Emergency visit, high (level 4) at Legacy Unity Center for Behavioral Health Adolescent IP. CPT 99284.
What Legacy Unity Center for Behavioral Health Adolescent IP publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$219cash price (self-pay)
$646list price
$464–$1,794range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Kaiser | Medicare Managed Care Plan | $464 |
| Atrio | Medicare Managed Care Plan | $478 |
| Aetna | Medicare Managed Care Plan | $487 |
| HealthNet | Medicare Managed Care Plan | $492 |
| CareOregon | Medicare Managed Care Plan | $501 |
| Ageright | Medicare Managed Care Plan | $510 |
| Moda | Medicare Managed Care Plan | $519 |
| Kaiser | PEBB Other Commercial Plan | $928 |
| BCBS | Regence - Legacy LHP All Commercial Plans | $992 |
| BCBS | Regence - Blue HPN All Commercial Plans | $1,388 |
| BCBS | Regence All Commercial Plans | $1,453 |
| Moda | All Commercial Plans | $1,794 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.
All common services at Legacy Unity Center for Behavioral Health Adolescent IP