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Emergency visit, high (level 4) at Providence Sacred Heart Medical Center and Children's Hospital. CPT 99284.

What Providence Sacred Heart Medical Center and Children's Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.

Outpatient / ER

$1,025cash price (self-pay)
$1,541list price
$465–$1,543range insurers pay
Insurance planNegotiated rate
Kaiser | Medicare Managed Care Plan$465
Aetna | Medicare Managed Care - Hmo$479
Aetna | Medicare Managed Care - Ppo$484
Unitedhealthcare | Medicare Managed Care Plan$488
Blue Shield | Asuris Medicare Managed Care Plan$502
Community Health Plan | Medicare Managed Care Plan$511
Cigna | Medicare Managed Care Plan$558
Molina | Exchange$786
Blue Cross | Premera - Lifewise Health Plan Of Washington Affordable C$837
Coordinated Care | Exchange$860
Blue Cross | Premera Heritage Signature Exchange$890
Blue Cross | Premera All Commercial Plans$1,150
First Choice | All Commercial Plans$1,161
Blue Shield | Asuris All Commercial Plans$1,168
Kaiser | All Commercial Plans$1,172
Providence Health Plan | All Commercial Plans$1,183
Unitedhealthcare | Aco Tiered Other Commercial Plan$1,254
Unitedhealthcare | Navigate Exchange$1,372
Unitedhealthcare | All Commercial Plans$1,543
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All common services at Providence Sacred Heart Medical Center and Children's Hospital