Emergency visit, high (level 4) at Portland Adventist Medical Center. CPT 99284.
What Portland Adventist Medical Center publishes for this service, straight from its standard-charges file, last updated May 26, 2026.
Outpatient / ER
$856cash price (self-pay)
$2,675list price
$371–$4,815range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Ods - All Plans | Ods - All Plans | $371 |
| Care Oregon - All Plans | Care Oregon - All Plans | $394 |
| Kaiser Mcr Adv | Kaiser Mcr Adv | $464 |
| Humana Mcr Adv HMO - All Other Plans | Humana Mcr Adv HMO - All Other | $473 |
| Humana Mcr Adv PPO | Humana Mcr Adv PPO | $492 |
| Moda Mcr Adv | Moda Mcr Adv | $492 |
| UHC Mcr Adv | UHC Mcr Adv | $492 |
| Healthnet Mcr Adv | Healthnet Mcr Adv | $533 |
| Healthcare Resources - All Plans | Healthcare Resources - All Plans | $601 |
| Ah Employee Health Plan - All Plans | Ah Employee Health Plan - All Pl | $835 |
| Workers Comp | Workers Comp | $926 |
| Moda Conn Oebb/Syn Pebb | Moda Conn Oebb/Syn Pebb | $928 |
| Regence Ohsu Plus | Regence Ohsu Plus | $1,057 |
| Moda Affinity - All Other Plans | Moda Affinity - All Other Plans | $1,067 |
| Regence - All Other Plans | Regence - All Other Plans | $1,175 |
| Kaiser - All Other Plans | Kaiser - All Other Plans | $1,210 |
| Bc Premera First - All Plans | Bc Premera First - All Plans | $1,338 |
| Moda Select | Moda Select | $1,452 |
| Healthnet EPO/POS/PPO | Healthnet EPO/POS/PPO | $1,583 |
| UHC All Payer - All Other Plans | UHC All Payer - All Other Plans | $1,605 |
| Worldventure - All Plans | Worldventure - All Plans | $1,605 |
| Healthnet HMO/POS - All Other Plans | Healthnet HMO/POS - All Other Pl | $1,616 |
| Moda Connexus | Moda Connexus | $1,642 |
| Pacific Source Comm - All Plans | Pacific Source Comm - All Plans | $1,683 |
| Moda Synergy | Moda Synergy | $1,737 |
| Regence Preferred Mcr Adv | Regence Preferred Mcr Adv | $1,745 |
| Providence Hp - All Plans | Providence Hp - All Plans | $1,775 |
| Cigna - All Plans | Cigna - All Plans | $1,806 |
| First Choice - All Plans | First Choice - All Plans | $1,854 |
| Multiplan - All Plans | Multiplan - All Plans | $2,006 |
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