Emergency visit, moderate (level 3) at St. Charles Prineville. CPT 99283.

What St. Charles Prineville 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
CHAMP VA [700] \| Veteran Affairs	$339
MEDICARE ADVANTAGE GENERIC [199] \| Medicare	$339
HEALTH NET MED ADV [135] \| Medicare	$339
INDIAN HEALTH [704] \| Medicare	$339
KAISER PERMANENTE MED ADV [136] \| Medicare	$339
Law Enforcement [701] \| Schs Sph Hb Law Enforcement	$339
MEDICARE VACCINE [999100100] \| Medicare	$339
WELLCARE [132] \| Medicare	$339
OTJ DEPT OF LABOR FEDERAL EMP [652] \| US Dept of Labor	$406
PRIMARY HEALTH OF JOSPEHINE COUNTY LLC [547] \| Oregon Medicaid CCO	$424
UMPQUA HEALTH [533] \| Oregon Medicaid CCO	$424
TRILLIUM MEDICAID [535] \| Oregon Medicaid CCO	$424
ALLCARE HEALTH PLAN [538] \| Oregon Medicaid CCO	$424
HEALTH SHARE KAISER [543] \| Oregon Medicaid CCO	$424
WILLAMETTE VALLEY COMMUNITY HEALTH [536] \| Oregon Medicaid CCO	$424
MODA MEDICAID [528] \| Eastern Oregon CCO	$424
HEALTH SHARE OHSU OHP [552] \| Oregon Medicaid CCO	$424
KAISER PERMANENTE [334] \| OEBB PEBB Non-Contracted	$601
LAW ENFORCEMENT [701] \| SCHS HB Oregon Department of Corrections	$601
MODA [310] \| Moda OEBB PEBB	$650
US BENEFITS [326] \| Cigna	$764
Rx Internal [4100003] \| Schs Hb First Choice Central Oregon Select	$990
MODA [310] \| Moda Affinity	$1,043
MERITAIN HEALTH [300] \| Aetna	$1,055
PLANNED ADMINISTRATORS INC [375] \| First Health	$1,188
FIRST HEALTH [339] \| First Health	$1,188
MANHATTAN LIFE INSURANCE COMPANY [379] \| First Health	$1,188
AUTO AMERICAN FAMILY INSURANCE [603] \| Auto Insurance	$1,212
AUTO SAFECO CONCENTRA [600] \| Auto Insurance	$1,212
AUTO LIBERTY MUTUAL AUTO INS [613] \| Auto Insurance	$1,212

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