Emergency visit, high (level 4) at Providence St Peter Hospital. CPT 99284.
What Providence St Peter 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
$408–$1,970range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Kaiser | Medicare Managed Care Plan | $480 |
| Aetna | Gatekeeper Medicare Managed Care - Hmo | $494 |
| Aetna | Non-Gatekeeper Medicare Managed Care - Ppo | $499 |
| Unitedhealthcare | Medicare Managed Care Plan | $513 |
| Blue Shield | Regence Medicare Managed Care Plan | $518 |
| Humana | Medicare Managed Care Plan | $528 |
| Community Health Plan | Medicare Managed Care Plan | $768 |
| Molina | Exchange | $811 |
| Blue Cross | Premera Lifewise Exchange | $864 |
| Unitedhealthcare | Navigate Other Commercial Plan | $879 |
| Coordinated Care | Ambetter Exchange | $888 |
| Unitedhealthcare | Aco Tiered Other Commercial Plan | $1,091 |
| Blue Shield | Regence Uniform Medical Plan Other Commercial Plan | $1,159 |
| Blue Cross | Premera Heritage Signature Other Commercial Plan | $1,358 |
| Blue Cross | Premera All Commercial Plans | $1,388 |
| Kaiser | All Commercial Plans | $1,527 |
| Blue Shield | Regence All Commercial Plans | $1,565 |
| Providence Health Plan | Signature/Choice Network Other Commercial Pla | $1,567 |
| Unitedhealthcare | All Commercial Plans | $1,875 |
| First Choice | All Commercial Plans | $1,970 |
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