Emergency visit, highest (level 5) at Legacy Good Samaritan Medical Center. CPT 99285.
What Legacy Good Samaritan Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$317cash price (self-pay)
$996list price
$662–$2,560range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Kaiser | Medicare Managed Care Plan | $662 |
| Atrio | Medicare Managed Care Plan | $682 |
| Aetna | Medicare Managed Care Plan | $695 |
| HealthNet | Medicare Managed Care Plan | $702 |
| CareOregon | Medicare Managed Care Plan | $715 |
| Ageright | Medicare Managed Care Plan | $728 |
| Moda | Medicare Managed Care Plan | $741 |
| Kaiser | PEBB Other Commercial Plan | $1,324 |
| BCBS | Regence - Legacy LHP All Commercial Plans | $1,422 |
| BCBS | Regence - Blue HPN All Commercial Plans | $1,991 |
| BCBS | Regence All Commercial Plans | $2,084 |
| Moda | All Commercial Plans | $2,560 |
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