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Emergency visit, high (level 4) at Providence Milwaukie Hospital. CPT 99284.

What Providence Milwaukie Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.

Outpatient / ER

$452cash price (self-pay)
$1,832list price
$456–$2,535range insurers pay
Insurance planNegotiated rate
Providence Health Plan | Medicare Managed Care Plan$456
Allcare | Medicare Managed Care Plan$464
Unitedhealthcare | Medicare Managed Care Plan$496
Molina | Medicare Managed Care Plan$501
Careoregon | Medicare Managed Care Plan$506
Molina Healthcare | Exchange$849
Moda | Oebb All Commercial Plans$928
Bcbs | Regence All Commercial Plans$1,858
Moda | Non-Oebb All Commercial Plans$2,535
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All common services at Providence Milwaukie Hospital