Emergency visit, high (level 4) at St. Clare Hospital. CPT 99284.

What St. Clare Hospital publishes for this service, straight from its standard-charges file, last updated February 28, 2026.

Outpatient / ER

$1,149cash price (self-pay)

$3,987list price

$483–$2,990range insurers pay

Insurance plan	Negotiated rate
Kaiser \| Medicare\|All Plans	$483
SoundPath \| Medicare\|All Plans	$483
Optum \| Medicare\|All Plans	$487
Aetna \| Medicare\|All Plans	$497
BCBS - Premera \| Medicare\|All Plans	$497
BCBS - Regence \| Medicare\|All Plans	$497
Humana \| Medicare\|All Plans	$516
Molina \| Medicare\|All Plans	$521
United \| Medicare\|All Plans	$521
Amerigroup \| Medicare\|All Plans	$526
CHPW \| Medicare\|All Plans	$555
Seattle Medical Group \| Medicare\|All Plans	$555
Sound Family Medicine \| Commercial\|All Plans	$917
Molina \| Commercial\|Marketplace Exchange	$927
Coordinated Care \| Commercial\|Ambetter Exchange	$956
BCBS - Premera \| Commercial\|LifeWise Primary Exchange	$1,025
Uniform Medical Plan \| Commercial\|All Plans	$1,095
Kaiser \| Commercial\|HMO	$1,110
Kaiser \| Commercial\|PPO	$1,221
BCBS - Regence \| Commercial\|All Plans	$1,255
First Choice \| Commercial\|All Plans	$1,455
BCBS - Premera \| Commercial\|All Other Plans	$1,482
United \| Commercial\|Navigate	$1,523
United \| Commercial\|All Other Plans	$1,603
United \| Commercial\|Cascade Care	$1,603
Cigna \| Commercial\|All Plans	$1,754
Aetna \| Commercial\|AWH	$1,805
Aetna \| Commercial\|All Other Plans	$2,124
Aetna \| Commercial\|Rental	$2,871
MultiPlan \| Commercial\|All Plans	$2,990

$1,149cash price (self-pay)

$3,987list price

$2,871–$2,990range insurers pay

Insurance plan	Negotiated rate
Aetna \| Commercial\|Rental	$2,871
MultiPlan \| Commercial\|All Plans	$2,990

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