Emergency visit, moderate (level 3) at St. Charles Madras. CPT 99283.
What St. Charles Madras publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$202cash price (self-pay)
$1,212list price
$66.24–$1,212range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| PACIFICSOURCE COMMUNITY SOLUTIONS [525] | PacificSource Central Oregon | $270 |
| PACIFICSOURCE COMMUNITY SOLUTIONS [525] | PacificSource Gorge & Lane C | $281 |
| COVID19 HRSA UNINSURED TESTING AND TREATMENT FUND | Medicare | $291 |
| UHC MEDICARE ADVANTAGE [127] | Medicare | $291 |
| WELLCARE [132] | Medicare | $291 |
| MEDICARE ADVANTAGE GENERIC [199] | Medicare | $291 |
| UNICARE [133] | Medicare | $291 |
| INDIAN HEALTH [704] | Medicare | $291 |
| PACIFICSOURCE COMMUNITY SOLUTIONS [525] | PacifcSource Healthier Orego | $299 |
| PACIFICSOURCE MEDICARE ADVANTAGE [126] | PacificSource Medicare | $307 |
| PROVIDENCE MEDICARE ADV [137] | Providence Medicare | $337 |
| TRICARE [705] | Tricare | $378 |
| OTJ DEPT OF LABOR FEDERAL EMP [652] | US Dept of Labor | $406 |
| OTJ US DEPARTMENT OF LABOR [669] | US Dept of Labor | $406 |
| PACIFICSOURCE [345] | PacificSource Voyager | $485 |
| MODA MEDICAID [528] | Eastern Oregon CCO | $497 |
| HEALTH SHARE [537] | Oregon Medicaid CCO | $497 |
| COLUMBIA PACIFIC COORDINATED CARE LLC [539] | Oregon Medicaid CCO | $497 |
| HEALTH SHARE OHSU OHP [552] | Oregon Medicaid CCO | $497 |
| WILLAMETTE VALLEY COMMUNITY HEALTH [536] | Oregon Medicaid CCO | $497 |
| HEALTH SHARE PROVIDENCE [548] | Oregon Medicaid CCO | $497 |
| KAISER PERMANENTE [334] | OEBB PEBB Non-Contracted | $601 |
| LAW ENFORCEMENT [701] | SCHS HB Oregon Department of Corrections | $601 |
| PROVIDENCE HEALTH PLAN [347] | Providence Health Plan PEBB OEBB | $650 |
| PACIFICSOURCE [345] | PacificSource Navigator Group | $663 |
| PACIFICSOURCE [345] | PacificSource Navigator Individual | $663 |
| PROVIDENCE HEALTH PLAN [347] | Providence Health Plan | $1,061 |
| MANHATTAN LIFE INSURANCE COMPANY [379] | First Health | $1,188 |
| OTJ GALLAGHER BASSETT [654] | Oregon Workers Compensation | $1,212 |
| AUTO MUTUAL OF ENUMCLAW [610] | Auto Insurance | $1,212 |
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