Emergency visit, high (level 4) at Providence St Luke's Rehabilitation Medical Center. CPT 99284.
What Providence St Luke's Rehabilitation Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$465–$1,070range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross | Premera All Commercial Plans | $465 |
| Aetna | Medicare Managed Care - Hmo | $479 |
| Aetna | Medicare Managed Care - Ppo | $484 |
| Unitedhealthcare | Medicare Managed Care Plan | $488 |
| Blue Shield | Regence Medicare Managed Care Plan | $502 |
| Community Health Plan | Medicare Managed Care Plan | $511 |
| Blue Cross | Premera - Lifewise Primary Other Commercial Plan | $837 |
| Aetna | All Commercial Plans | $1,070 |
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All common services at Providence St Luke's Rehabilitation Medical Center