Emergency visit, high (level 4) at St. Elizabeth Hospital. CPT 99284.
What St. Elizabeth Hospital publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$1,409cash price (self-pay)
$3,987list price
$678–$3,588range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| CHPW | Medicaid|All Plans | $678 |
| Coordinated Care | Medicaid|All Plans | $691 |
| Amerigroup | Medicare|All Plans | $718 |
| Kaiser | Medicare|All Plans | $718 |
| SoundPath | Medicare|All Plans | $718 |
| United | Medicaid|All Plans | $718 |
| Molina | Medicaid|All Plans | $722 |
| Optum | Medicare|All Plans | $725 |
| BCBS - Premera | Medicare|All Plans | $739 |
| BCBS - Regence | Medicare|All Plans | $739 |
| CHPW | Medicare|All Plans | $754 |
| Humana | Medicare|All Plans | $768 |
| Molina | Medicare|All Plans | $775 |
| United | Medicare|All Plans | $775 |
| WellPoint | Medicaid|All Plans | $825 |
| Seattle Medical Group | Medicare|All Plans | $825 |
| Aetna | Medicare|All Plans | $877 |
| 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 |
| Coordinated Care | Commercial|Ambetter Exchange | $1,328 |
| Sound Family Medicine | Commercial|All Plans | $1,364 |
| Molina | Commercial|Marketplace Exchange | $1,378 |
| First Choice | Commercial|All Plans | $1,433 |
| Aetna | Commercial|AWH | $1,595 |
| Cigna | Commercial|All Plans | $1,754 |
| United | Commercial|Navigate | $1,870 |
| BCBS - Premera | Commercial|All Plans | $1,874 |
| United | Commercial|Cascade Care | $1,894 |
Inpatient
$1,409cash price (self-pay)
$3,987list price
$1,116–$3,588range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| CHPW | Medicaid|All Plans | $1,116 |
| Coordinated Care | Medicaid|All Plans | $1,139 |
| United | Medicaid|All Plans | $1,183 |
| Molina | Medicaid|All Plans | $1,189 |
| WellPoint | Medicaid|All Plans | $1,322 |
| Aetna | Commercial|AWH | $1,595 |
| Aetna | Commercial|All Other Plans | $1,914 |
| Aetna | Commercial|Rental | $2,871 |
| First Choice | Commercial|All Plans | $2,990 |
| MultiPlan | Commercial|All Plans | $3,588 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.