Emergency visit, high (level 4) at St. Michael Medical Center. CPT 99284.
What St. Michael Medical Center publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$1,760cash price (self-pay)
$3,987list price
$496–$3,588range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| CHPW | Medicare|All Plans | $496 |
| Kaiser | Medicare|All Plans | $496 |
| Optum | Medicare|All Plans | $501 |
| Aetna | Medicare|All Plans | $511 |
| BCBS - Premera | Medicare|All Plans | $511 |
| BCBS - Regence | Medicare|All Plans | $511 |
| Wellcare | Medicare|All Plans | $524 |
| Humana | Medicare|All Plans | $531 |
| Molina | Medicare|All Plans | $536 |
| United | Medicare|All Plans | $536 |
| Sound Family Medicine | Commercial|All Plans | $993 |
| Molina | Commercial|Marketplace Exchange | $1,141 |
| Coordinated Care | Commercial|Ambetter Exchange | $1,161 |
| Uniform Medical Plan | Commercial|All Plans | $1,225 |
| BCBS - Regence | Commercial|All Plans | $1,408 |
| BCBS - Premera | Commercial|LifeWise Primary Exchange | $1,739 |
| Kaiser | Commercial|All Plans | $1,799 |
| BCBS - Premera | Commercial|All Other Plans | $1,922 |
| Cigna | Commercial|All Plans | $2,552 |
| Aetna | Commercial|AWH | $2,711 |
| Aetna | Commercial|Sound Health | $2,871 |
| First Choice | Commercial|All Plans | $2,911 |
| Aetna | Commercial|All Other Plans | $3,190 |
| Aetna | Commercial|WEA | $3,190 |
| United | Commercial|All Other Plans | $3,269 |
| United | Commercial|Cascade Care | $3,269 |
| Aetna | Commercial|Rental | $3,509 |
| MultiPlan | Commercial|All Plans | $3,588 |
Inpatient
$1,760cash price (self-pay)
$3,987list price
$2,512–$3,588range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna | Commercial|All Plans | $2,512 |
| Aetna | Commercial|AWH | $2,711 |
| Aetna | Commercial|Sound Health | $2,871 |
| First Choice | Commercial|All Plans | $2,911 |
| Aetna | Commercial|All Other Plans | $3,190 |
| Aetna | Commercial|WEA | $3,190 |
| United | Commercial|All Other Plans | $3,389 |
| United | Commercial|Cascade Care | $3,389 |
| Aetna | Commercial|Rental | $3,509 |
| MultiPlan | Commercial|All Plans | $3,588 |
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