Emergency visit, high (level 4) at Prosser Memorial Hospital. CPT 99284.
What Prosser Memorial Hospital publishes for this service, straight from its standard-charges file, last updated January 1, 2025.
Outpatient / ER
$339cash price (self-pay)
$1,371list price
$67.33–$1,937range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Community Health Plan of Washington | All Medicaid and Exchange Plans | $260 |
| Coordinated Care | All Medicaid Plans | $260 |
| Kaiser Permanente | All Medicaid Plans | $260 |
| United Healthcare | All Medicaid Plans | $260 |
| Molina | All Medicaid Plans | $273 |
| Amerigroup | All Medicaid Plans | $276 |
| Community Health Plan of Washington | All Medicare Plans | $332 |
| Health Alliance Northwest | All Medicare Plans | $332 |
| Kaiser Permanente | All Medicare Plans | $332 |
| Molina | All Medicare & Marketplace Plans | $332 |
| United Healthcare | All Medicare Plans | $332 |
| Wellcare | All Medicare Plans | $332 |
| Humana | All Medicare Plans | $335 |
| Aetna | All Medicare Plans | $398 |
| Ambetter | All Commercial Plans | $864 |
| Premera | All Commercial Plans | $927 |
| Asuris | PPO, POS Commercial Plans | $933 |
| Health Management Adminstrators | PPO, POS Commercial Plans | $933 |
| Regence | PPO, POS & RegenceCare Commercial Plans | $933 |
| Cigna | All Commercial Plans | $940 |
| Aetna | All Commercial Plans | $969 |
| Humana | All Commercial Plans | $970 |
| Asuris | All Other Commercial Plans | $1,040 |
| Health Management Adminstrators | All Other Commercial Plans | $1,040 |
| Regence | All Other Commercial Plans | $1,040 |
| Kaiser Permanente | All Commercial Plans | $1,088 |
| MultiPlan | All Commercial Plans | $1,165 |
| United Healthcare | All Commercial Plans | $1,480 |
| First Choice | All Commercial Plans | $1,807 |
Inpatient
$339cash price (self-pay)
$1,371list price
$67.33–$1,935range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Community Health Plan of Washington | All Medicare Plans | $133 |
| Health Alliance Northwest | All Medicare Plans | $133 |
| Humana | All Medicare Plans | $133 |
| Kaiser Permanente | All Medicare Plans | $133 |
| Molina | All Medicare & Marketplace Plans | $133 |
| United Healthcare | All Medicare Plans | $133 |
| Wellcare | All Medicare Plans | $133 |
| Aetna | All Medicare Plans | $157 |
| Community Health Plan of Washington | All Medicaid and Exchange Plans | $464 |
| Coordinated Care | All Medicaid Plans | $464 |
| Kaiser Permanente | All Medicaid Plans | $464 |
| United Healthcare | All Medicaid Plans | $464 |
| Molina | All Medicaid Plans | $466 |
| Amerigroup | All Medicaid Plans | $492 |
| Aetna | All Commercial Plans | $916 |
| Premera | All Commercial Plans | $927 |
| Asuris | PPO, POS Commercial Plans | $933 |
| Health Management Adminstrators | PPO, POS Commercial Plans | $933 |
| Regence | PPO, POS & RegenceCare Commercial Plans | $933 |
| Ambetter | All Commercial Plans | $939 |
| Cigna | All Commercial Plans | $940 |
| Humana | All Commercial Plans | $970 |
| Asuris | All Other Commercial Plans | $1,040 |
| Health Management Adminstrators | All Other Commercial Plans | $1,040 |
| Regence | All Other Commercial Plans | $1,040 |
| Kaiser Permanente | All Commercial Plans | $1,086 |
| MultiPlan | All Commercial Plans | $1,219 |
| First Choice | All Commercial Plans | $1,807 |
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