Emergency Department Visit with Moderate Level of Medical Decision Making Cost in Pennsylvania
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 70 Pennsylvania hospitals. CPT 99284. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
📊 Median $493
📉 Low $40.48
📈 High $3,093
🏥 70 hospitals
🏛️ 54 with insurance contracts
🇺🇸 Medicare $120
Hospital comparison — Pennsylvania
Sorted by cash price (lowest first). Showing top 60 of 70 hospitals.
Billed more than $493 for this? That gap is evidence.
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| Hospital | Cash | UHC | Aetna | Cigna | Medicare | Medicaid | Humana | BCBS | Molina |
|---|---|---|---|---|---|---|---|---|---|
| ST MARY MEDICAL CENTER LANGHORNE |
$40.48 | — | — | — | — | — | — | — | — |
| MERCY FITZGERALD HOSPITAL DARBY |
$40.48 | — | — | — | — | — | — | — | — |
| NAZARETH HOSPITAL PHILADELPHIA |
$40.48 | — | — | — | — | — | — | — | — |
| AHN SAINT VINCENT HOSPITAL ERIE |
$61.20 | $80.00 | $105 | $194 | $477 | — | $491 | $486 | $505 |
| AHN JEFFERSON HOSPITAL JEFFERSON HILLS |
$64.60 | $80.00 | $114 | $194 | $422 | — | $434 | — | $447 |
| AHN CANONSBURG GENERAL HOSPITAL CANONSBURG |
$74.80 | $80.00 | $95.33 | $194 | $422 | — | $434 | — | $447 |
| AHN FORBES HOSPITAL MONROEVILLE |
$74.80 | $80.00 | $114 | $194 | $422 | — | $434 | — | $447 |
| AHN ALLEGHENY VALLEY HOSPITAL NATRONA HEIGHTS |
$78.20 | $80.00 | $95.33 | $194 | $422 | — | $434 | — | $447 |
| AHN GROVE CITY MEDICAL CENTER GROVE CITY |
$78.20 | $80.00 | $95.33 | $194 | $422 | — | $434 | — | $447 |
| AHN ALLEGHENY GENERAL HOSPITAL PITTSBURGH |
$81.60 | $80.00 | $114 | $194 | $434 | — | $434 | — | $447 |
| AHN WEXFORD HOSPITAL WEXFORD |
$88.40 | $80.00 | $426 | $194 | $422 | — | $434 | — | $447 |
| WEST PENN HOSPITAL PITTSBURGH |
$91.80 | $80.00 | $114 | $194 | $422 | — | $434 | — | $447 |
| WARREN GENERAL HOSPITAL CRESCENT PARK WEST WARREN |
$122 | $100 | $63.00 | $60.00 | — | — | $101 | $100 | — |
| JEFFERSON ABINGTON HOSPITAL ABINGTON |
$141 | $94.50 | $108 | — | $95.36 | $50.00 | — | — | — |
| CONEMAUGH MEYERSDALE MEDICAL CENTER HOSPITAL DRIVE MEYERSDALE |
$206 | $38.00 | $39.52 | $61.60 | — | — | — | $704 | — |
| GUTHRIE ROBERT PACKER HOSPITAL SAYRE |
$223 | — | — | — | — | — | — | — | — |
| GUTHRIE ROBERT PACKER HOSPITAL, TOWANDA CAMPUS TOWANDA |
$223 | — | — | — | — | — | — | — | — |
| GUTHRIE TROY COMMUNITY HOSPITAL TROY |
$223 | — | — | — | — | — | — | — | — |
| BARNES-KASSON COUNTY HOSPITAL SUSQUEHANNA |
$245 | $42.91 | $40.00 | $53.53 | $40.00 | $8.82 | $30.86 | — | — |
| FULTON COUNTY MEDICAL CENTER PEACH ORCHARD RD. MC CONNELLSBURG |
$246 | $90.00 | $82.60 | $30.80 | $100 | — | $117 | $40.00 | — |
| WAYNE MEMORIAL HOSPITAL PARK ST. HONESDALE |
$247 | $70.00 | $75.00 | $70.00 | — | — | $100 | $40.00 | — |
| CONEMAUGH NASON MEDICAL CENTER ROARING SPRING |
$264 | $100 | $100 | $595 | $100 | — | $100 | $100 | — |
| BUCKTAIL MEDICAL CENTER RENOVO |
$276 | — | $134 | $107 | $114 | — | $132 | $239 | — |
| HERITAGE VALLEY BEAVER BEAVER |
$372 | $133 | $95.33 | $406 | — | — | — | — | — |
| HERITAGE VALLEY SEWICKLEY MCKEES ROCKS |
$372 | $124 | $95.33 | $406 | — | — | — | — | — |
| CONEMAUGH MINERS MEDICAL CENTER HAIDA AVENUE HASTINGS |
$373 | $20.00 | $20.80 | $61.60 | — | — | — | $15.12 | — |
| LOWER BUCKS HOSPITAL BRISTOL |
$410 | $108 | — | $992 | $410 | $95.33 | $328 | $410 | — |
| SUBURBAN COMMUNITY HOSPITAL NORRISTOWN |
$426 | $108 | — | $1,009 | $427 | $95.33 | $341 | $427 | — |
| FRICK HOSPITAL MT PLESANT |
$441 | — | — | — | — | — | — | — | — |
| LATROBE HOSPITAL LATROBE |
$441 | — | — | — | — | — | — | — | — |
| WESTMORELAND HOSPITAL GREEENSBURG |
$441 | — | — | — | — | — | — | — | — |
| JEFFERSON BUCKS HOSPITAL LANGHORNE |
$474 | $1,917 | — | — | — | $450 | — | — | — |
| CLARION HOSPITAL CLARION |
$476 | $410 | $422 | $410 | $410 | $50.00 | — | — | — |
| JEFFERSON LANSDALE HOSPITAL LANSDALE |
$481 | $1,917 | $1,376 | — | — | $450 | — | — | — |
| JEFFERSON FRANKFORD HOSPITAL PHILADELPHIA |
$493 | $1,917 | — | — | — | $450 | — | — | — |
| JEFFERSON TORRESDALE HOSPITAL PHILADELPHIA |
$493 | $1,917 | — | — | — | $450 | — | — | — |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL PHILADELPHIA |
$493 | $2,484 | $1,781 | — | — | $233 | — | — | — |
| JEFFERSON METHODIST HOSPITAL PHILADELPHIA |
$493 | $2,484 | $1,781 | — | — | $233 | — | — | — |
| MAGEE REHABILITATION HOSPITAL PHILADELPHIA |
$501 | — | — | — | — | $211 | — | — | — |
| UNIONTOWN HOSPITAL UNIONTOWN |
$556 | $404 | $60.00 | $90.00 | $404 | $154 | $425 | $743 | — |
| BUTLER MEMORIAL HOSPITAL BUTLER |
$595 | $50.00 | $57.50 | $936 | $410 | $50.00 | $426 | — | — |
| SURGICAL INSTITUTE OF READING WYOMISSING |
$602 | $1,737 | — | — | — | — | — | — | — |
| CONEMAUGH MEMORIAL HOSPITAL JOHNSTOWN |
$619 | $59.80 | $55.40 | $60.00 | — | — | — | $148 | — |
| PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER CAMP HILL |
$661 | — | — | — | — | — | — | — | — |
| HOLY REDEEMER HOSPITAL MEADOWBROOK |
$681 | $236 | $447 | $447 | — | — | — | $426 | — |
| PENN STATE HEALTH ST. JOSEPH MEDICAL CENTER BERNVILLE ROAD READING |
$720 | — | — | — | — | — | — | — | — |
| PENN STATE HEALTH LANCASTER MEDICAL CENTER STATE ROAD LANCASTER |
$802 | — | — | — | — | — | — | — | — |
| INDIANA REGIONAL MEDICAL CENTER INDIANA |
$847 | — | — | — | — | — | — | — | — |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER ENOLA |
$871 | — | — | — | — | — | — | — | — |
| MOUNT NITTANY MEDICAL CENTER STATE COLLEGE |
$933 | $507 | $497 | $497 | — | — | $507 | $517 | — |
| PHYSICIANS CARE SURGICAL HOSPITAL ROYERSFORD |
$948 | $418 | $418 | $418 | $418 | — | $418 | $418 | — |
| UPMC WELLSBORO WELLSBORO |
$1,504 | — | — | — | — | — | — | — | — |
| WELLSPAN EVANGELICAL COMMUNITY HOSPITAL LEWISBURG |
$1,601 | $410 | $410 | — | $410 | $112 | $410 | — | — |
| PENN MEDICINE DOYLESTOWN HEALTH WEST STATE STREET DOYLESTOWN |
$1,605 | $100 | $68.70 | $47.60 | $100 | — | — | $27.00 | — |
| PAM HEALTH SPECIALTY HOSPITAL HERITAGE VALLEY BEAVER |
$1,709 | — | — | — | — | — | — | — | $427 |
| PAM HEALTH SPECIALTY HOSPITAL HERITAGE VALLEY BEAVER |
$1,709 | — | — | — | — | — | — | — | $427 |
| PAM HEALTH SPECIALTY HOSPITAL OF PITTSBURGH STEUBENVILLE PIKE OAKDALE |
$1,709 | — | — | — | — | — | — | — | $496 |
| PAM HEALTH SPECIALTY HOSPITAL OF PITTSBURGH STEUBENVILLE PIKE OAKDALE |
$1,709 | — | — | — | — | — | — | — | $496 |
| WELLSPAN WAYNESBORO HOSPITAL WAYNESBORO |
$1,797 | $477 | $468 | $1,250 | $129 | $83.13 | — | — | — |
| WELLSPAN CHAMBERSBURG HOSPITAL CHAMBERSBURG |
$1,797 | $440 | $453 | $1,673 | $440 | $154 | — | — | — |
What these prices are. Each figure is the facility’s own published self-pay (cash) price for CPT 99284, 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: $834 across all reporting facilities. Dataset: Q4 2026. Always confirm the final price with the facility before booking.
Billed more than $493 for this?
That is the median of what the 70 Pennsylvania hospitals above publish for Emergency department visit with moderate level of medical decision making — 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 99284 in Pennsylvania, Medicare reimburses about $120 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in Pennsylvania range from $40.48 to $3,093 — that means hospital cash prices are typically 4.1x 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 with moderate level of medical decision making cost in Pennsylvania?
- Cash prices for emergency department visit with moderate level of medical decision making (CPT 99284) in Pennsylvania range from $40.48 to $3,093, with a median of $493. Prices vary widely by hospital.
- Where can I find the cheapest emergency department visit with moderate level of medical decision making in Pennsylvania?
- The cheapest Pennsylvania hospital published cash price for this procedure is $40.48. 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 with moderate level of medical decision making 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 99284 (Doctor Visits). Data refreshed regularly; verify with the facility before any procedure.