 | — | — | — | — | — | — | — | — |
| WARREN GENERAL HOSPITAL CRESCENT PARK WEST WARREN |
$68.00 | $100 | — | $60.00 | — | $101 | — | $100 | — |
| CONEMAUGH MINERS MEDICAL CENTER HAIDA AVENUE HASTINGS |
$69.60 | $20.00 | $20.80 | $61.60 | — | — | — | $5.84 | — |
| CONEMAUGH MEYERSDALE MEDICAL CENTER HOSPITAL DRIVE MEYERSDALE |
$74.00 | $38.00 | $39.52 | $61.60 | — | — | — | $68.57 | — |
| LOWER BUCKS HOSPITAL BRISTOL |
$82.00 | $52.55 | — | $201 | $82.95 | $66.36 | — | $82.95 | — |
| SUBURBAN COMMUNITY HOSPITAL NORRISTOWN |
$86.00 | $52.55 | — | $204 | $86.21 | $68.97 | — | $86.21 | — |
| CONEMAUGH MEMORIAL HOSPITAL JOHNSTOWN |
$88.80 | $59.80 | $55.40 | $60.00 | — | — | — | $57.04 | — |
| FULTON COUNTY MEDICAL CENTER PEACH ORCHARD RD. MC CONNELLSBURG |
$90.30 | $90.00 | $82.60 | $30.80 | $100 | $11.10 | — | $40.00 | — |
| JEFFERSON ABINGTON HOSPITAL ABINGTON |
$95.16 | $41.14 | $78.85 | — | $16.85 | — | $19.45 | — | — |
| JEFFERSON BUCKS HOSPITAL LANGHORNE |
$95.87 | $1,258 | — | — | — | — | $450 | — | — |
| JEFFERSON LANSDALE HOSPITAL LANSDALE |
$97.23 | $1,258 | $1,376 | — | — | — | $450 | — | — |
| JEFFERSON METHODIST HOSPITAL PHILADELPHIA |
$99.62 | $1,658 | $1,781 | — | — | — | $50.00 | — | — |
| JEFFERSON FRANKFORD HOSPITAL PHILADELPHIA |
$99.62 | $1,258 | — | — | — | — | $450 | — | — |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL PHILADELPHIA |
$99.62 | $1,658 | $1,781 | — | — | — | $50.00 | — | — |
| JEFFERSON TORRESDALE HOSPITAL PHILADELPHIA |
$99.62 | $1,258 | — | — | — | — | $450 | — | — |
| MAGEE REHABILITATION HOSPITAL PHILADELPHIA |
$101 | — | — | — | — | — | $28.64 | — | — |
| CLARION HOSPITAL CLARION |
$112 | $84.71 | $87.25 | $84.71 | $84.71 | — | $16.19 | — | — |
| CONEMAUGH NASON MEDICAL CENTER ROARING SPRING |
$116 | $100 | $100 | $119 | $100 | $100 | — | $100 | — |
| SURGICAL INSTITUTE OF READING WYOMISSING |
$122 | $511 | — | — | — | — | — | — | — |
| HERITAGE VALLEY BEAVER BEAVER |
$122 | $72.24 | $16.19 | $82.13 | — | — | — | — | — |
| HERITAGE VALLEY SEWICKLEY MCKEES ROCKS |
$122 | $67.08 | $16.19 | $82.13 | — | — | — | — | — |
| PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER CAMP HILL |
$137 | — | — | — | — | — | — | — | — |
| BUTLER MEMORIAL HOSPITAL BUTLER |
$140 | $16.19 | $18.62 | $194 | $84.71 | $88.10 | $16.19 | — | — |
| PENN STATE HEALTH ST. JOSEPH MEDICAL CENTER BERNVILLE ROAD READING |
$149 | — | — | — | — | — | — | — | — |
| UNIONTOWN HOSPITAL UNIONTOWN |
$163 | $81.73 | $21.40 | $90.00 | $81.73 | $85.82 | $26.25 | $150 | — |
| PENN STATE HEALTH LANCASTER MEDICAL CENTER STATE ROAD LANCASTER |
$166 | — | — | — | — | — | — | — | — |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER ENOLA |
$180 | — | — | — | — | — | — | — | — |
| WESTMORELAND HOSPITAL GREEENSBURG |
$184 | — | — | — | — | — | — | — | — |
| FRICK HOSPITAL MT PLESANT |
$184 | — | — | — | — | — | — | — | — |
| LATROBE HOSPITAL LATROBE |
$184 | — | — | — | — | — | — | — | — |
| MERCY FITZGERALD HOSPITAL DARBY |
$196 | — | — | — | — | — | — | — | — |
| INDIANA REGIONAL MEDICAL CENTER INDIANA |
$199 | — | — | — | — | — | — | — | — |
| MOUNT NITTANY MEDICAL CENTER STATE COLLEGE |
$225 | $105 | $103 | $103 | — | $105 | — | $107 | — |
| PHYSICIANS CARE SURGICAL HOSPITAL ROYERSFORD |
$226 | $84.55 | $84.55 | $84.55 | $84.55 | $84.55 | — | $84.55 | — |
| NAZARETH HOSPITAL PHILADELPHIA |
$250 | — | — | — | — | — | — | — | — |
| UPMC WELLSBORO WELLSBORO |
$306 | — | — | — | — | — | — | — | — |
| WELLSPAN EVANGELICAL COMMUNITY HOSPITAL LEWISBURG |
$320 | $84.71 | $84.71 | — | $84.71 | $84.71 | $23.10 | — | — |
| EDGEWOOD SURGICAL HOSPITAL TRANSFER |
$337 | $80.10 | $80.49 | $101 | $80.10 | — | — | $130 | — |
| PAM HEALTH SPECIALTY HOSPITAL HERITAGE VALLEY BEAVER |
$341 | — | — | — | — | — | — | — | $85.19 |
| PAM HEALTH SPECIALTY HOSPITAL HERITAGE VALLEY BEAVER |
$341 | — | — | — | — | — | — | — | $85.19 |
| PAM HEALTH SPECIALTY HOSPITAL OF PITTSBURGH STEUBENVILLE PIKE OAKDALE |
$341 | — | — | — | — | — | — | — | $98.82 |
| PAM HEALTH SPECIALTY HOSPITAL OF PITTSBURGH STEUBENVILLE PIKE OAKDALE |
$341 | — | — | — | — | — | — | — | $98.82 |
| CHILDRENS HOSPITAL OF PHILADELPHIA CIVIC CENTER BLVD. PHILADELPHIA |
$359 | — | — | — | — | — | — | — | — |
| AHN BRENTWOOD NEIGHBORHOOD HOSPITAL GREENSBURG |
$362 | $85.42 | $85.42 | $87.88 | — | $87.06 | — | — | — |
| WELLSPAN GETTYSBURG HOSPITAL GETTYSBURG |
$487 | — | $71.40 | — | — | — | $26.25 | — | — |
What these prices are. Each figure is the facility’s own published self-pay (cash) price for CPT 99281, filed under the federal price transparency rule (45 CFR Part 180). Hospital facility charges may not include separate physician, anesthesia, or pathology fees. National median for this code: $183 across all reporting facilities. Dataset: Q4 2026. Always confirm the final price with the facility before booking.
Billed more than $122 for this?
That is the median of what the 70 Pennsylvania hospitals above publish for Emergency department visit for problem that may not require health care professi… — their own figures, filed under federal law. A bill well above them is evidence you can put in writing.
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Medicare reimbursement benchmark
For CPT 99281 in Pennsylvania, Medicare reimburses about $11.13 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in Pennsylvania range from $8.64 to $681 — that means hospital cash prices are typically 10.9x what Medicare pays. If a self-pay quote you receive is more than 2-3x the Medicare rate, ask the hospital for the cash-discount price in writing.
Frequently asked questions
- How much does emergency department visit for problem that may not require health care professi… cost in Pennsylvania?
- Cash prices for emergency department visit for problem that may not require health care professi… (CPT 99281) in Pennsylvania range from $8.64 to $681, with a median of $122. Prices vary widely by hospital.
- Where can I find the cheapest emergency department visit for problem that may not require health care professi… in Pennsylvania?
- The cheapest Pennsylvania hospital published cash price for this procedure is $8.64. Use the table above sorted by cash price to find the lowest-priced facility near you.
- Are these the prices I'll pay?
- These are the rates hospitals publish. Final price depends on your insurance, deductible, and the specific services billed. Always confirm with the facility and your insurer before any procedure.
- Why do prices vary so much between hospitals?
- Hospitals set cash prices independently, and insurance contracts negotiate different rates per payer. Two facilities a few miles apart can charge 5-10x different prices for the same procedure.
- Where does this data come from?
- Federal law (45 CFR § 180) requires hospitals to publish their pricing in a machine-readable file. We aggregate these files and republish in a consumer-friendly format.
Emergency department visit for problem that may not require health care professi… in nearby states
Other procedures in Pennsylvania
Methodology. Cash prices and insurance-negotiated rates published by each Pennsylvania facility under federal price transparency rules (45 CFR § 180). CPT code 99281 (Doctor Visits). Data refreshed regularly; verify with the facility before any procedure.