Emergency visit, high (level 4) at Lourdes Counseling Center. CPT 99284.
What Lourdes Counseling Center publishes for this service, straight from its standard-charges file, last updated July 10, 2026.
Outpatient / ER
$1,530cash price (self-pay)
$3,824list price
$88.88–$5,989range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Moda | PPO | $88.88 |
| Humana Inc. | HMO | $381 |
| Molina Healthcare of Washington | Medicaid | $443 |
| COORDINATED CARE OF WASHINGTON INC | Medicaid | $447 |
| WELLPOINT WASHINGTON, INC. | Medicaid | $654 |
| Anthem Healthkeepers | HMO | $675 |
| Community Health Plan Of Washington | PPO | $897 |
| Molina Healthcare of Washington | Indemnity | $905 |
| Unitedhealthcare Of Washington Inc | PPO | $969 |
| Unitedhealthcare Of Washington Inc | HMO | $1,046 |
| Lifewise Health Plan of WA | PPO | $1,123 |
| KFHP of WA | HMO | $1,334 |
| Premera Blue Cross | PPO | $1,412 |
| KFHP of WA Options, Inc | HMO | $1,463 |
| Meritain Health | Indemnity | $1,797 |
| Providence Health Plan-ICL 8708 | PPO | $1,837 |
| Providence Health Plan-ICL 8708 | Indemnity | $2,290 |
| Molina Healthcare of Washington | HMO | $2,418 |
| United Healthcare Insurance Company | POS | $2,537 |
| GreatWestHealthcare-CIGNA | POS | $2,615 |
| United Healthcare Insurance Company | EPO | $2,672 |
| Aetna | PPO | $2,673 |
| Cigna Health and Life Insurance Company | POS | $2,904 |
| United Healthcare Insurance Company | HMO | $3,173 |
| Unitedhealthcare Of Oregon Inc | EPO | $4,150 |
| Allstate Insurance Company | Indemnity | $4,426 |
| Umr | PPO | $4,615 |
| United Healthcare Insurance Company | PPO | $5,928 |
| Asuris Northwest Health | PPO | $5,930 |
| Aetna | POS | $5,989 |
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