Emergency visit, high (level 4) at St Marys Health. CPT 99284.
What St Marys Health publishes for this service, straight from its standard-charges file, last updated July 20, 2026.
Outpatient / ER
$189cash price (self-pay)
$1,226list price
$94.78–$1,201range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UHC All Payer - All Other Plans | UHC All Payer - All Other Plans | $195 |
| Blue Cross Cpn | Blue Cross Cpn | $533 |
| Regence Blue Shield Mcr | Regence Blue Shield Mcr | $558 |
| Tricare/Triwest Ccn - All Plans | Tricare/Triwest Ccn - All Plans | $558 |
| UHC Mcr Adv | UHC Mcr Adv | $558 |
| Veterans Admin - All Plans | Veterans Admin - All Plans | $558 |
| Nimiipuu Mcr Adv - Allplans | Nimiipuu Mcr Adv - Allplans | $563 |
| Pacific Source Medicare- All Plans | Pacific Source Medicare- All Plan | $566 |
| Blue Cross Mcr Adv | Blue Cross Mcr Adv | $571 |
| Blue Cross Qhp/Qep/Cco | Blue Cross Qhp/Qep/Cco | $635 |
| Blue Cross Mcaid | Blue Cross Mcaid | $636 |
| Corizon Correctional - All Plans | Corizon Correctional - All Plans | $650 |
| Aetna - All Other Plans | Aetna - All Other Plans | $659 |
| Blue Cross - All Other Plans | Blue Cross - All Other Plans | $696 |
| Idaho Phys Network - All Plans | Idaho Phys Network - All Plans | $702 |
| Multiplan - All Plans | Multiplan - All Plans | $716 |
| Geha - All Plans | Geha - All Plans | $717 |
| First Choice- All Plans | First Choice- All Plans | $724 |
| Regence Blue Shield - All Other Plans | Regence Blue Shield - All Othe | $868 |
| Aetna Mcr Adv | Aetna Mcr Adv | $1,005 |
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