Emergency visit, high (level 4) at Grant County Public Hospital District 1 dba Samaritan. CPT 99284.
What Grant County Public Hospital District 1 dba Samaritan publishes for this service, straight from its standard-charges file, last updated January 4, 2026.
Outpatient / ER
$513cash price (self-pay)
$1,139list price
$410–$1,588range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| First Choice Health Admin [1294] | Hb Cc Wsa Firstchoice Healthcomp | $911 |
| Personify [541] | Hb Cc Wsa Firstchoice Healthcomp | $911 |
| Aetna [511] | Hb Cc Wsa Aetna | $1,025 |
| Brms [1270] | Hb Cc Wsa First Choice | $1,025 |
| City Of Pasco [2247] | Hb Cc Wsa First Choice | $1,025 |
| Coastal Adminstrative Services [2269] | Hb Cc Wsa First Choice | $1,025 |
| Employee Bene Admin Mgmt [525] | Hb Cc Wsa Aetna | $1,025 |
| Employee Bene Admin Mgmt [525] | Hb Cc Wsa First Choice | $1,025 |
| First Choice [528] | Hb Cc Wsa First Choice | $1,025 |
| Geha [531] | Hb Cc Wsa Aetna | $1,025 |
| Mailhandlers Benefit Pln [547] | Hb Cc Wsa Aetna | $1,025 |
| Meritain [550] | Hb Cc Wsa Aetna | $1,025 |
| Nw Sheet Metal Workers [597] | Hb Cc Wsa Aetna | $1,025 |
| Trustmark [524] | Hb Cc Wsa Aetna | $1,025 |
| Umr [596] | Hb Cc Wsa Aetna | $1,025 |
| Zenith Administrators [586] | Hb Cc Wsa Aetna | $1,025 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.
All common services at Grant County Public Hospital District 1 dba Samaritan