Emergency visit, high (level 4) at Providence Centralia Hospital. CPT 99284.
What Providence Centralia Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$1,394cash price (self-pay)
$2,681list price
$483–$3,247range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Kaiser | Medicare Managed Care Plan | $483 |
| Aetna | Medicare Managed Care - Hmo | $498 |
| Aetna | Medicare Managed Care - Ppo | $503 |
| Unitedhealthcare | Medicare Managed Care Plan | $517 |
| Blue Shield | Regence Medicare Managed Care Plan | $522 |
| Amerigroup | Medicare Managed Care Plan | $532 |
| Community Health Plan | Medicare Managed Care Plan | $773 |
| Molina | Exchange | $817 |
| Blue Cross | Premera Lifewise Exchange | $870 |
| Coordinated Care | Ambetter Exchange | $894 |
| Blue Shield | Regence Uniform Medical Plan Other Commercial Plan | $1,679 |
| Kaiser | All Commercial Plans | $1,807 |
| First Choice | All Commercial Plans | $2,192 |
| Blue Cross | Premera Heritage Signature All Commercial Plans | $2,610 |
| Blue Cross | Premera All Commercial Plans | $2,704 |
| Blue Shield | Regence All Commercial Plans | $3,247 |
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