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Emergency visit, high (level 4) at Overlake Hospital Medical Center. CPT 99284.

What Overlake Hospital Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.

Outpatient / ER

$1,262cash price (self-pay)
$2,523list price
$485–$1,583range insurers pay
Insurance planNegotiated rate
Blue Cross | Premera Medicare Managed Care Plan$485
Aetna | Medicare Managed Care Plan$499
Unitedhealthcare | Medicare Managed Care Plan$504
Blue Cross | Premera Heritage Prime Other Commercial Plan$707
Molina | Exchange$872
Unitedhealthcare | All Commercial Plans$896
Blue Shield | Regence Ump Other Commercial Plan$1,001
First Choice | Evergreen Employee Other Commercial Plan$1,055
First Choice | Health Administrators Tpa Other Commercial Plan$1,055
First Choice | Ppo$1,055
First Choice | Virginia Mason Hvn Other Commercial Plan$1,055
Blue Shield | Regence Real Value Exchange$1,117
Blue Shield | Regence All Commercial Plans$1,241
Kaiser | All Commercial Plans$1,274
Aetna | All Commercial Plans$1,299
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All common services at Overlake Hospital Medical Center