Emergency visit, high (level 4) at Saint Alphonsus Medical Center Baker City. CPT 99284.
What Saint Alphonsus Medical Center Baker City publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$253cash price (self-pay)
$1,575list price
$27.53–$3,656range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| American Health Advantage Of Idaho | American Health Medicare Advantag | $562 |
| Childrens Medical Services Title 19 | Medicaid | $693 |
| Childrens Medical Center Health Plan Managed Medicaid | Medicaid | $693 |
| Independent Care Medicaid | Medicaid | $693 |
| Freedom First Healthcare | Medicaid | $693 |
| Wellsense Health Plan | Medicaid | $693 |
| Family Health Network | Medicaid | $693 |
| Medicaid - Wi | Medicaid | $693 |
| Blue Cross - In (Anthem) Medicaid Advantage | Medicaid | $693 |
| Amerigroup Medicaid | Medicaid | $693 |
| Green Mountain Medicaid Advantage | Medicaid | $693 |
| Medicaid - Va | Medicaid | $693 |
| Trilogy Medicaid | Medicaid | $693 |
| Cenpatico | Medicaid | $693 |
| Blue Cross - Id Medicaid Advantage | Medicaid | $693 |
| Pacificsource Health Plans Medicaid Advantage | Medicaid | $693 |
| Medicaid - Al | Medicaid | $693 |
| Maryland Breast & Cervical Program | Medicaid | $693 |
| Screening For Life | Medicaid | $693 |
| Dph Tb Program | Medicaid | $693 |
| Medicaid - NY Ssl | Medicaid | $693 |
| Aetna Medicaid | Medicaid | $693 |
| Medicaid - Wa | Medicaid | $693 |
| Rx Assistance/Rx Manufacturer Assistance 0 Copay | Medicaid | $693 |
| Blue Cross - Nj (Horizon) Medicaid Advantage | Medicaid | $693 |
| Medicaid - Ut | Medicaid | $693 |
| Allwell Medicaid Advantage | Medicaid | $693 |
| Medstar Dc Healthy Family | Medicaid | $693 |
| Blue Cross - IL Medicaid Advantage | Medicaid | $693 |
| Medicaid - Vt | Medicaid | $693 |
Inpatient
$267cash price (self-pay)
$267list price
$75.40–$267range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Paramount Medicaid Advantage | Medicaid | $93.35 |
| Rx Allwin | Medicare | $112 |
| Dean Health Medicare Select | Medicare | $112 |
| Advantra Freedom Medicare Advantage | Medicare | $112 |
| Allwell Medicare Advantage | Medicare | $112 |
| Blue Cross - Mi Medicare Advantage | Medicare | $112 |
| Coventry Medicare Advantage | Medicare | $112 |
| Cigna Medicare Advantage | Medicare | $112 |
| Phoenix Medicare Advantage | Medicare | $112 |
| Blue Cross - Wi (Anthem) Medicare Advantage | Medicare | $112 |
| Paramount Medicare Advantage | Medicare | $112 |
| Lasso Healthcare Msa | Medicare | $112 |
| Blue Cross - Ky (Anthem) Medicare Advantage | Medicare | $112 |
| Blue Cross - Ga (Anthem) Medicare Advantage | Medicare | $112 |
| Blue Cross - NY (Anthem) Medicare Advantage | Medicare | $112 |
| Connecticare Vip Medicare | Medicare | $112 |
| Total Healthcare Medicare Snp | Medicare | $112 |
| Hap Empowered Mi Health Link Medicare Dual | Medicare | $112 |
| Sunshine Health Medicare Advantage | Medicare | $112 |
| Univera Healthcare Medicare Advantage | Medicare | $112 |
| Tufts Medicare Advantage | Medicare | $112 |
| Brand New Day Medicare Advantage | Medicare | $112 |
| Blue Cross - Pa (Independence) Medicare Advantage | Medicare | $112 |
| Highmark Wholecare Medicare Advantage | Medicare | $112 |
| Humana Medicare Advantage | Humana Medicare Advantage | $116 |
| Blue Cross - Or (Regence) Medicare Advantage | Regence BCBS Medicare A | $117 |
| Wc Fcci | Workers Comp | $251 |
| Wc Aig | Workers Comp | $251 |
| Wc Berkley Admin | Workers Comp | $251 |
| Wc Rural Mutual | Workers Comp | $251 |
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All common services at Saint Alphonsus Medical Center Baker City