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Emergency visit, high (level 4) at Blue Mountain Hospital District. CPT 99284.

What Blue Mountain Hospital District publishes for this service, straight from its standard-charges file, last updated September 1, 2026.

Outpatient / ER

$450cash price (self-pay)
$770list price
$50.00–$1,295range insurers pay
Insurance planNegotiated rate
Ods Comm Health - All Plans | Ods Comm Health - All Plans$50.00
Triwest - All Plans | Triwest - All Plans$531
Pacificsource - All Plans | Pacificsource - All Plans$732
Moda Comm - All Plans | Moda Comm - All Plans$732
BCBS Preferred | BCBS Preferred$739
BCBS Comm - All Other Plans | BCBS Comm - All Other Plans$770
Providence Pref - All Plans | Providence Pref - All Plans$770
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All common services at Blue Mountain Hospital District