Emergency visit, high (level 4) at St. Charles Madras. CPT 99284.
What St. Charles Madras publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$386cash price (self-pay)
$2,086list price
$113–$2,086range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| PACIFICSOURCE COMMUNITY SOLUTIONS [525] | PacificSource Central Oregon | $412 |
| UNICARE [133] | Medicare | $501 |
| UHC MEDICARE ADVANTAGE [127] | Medicare | $501 |
| COVID19 HRSA UNINSURED TESTING AND TREATMENT FUND | Medicare | $501 |
| MEDICARE ADVANTAGE GENERIC [199] | Medicare | $501 |
| HUMANA MEDICARE [130] | Medicare | $501 |
| SAMARITAN HEALTH PLAN MED ADV [141] | Medicare | $501 |
| HEALTH MARKET CARE ASSURED [134] | Medicare | $501 |
| VETERANS [706] | Veteran Affairs | $501 |
| PACIFICSOURCE MEDICARE ADVANTAGE [126] | PacificSource Medicare | $528 |
| PROVIDENCE MEDICARE ADV [137] | Providence Medicare | $581 |
| TRICARE [705] | Tricare | $651 |
| PACIFICSOURCE [345] | PacificSource Voyager | $835 |
| COLUMBIA PACIFIC COORDINATED CARE LLC [539] | Oregon Medicaid CCO | $855 |
| HEALTH SHARE [537] | Oregon Medicaid CCO | $855 |
| UMPQUA HEALTH [533] | Oregon Medicaid CCO | $855 |
| INTERCOMMUNITY HEALTH [530] | Oregon Medicaid CCO | $855 |
| MODA MEDICAID [528] | Eastern Oregon CCO | $855 |
| HEALTH SHARE OHSU OHP [552] | Oregon Medicaid CCO | $855 |
| OREGON MEDICAID [500] | Oregon Medicaid | $855 |
| KAISER PERMANENTE [334] | OEBB PEBB Non-Contracted | $919 |
| LAW ENFORCEMENT [701] | SCHS HB Oregon Department of Corrections | $1,035 |
| PACIFICSOURCE [345] | PacificSource Navigator Group | $1,141 |
| PACIFICSOURCE [345] | PacificSource Navigator Individual | $1,141 |
| MODA [310] | Moda Affinity | $1,794 |
| MODA [310] | Moda Synergy | $1,794 |
| MANHATTAN LIFE INSURANCE COMPANY [379] | First Health | $2,045 |
| OTJ BROADSPIRE SERVICES [670] | Oregon Workers Compensation | $2,086 |
| OTJ TRISTAR [673] | Oregon Workers Compensation | $2,086 |
| OTJ LIBERTY MUTUAL WAUSAU UNDERWRITERS [671] | Oregon Workers Compensa | $2,086 |
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