Emergency visit, high (level 4) at Salem Health. CPT 99284.
What Salem Health publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$164cash price (self-pay)
$1,482list price
$464–$2,031range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Samaritan | Medicare Managed Care Plan | $464 |
| Kaiser | Medicare Managed Care Plan | $492 |
| AgeRight Advantage Health Plan | Medicare Managed Care Plan | $496 |
| Aetna | Medicare Managed Care Plan | $510 |
| Atrio | Medicare Managed Care Plan | $519 |
| Kaiser | OEBB Other Commercial Plan | $928 |
| Kaiser | All Commercial Plans | $1,493 |
| Providence Health Plan | SAIF Other Commercial Plan | $1,963 |
| Providence Health Plan | Individual EPO | $1,978 |
| Providence Health Plan | All Commercial Plans | $2,031 |
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