Emergency visit, high (level 4) at Clallam County Public Hospital District #2 DBA Olympic Medical Center. CPT 99284.

What Clallam County Public Hospital District #2 DBA Olympic Medical Center publishes for this service, straight from its standard-charges file, last updated June 24, 2026.

Outpatient / ER

$1,033cash price (self-pay)

$1,291list price

$523–$1,291range insurers pay

Insurance plan	Negotiated rate
Regence \| Medicare Advantage	$523
Community Healthplan of Washington \| Medicare Advantage	$573
United Healthcare \| Medicare Advantage	$573
Wellcare \| Medicare Advantage	$573
Molina \| Medicare Advantage	$672
Regence \| Uniform Medical	$722
Community Healthplan of Washington \| Cascade Select	$1,033
Ambetter \| Cascade Select	$1,162
Ambetter \| All Other Plans	$1,226
Cigna \| All Plans	$1,257
Aetna \| All Plans	$1,291
First Choice Network \| All Plans	$1,291
HMA \| All Plans	$1,291
Lifewise \| All Plans	$1,291
Premera \| All Plans	$1,291
Regence \| All Other Plans	$1,291
United Healthcare \| All Other Plans	$1,291

Inpatient

$1,033cash price (self-pay)

$1,291list price

$523–$1,291range insurers pay

Insurance plan	Negotiated rate
Regence \| Medicare Advantage	$523
Community Healthplan of Washington \| Medicare Advantage	$573
United Healthcare \| Medicare Advantage	$573
Wellcare \| Medicare Advantage	$573
Molina \| Medicare Advantage	$672
Regence \| Uniform Medical	$722
Community Healthplan of Washington \| Cascade Select	$1,033
Ambetter \| Cascade Select	$1,162
Ambetter \| All Other Plans	$1,226
Cigna \| All Plans	$1,257
Aetna \| All Plans	$1,291
First Choice Network \| All Plans	$1,291
HMA \| All Plans	$1,291
Lifewise \| All Plans	$1,291
Premera \| All Plans	$1,291
Regence \| All Other Plans	$1,291
United Healthcare \| All Other Plans	$1,291

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All common services at Clallam County Public Hospital District #2 DBA Olympic Medical Center