Emergency visit, moderate (level 3) at Legacy Good Samaritan Medical Center. CPT 99283.
What Legacy Good Samaritan Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$128cash price (self-pay)
$197list price
$303–$1,173range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Kaiser | Medicare Managed Care Plan | $303 |
| Atrio | Medicare Managed Care Plan | $313 |
| Aetna | Medicare Managed Care Plan | $319 |
| HealthNet | Medicare Managed Care Plan | $322 |
| CareOregon | Medicare Managed Care Plan | $328 |
| Ageright | Medicare Managed Care Plan | $334 |
| Moda | Medicare Managed Care Plan | $340 |
| Kaiser | PEBB Other Commercial Plan | $607 |
| BCBS | Regence - Legacy LHP All Commercial Plans | $630 |
| BCBS | Regence - Blue HPN All Commercial Plans | $881 |
| BCBS | Regence All Commercial Plans | $923 |
| Moda | All Commercial Plans | $1,173 |
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