Emergency department visit at UPMC Kane

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

EMERGENCY ROOM LEVEL 1

Kane, PA

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Pricing by billing methodology

Price type

How this price compares nationally

UPMC Kane’s median price of $65 is 55% below the median hospital's median price ($145), higher than 10% of the 2,575 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 Kane

Negotiated rates from the hospital’s own file: 6 payers, 20 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	Highmark community blue medicare advantage/complete blue medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$49	$49	$14	30%	—	$34 – $63
2	Highmark freedom blue medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$49	$49	$14	30%	—	$34 – $63
3	Highmark security blue medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$49	$49	$14	30%	—	$34 – $63
4	Highmark together blue medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$49	$49	$14	30%	—	$34 – $63
5	Highmark commercial - social mission indemnity facility · fee schedule · outpatient	$50	$50	—	—	—	$50 – $50
6	Highmark managed care - social mission facility · fee schedule · outpatient	$50	$50	—	—	—	$50 – $50
7	Highmark medicare facility · percent of total billed charges · outpatientfrom % of charges	$50	$50	$15	30%	—	$35 – $65
8	Aetna medicare facility · percent of total billed charges · outpatientfrom % of charges	$51	$51	$15	30%	—	$36 – $66
9	UnitedHealthcare unison advantage non special needs facility · percent of total billed charges · outpatientfrom % of charges	$51	$51	$15	30%	—	$36 – $66
10	Amerihealth Caritas medicare facility · percent of total billed charges · outpatientfrom % of charges	$53	$53	$16	30%	—	$37 – $68
11	UnitedHealthcare unison advantage special needs facility · percent of total billed charges · outpatientfrom % of charges	$54	$54	$16	30%	—	$38 – $70
12	Highmark commercial - indemnity facility · fee schedule · outpatient	$61	$61	—	—	—	$61 – $61
13	Highmark managed care facility · fee schedule · outpatient	$61	$61	—	—	—	$61 – $61
14	UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges	$65	$65	$19	30%	—	$46 – $84
15	Highmark medicaid facility · case rate · outpatient	$67	$67	—	—	—	$67 – $67
16	Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges	$92	$92	$27	30%	—	$65 – $120
17	Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges	$92	$92	$27	30%	—	$65 – $120
18	MultiPlan auto/ppo/worker's compensation facility · percent of total billed charges · inpatientfrom % of charges	$99	$99	$29	30%	—	$70 – $128
19	MultiPlan auto/ppo/worker's compensation facility · percent of total billed charges · outpatientfrom % of charges	$99	$99	$29	30%	—	$70 – $128
20	Cigna medicare facility · percent of total billed charges · outpatientfrom % of charges	$3.0k	$3.0k	$878	30%	—	$2.1k – $3.8k

Last updated: Mar 6, 2026

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