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Emergency visit, high (level 4) at SSM Health St. Mary's Hospital - Centralia. CPT 99284.

What SSM Health St. Mary's Hospital - Centralia publishes for this service, straight from its standard-charges file, last updated April 1, 2026.

Outpatient / ER

$1,451cash price (self-pay)
$2,639list price
$447–$470range insurers pay
Insurance planNegotiated rate
Molina | Dual Eligible Medicare/Medicaid$447
UnitedHealthCare | Medicare Managed Care Plan$465
Essence Healthcare | Medicare Managed Care Plan$470
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All common services at SSM Health St. Mary's Hospital - Centralia