Emergency visit, high (level 4) at Providence Holy Family Hospital. CPT 99284.
What Providence Holy Family Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$1,286cash price (self-pay)
$1,966list price
$465–$1,705range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Kaiser | Medicare Managed Care Plan | $465 |
| Blue Cross | Premera Medicare Managed Care Plan | $484 |
| Unitedhealthcare | Medicare Managed Care Plan | $498 |
| Blue Shield | Asuris Medicare Managed Care Plan | $502 |
| Amerigroup | Medicare Managed Care Plan | $511 |
| Community Health Plan | Cascade Care Exchange | $744 |
| Blue Cross | Premera - Lifewise Health Plan Of Washington Affordable C | $837 |
| Coordinated Care | Ambetter Exchange | $860 |
| Unitedhealthcare | Aco Tiered Other Commercial Plan | $869 |
| Blue Cross | Premera Heritage Exchange | $983 |
| Providence Health Plan | Signature/Choice/Extend Ppo Networks Other Co | $1,221 |
| Blue Cross | Premera All Commercial Plans | $1,258 |
| Kaiser | All Commercial Plans | $1,431 |
| Unitedhealthcare | Navigate Exchange | $1,654 |
| Blue Shield | Asuris All Commercial Plans | $1,658 |
| Unitedhealthcare | All Commercial Plans | $1,705 |
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