Emergency visit, high (level 4) at Northwest Medical Foundation Of Tillamook. CPT 99284.
What Northwest Medical Foundation Of Tillamook publishes for this service, straight from its standard-charges file, last updated May 22, 2026.
Outpatient / ER
$402cash price (self-pay)
$1,906list price
$115–$16,904range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Mcare | Aetna Mcare | $116 |
| Moda Health Plan - All Plans | Moda Health Plan - All Plans | $896 |
| Ods Health Medicare | Ods Health Medicare | $896 |
| Regence BCBS Mcare | Regence BCBS Mcare | $896 |
| Hvhs Mcare - All Plans | Hvhs Mcare - All Plans | $905 |
| Sterling Life - All Plans | Sterling Life - All Plans | $932 |
| Devoted Health | Devoted Health | $967 |
| Regence BCBS Preferred | Regence BCBS Preferred | $1,620 |
| Regence BCBS - All Other Plans | Regence BCBS - All Other Plans | $1,658 |
| Lifewise - All Plans | Lifewise - All Plans | $1,719 |
| Aetna- All Other Plans | Aetna- All Other Plans | $1,773 |
| Ah Employee Health Plan - All Plans | Ah Employee Health Plan - All Pl | $1,792 |
| First Choice Health- All Plans | First Choice Health- All Plans | $1,792 |
| Health Net - All Plans | Health Net - All Plans | $1,792 |
| UHC - All Plans | UHC - All Plans | $1,811 |
| Pacificsource - All Plans | Pacificsource - All Plans | $1,830 |
| Ods Health Plan - All Other Plans | Ods Health Plan - All Other Plans | $1,849 |
| Providence Preferred - All Plans | Providence Preferred - All Plans | $1,868 |
| Workers Comp | Workers Comp | $1,906 |
| Cigna - All Plans | Cigna - All Plans | $2,900 |
| Phcs Preferred - All Plans | Phcs Preferred - All Plans | $2,900 |
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All common services at Northwest Medical Foundation Of Tillamook