Level 4 ER visit cost in Spokane, WA
In Spokane-Spokane Valley, WA, 3 hospitals list a cash price for emergency room visit, level 4 of 5, moderate-complexity problem: from $224.00 to $1,024.80, with a median of $224.00. The lowest listed price is at Providence Mount Carmel Hospital and 1 other hospital. Across Washington, the median is $1,256.36 at 32 hospitals.
Cash prices at 3 facilities across 3 cities for code 99284, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between Apr 1, 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 Spokane-Spokane Valley, WA.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Providence Mount Carmel Hospital lowest Colville, WA · (509) 684-2561 HC PR ED 99284 VISIT MODERATE MDM CDM | $224.00 | $320.00 | — | 30% | Apr 1, 2026 source file |
| Providence St Joseph Hospital lowest Chewelah, WA · (509) 935-8211 HC PR ED 99284 VISIT MODERATE MDM CDM | $224.00 | $320.00 | — | 30% | Apr 1, 2026 source file |
| Providence Mount Carmel Hospital Colville, WA · (509) 684-2561 HC ED SEXUAL ASSAULT EXAM CDM | $534.80 | $764.00 | — | 30% | Apr 1, 2026 source file |
| Providence Mount Carmel Hospital Colville, WA · (509) 684-2561 HC ED FAC E&M VISIT LEVEL 4 CDM | $554.40 | $792.00 | — | 30% | Apr 1, 2026 source file |
| Providence St Joseph Hospital Chewelah, WA · (509) 935-8211 HC ED SEXUAL ASSAULT EXAM CDM | $620.90 | $887.00 | — | 30% | Apr 1, 2026 source file |
| Providence St Joseph Hospital Chewelah, WA · (509) 935-8211 HC ED FAC E&M VISIT LEVEL 4 CDM | $620.90 | $887.00 | — | 30% | Apr 1, 2026 source file |
| Providence Holy Family Hospital Spokane, WA · (509) 482-0111 HC ED OB FAC E&M VISIT LEVEL 4 CDM | $1,024.80 | $1,464.00 | — | 30% | Apr 1, 2026 source file |
| Providence Holy Family Hospital Spokane, WA · (509) 482-0111 HC ED SEXUAL ASSAULT EXAM CDM | $1,078.70 | $1,541.00 | — | 30% | Apr 1, 2026 source file |
| Providence Holy Family Hospital Spokane, WA · (509) 482-0111 HC ED FAC E&M VISIT LEVEL 4 CDM | $1,078.70 | $1,541.00 | — | 30% | Apr 1, 2026 source file |
| Providence Holy Family Hospital Spokane, WA · (509) 482-0111 HC ED OB FAC E&M VISIT LEVEL 4 CDM | $1,285.90 | $1,837.00 | — | 30% | Apr 1, 2026 source file |
| Providence Holy Family Hospital Spokane, WA · (509) 482-0111 HC ED FAC E&M VISIT LEVEL 4 CDM | $1,376.20 | $1,966.00 | — | 30% | Apr 1, 2026 source file |
| Providence Holy Family Hospital Spokane, WA · (509) 482-0111 HC ED SEXUAL ASSAULT EXAM CDM | $1,376.20 | $1,966.00 | — | 30% | Apr 1, 2026 source file |
Outpatient: lowest $224.00, median $224.00, highest $1,024.80 — a 4.6× difference within the same market.
As an inpatient, the same code is billed by 3 facilities here, median $224.00. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.
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.