Emergency department visit at UPMC Hanover

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC VISIT LEVEL 1 N/E

Hanover, PA

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Pricing by billing methodology

Price type

How this price compares nationally

UPMC Hanover’s median price of $299 is 108% above the median hospital's median price ($144), higher than 77% of the 2,608 hospitals reporting CPT 99281. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99281 at UPMC Hanover

Negotiated rates from the hospital’s own file: 9 payers, 19 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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#
1	Amerihealth Caritas community healthchoices (chc)/medicaid facility · case rate · outpatient	$21	$21	—	—	—	$21 – $21
2	UnitedHealthcare pa medicaid facility · fee schedule · outpatient	$60	$60	—	—	—	$60 – $60
3	Highmark medicare facility · fee schedule · outpatient	$83	$83	—	—	—	$83 – $83
4	Humana medicare facility · fee schedule · outpatient	$84	$84	—	—	—	$84 – $84
5	Aetna medicare facility · fee schedule · outpatient	$88	$88	—	—	—	$88 – $88
6	Cigna medicare facility · fee schedule · outpatient	$88	$88	—	—	—	$88 – $88
7	UnitedHealthcare medicare facility · fee schedule · outpatient	$90	$90	—	—	—	$90 – $90
8	Blue Cross Blue Shield medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$124	$124	—	—	—	$124 – $124
9	Highmark medicaid facility · fee schedule · outpatient	$279	$279	—	—	—	$279 – $279
10	Highmark commercial facility · fee schedule · outpatient	$299	$299	—	—	—	$299 – $299
11	Aetna aco facility · percent of total billed charges · outpatientfrom % of charges	$370	$370	—	—	—	$370 – $370
12	Blue Cross Blue Shield chip facility · percent of total billed charges · outpatientfrom % of charges	$443	$443	—	—	—	$443 – $443
13	Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges	$443	$443	—	—	—	$443 – $443
14	Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$475	$475	—	—	—	$475 – $475
15	Carefirst commercial facility · percent of total billed charges · inpatientfrom % of charges	$554	$554	—	—	—	$554 – $554
16	Carefirst commercial facility · percent of total billed charges · outpatientfrom % of charges	$554	$554	—	—	—	$554 – $554
17	MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · inpatientfrom % of charges	$554	$554	—	—	—	$554 – $554
18	MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · outpatientfrom % of charges	$554	$554	—	—	—	$554 – $554
19	Cigna commercial facility · case rate · outpatient	$750	$750	—	—	—	$750 – $750

Last updated: Mar 6, 2026

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