How much does Emergency room visit (level 5) cost in Pennsylvania?
Emergency room visit (level 5) · CPT 99285 · State: Pennsylvania
In Pennsylvania, the typical insurer-negotiated price for Emergency room visit (level 5) is about $938, with most between $668 and $1,246 ($1,557 cash/self-pay). Based on 139 Pennsylvania hospitals — 23% lower than the national typical of $1,224. Hospital list charges run about $2,595 (2.8× higher).
Source: medians across 139 Pennsylvania hospitals' published price files (≥5 reporting). See the national Emergency room visit (level 5) cost for the full picture. Estimates vary by hospital, insurer, and plan.
Emergency room visit (level 5) cost in Pennsylvania — FAQs
How much does an Emergency room visit (level 5) cost in Pennsylvania?
In Pennsylvania, the typical insurer-negotiated price for an Emergency room visit (level 5) is about $938, with most between $668 and $1,246, based on 139 Pennsylvania hospitals. That's 23% lower than the national typical of $1,224.
How much does an Emergency room visit (level 5) cost without insurance in Pennsylvania?
Cash or self-pay prices for an Emergency room visit (level 5) in Pennsylvania run around $1,557. Hospitals often bill the higher "list" charge first (about $2,595), so ask for the cash or self-pay rate.
Why is my Pennsylvania hospital bill for an Emergency room visit (level 5) so high?
Pennsylvania hospital "list" charges for an Emergency room visit (level 5) run about $2,595 — roughly 2.8× the $938 insurers actually pay there. The list price is rarely what anyone pays; the negotiated and cash rates are the realistic benchmark.
Can I negotiate the cost of an Emergency room visit (level 5) in Pennsylvania?
Yes. If a Pennsylvania hospital charged you well above the typical negotiated rate (about $938), that gap is negotiable. Upfronte audits your bill against real Pennsylvania hospital pricing data and negotiates it down on your behalf — no savings, no fee.
Charged more than $938 in Pennsylvania?
Upload your bill and Upfronte will check it against real Pennsylvania hospital prices and negotiate overcharges. No savings, no fee.
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