Level 4 ER visit cost in Seattle, WA — inpatient
In Seattle-Tacoma-Bellevue, WA, 13 hospitals list a cash price for emergency room visit, level 4 of 5, moderate-complexity problem as an inpatient: from $304.20 to $3,744.60, with a median of $1,251.22. The lowest listed price is at Providence Regional Medical Center Everett — $947.02 less than the median here. Across Washington, the median is $1,256.36 at 32 hospitals.
Cash prices at 13 facilities across 10 cities for code 99284, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Feb 28, 2026 and Apr 1, 2026.
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in Seattle-Tacoma-Bellevue, WA.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Providence Regional Medical Center Everett lowest Everett, WA · (425) 261-2000 HC PR ED 99284 VISIT MODERATE MDM CDM | $304.20 | $585.00 | — | 48% | Apr 1, 2026 source file |
| Swedish Medical Center / Cherry Hill Seattle, WA · (206) 320-2000 HC ED FAC E&M VISIT LEVEL 4 CDM | $865.92 | $1,804.00 | — | 52% | Apr 1, 2026 source file |
| Swedish Issaquah Issaquah, WA · (425) 313-4000 HC ED FAC E&M VISIT LEVEL 4 CDM | $865.92 | $1,804.00 | — | 52% | Apr 1, 2026 source file |
| Swedish Medical Center / Cherry Hill Seattle, WA · (206) 320-2000 HC ED SEXUAL ASSAULT EXAM CDM | $865.92 | $1,804.00 | — | 52% | Apr 1, 2026 source file |
| Swedish Medical Center / Cherry Hill Seattle, WA · (206) 320-2000 HC ED BH FAC E&M LEVEL 4 CDM | $865.92 | $1,804.00 | — | 52% | Apr 1, 2026 source file |
| Swedish Medical Center / Cherry Hill Seattle, WA · (206) 320-2000 HC ED BH FAC E&M LEVEL 4 CDM | $865.92 | $1,804.00 | — | 52% | Apr 1, 2026 source file |
| Swedish Medical Center / Cherry Hill Seattle, WA · (206) 320-2000 HC ED SEXUAL ASSAULT EXAM CDM | $865.92 | $1,804.00 | — | 52% | Apr 1, 2026 source file |
| Swedish Medical Center / Cherry Hill Seattle, WA · (206) 320-2000 HC ED FAC E&M VISIT LEVEL 4 CDM | $865.92 | $1,804.00 | — | 52% | Apr 1, 2026 source file |
| Swedish Issaquah Issaquah, WA · (425) 313-4000 HC ED BH FAC E&M LEVEL 4 CDM | $865.92 | $1,804.00 | — | 52% | Apr 1, 2026 source file |
| Swedish Issaquah Issaquah, WA · (425) 313-4000 HC ED SEXUAL ASSAULT EXAM CDM | $865.92 | $1,804.00 | — | 52% | Apr 1, 2026 source file |
| Swedish Medical Center / Cherry Hill Seattle, WA · (206) 320-2000 HC ED OB FAC E&M VISIT LEVEL 4 CDM | $909.12 | $1,894.00 | — | 52% | Apr 1, 2026 source file |
| Swedish Issaquah Issaquah, WA · (425) 313-4000 HC ED OB FAC E&M VISIT LEVEL 4 CDM | $909.12 | $1,894.00 | — | 52% | Apr 1, 2026 source file |
| Swedish Medical Center / Cherry Hill Seattle, WA · (206) 320-2000 HC ED OB FAC E&M VISIT LEVEL 4 CDM | $909.12 | $1,894.00 | — | 52% | Apr 1, 2026 source file |
| Saint Clare Hospital Lakewood, WA · (253) 588-1711 HC ER FACILITY LEVEL 4 | $1,149.22 | $3,987.00 | $2,870.64–$2,990.25 | 71% | Feb 28, 2026 source file |
| St Anthony Hospital Gig Harbor, WA · (253) 530-2050 HC ER FACILITY LEVEL 4 | $1,212.65 | $3,987.00 | $2,870.64–$2,990.25 | 70% | Feb 28, 2026 source file |
| Highline Medical Center Burien, WA · (206) 431-5237 HC ER FACILITY LEVEL 4 | $1,217.46 | $3,987.00 | $1,714.41–$3,588.30 | 69% | Feb 28, 2026 source file |
| St Francis Community Hospital Federal Way, WA · (253) 944-8100 HC ER FACILITY LEVEL 4 | $1,251.22 | $3,987.00 | $2,870.64–$2,990.25 | 69% | Feb 28, 2026 source file |
| Overlake Medical Center & Clinics Bellevue, WA · (425) 688-5000 Hc High Level Obed Visits-Level 4 | $1,261.50 | $2,523.00 | — | 50% | Apr 1, 2026 source file |
| Overlake Medical Center & Clinics Bellevue, WA · (425) 688-5000 Hc High Level Ed Visits-Level 4 | $1,261.50 | $2,523.00 | — | 50% | Apr 1, 2026 source file |
| Virginia Mason Medical Center Seattle, WA · (206) 223-6600 ED - LEVEL FOUR E & M, FAC | $1,298.97 | $2,547.00 | $1,631.35–$2,037.60 | 49% | — source file |
| St Joseph Medical Center Tacoma, WA · (253) 627-4101 HC ER FACILITY LEVEL 4 | $1,320.49 | $3,987.00 | $2,870.64–$2,990.25 | 67% | Feb 28, 2026 source file |
| Providence Regional Medical Center Everett Everett, WA · (425) 261-2000 HC ED FAC E&M VISIT LEVEL 4 CDM | $1,329.12 | $2,556.00 | — | 48% | Apr 1, 2026 source file |
| Enumclaw Regional Hospital Association Enumclaw, WA HC ER FACILITY LEVEL 4 | $1,408.87 | $3,987.00 | $1,116.36–$3,588.30 | 65% | Feb 28, 2026 source file |
| Kaiser Permanente Central Hospital Seattle, WA · (206) 326-3000 FACILITY USE-EMERGENCY ROOM, LEVEL 4 | $1,888.80 | $2,361.00 | $809.00–$1,804.00 | 20% | Apr 1, 2026 source file |
| Kaiser Permanente Central Hospital Seattle, WA · (206) 326-3000 EMERGENCY DEPARTMENT VISIT MODERATE MDM | $1,888.80 | $2,361.00 | $809.00–$1,804.00 | 20% | Apr 1, 2026 source file |
| Seattle Children's Hospital Seattle, WA · (206) 987-2000 ER Visit Level 4 | $3,744.60 | $3,744.60 | $943.64–$3,594.82 | — | — source file |
Inpatient: lowest $304.20, median $1,251.22, highest $3,744.60 — a 12.3× difference within the same market.
As an outpatient, the same code is billed by 14 facilities here, median $1,256.36 — that is the price to compare if you are not being admitted.
Cash or insurance?
At 7 of 9 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 6 it is below every plan's rate. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.
What it is
This is the fourth of five emergency department visit levels, used for a problem of moderate complexity, often one that needs several tests, imaging or medicines. The level is assigned after the visit: doctors pick it by the complexity of their medical decision making, and hospitals pick the facility level by the care and resources used, so a patient cannot choose it in advance.
What the price covers
The hospital price for this code is the facility fee for the ER visit. The emergency physician bills separately, and lab tests, imaging, medicines and procedures are added on top.