Emergency visit, high (level 4) at Bartlett Surgery and Specialty Clinic. CPT 99284.
What Bartlett Surgery and Specialty Clinic publishes for this service, straight from its standard-charges file, last updated April 8, 2026.
Outpatient / ER
$434cash price (self-pay)
$510list price
$398–$500range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Premera Profee Only-All Plans | Premera Profee Only-All Plans | $398 |
| First Choice Profee Only-All Plans | First Choice Profee Only-All Plan | $495 |
| Aetna Profee Only-All Plans | Aetna Profee Only-All Plans | $500 |
| Moda Profee Only-All Plans | Moda Profee Only-All Plans | $500 |
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All common services at Bartlett Surgery and Specialty Clinic