Emergency visit, high (level 4) at Astria Sunnyside Hospital. CPT 99284.
What Astria Sunnyside Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$1,052cash price (self-pay)
$1,845list price
$137–$1,845range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Uhc_medicare | Medicare | $137 |
| Health_alliance_medicare_advantage | Medicare | $407 |
| Aetna_medicare | Medicare | $452 |
| Amerigroup_medicaid | Medicaid | $452 |
| Chpw_medicaid | Medicaid | $452 |
| Coordinated_care_medicaid | Medicaid | $452 |
| Healthcomp_ihs | Medicare | $452 |
| Hma_ihs_medicare | Medicare | $452 |
| Humana_medicare | Medicare | $452 |
| Kaiser_medicare | Medicare | $452 |
| Medicaid | Medicaid | $452 |
| Medicare | Medicare | $452 |
| Molina | Commercial | $452 |
| Molina_medicare | Medicare | $452 |
| Premera_medicare_advantage | Medicare | $452 |
| Signal_health_medicare | Medicare | $452 |
| Va | Medicare | $452 |
| Regence_medicare | Medicare | $457 |
| Tricare | Medicare | $457 |
| Chpw_medicare | Medicare | $466 |
| Uhc_medicaid | Medicaid | $466 |
| Coordinated_care_medicaid_ambetter | Medicaid | $565 |
| Cigna | Commercial | $1,107 |
| Li | Commercial | $1,133 |
| First_choice | Commercial | $1,384 |
| Tpsc | Commercial | $1,439 |
| Premera | Commercial | $1,502 |
| UHC | Commercial | $1,568 |
| Umr | Commercial | $1,568 |
| Aetna | Commercial | $1,624 |
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