Emergency visit, high (level 4) at South Peninsula Hospital. CPT 99284.
What South Peninsula Hospital publishes for this service, straight from its standard-charges file, last updated May 11, 2026.
Outpatient / ER
$648cash price (self-pay)
$2,069list price
$240–$3,210range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Liberty Healthshare - All Plans | Liberty Healthshare - All Plans | $1,266 |
| UHC Comm - All Plans | UHC Comm - All Plans | $1,706 |
| Aetna - All Plans | Aetna - All Plans | $1,759 |
| Geha - All Plans | Geha - All Plans | $1,862 |
| Meritain - All Plans | Meritain - All Plans | $1,862 |
| Teamsters Emply - All Plans | Teamsters Emply - All Plans | $1,862 |
| Ufcw - All Plans | Ufcw - All Plans | $1,862 |
| Premera First - All Plans | Premera First - All Plans | $1,878 |
| BCBS Comm - All Plans | BCBS Comm - All Plans | $1,880 |
| Great West - All Plans | Great West - All Plans | $1,966 |
| Moda - All Plans | Moda - All Plans | $1,966 |
| Cigna - All Plans | Cigna - All Plans | $1,966 |
| Multiplan Phcs - All Plans | Multiplan Phcs - All Plans | $1,966 |
| Pmcs - All Plans | Pmcs - All Plans | $1,966 |
| First Choice Health - All Plans | First Choice Health - All Plans | $2,028 |
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