Emergency visit, highest (level 5) at Adventist Health Clearlake Hospital. CPT 99285.

What Adventist Health Clearlake Hospital publishes for this service, straight from its standard-charges file, last updated July 29, 2026.

Outpatient / ER

$2,247cash price (self-pay)

$6,243list price

$155–$35,048range insurers pay

Insurance plan	Negotiated rate
Bc Managed Mcal \| Bc Managed Mcal	$155
Medi-Cal \| Medi-Cal	$155
Tricare Blue Shield- All Plans \| Tricare Blue Shield- All Plans	$1,311
Blue Shield Mcr Adv \| Blue Shield Mcr Adv	$1,311
Kaiser Mcr Adv \| Kaiser Mcr Adv	$1,311
Blue Cross Mcr Adv \| Blue Cross Mcr Adv	$1,363
UHC Mcr Adv \| UHC Mcr Adv	$1,442
Ah Employee Health Plan - All Plans \| Ah Employee Health Plan - All Pl	$2,622
Blue Cross Exchange \| Blue Cross Exchange	$3,070
Blue Cross Non-Mcs \| Blue Cross Non-Mcs	$3,411
Blue Cross Mcs - All Other Plans \| Blue Cross Mcs - All Other Plans	$4,076
Aetna- All Plans \| Aetna- All Plans	$4,665
Western Growers- All Plans \| Western Growers- All Plans	$4,682
UHC Jll \| UHC Jll	$4,946
First Health- All Plans \| First Health- All Plans	$4,994
Healthnet- All Plans \| Healthnet- All Plans	$5,119
UHC All Payer - All Other Plans \| UHC All Payer - All Other Plans	$5,207
Foundation- All Plans \| Foundation- All Plans	$5,307
Health Mgmt Network- All Plans \| Health Mgmt Network- All Plans	$5,307
Humana- All Plans \| Humana- All Plans	$5,307
Phcs- All Plans \| Phcs- All Plans	$5,307
Blue Shield Epn - All Other Plans \| Blue Shield Epn - All Other Plans	$5,350
Blue Shield Non-Epn \| Blue Shield Non-Epn	$5,584
Cigna- All Plans \| Cigna- All Plans	$5,619
Kaiser- All Other Plans \| Kaiser- All Other Plans	$5,619
Three Rivers Provider Network- All Plans \| Three Rivers Provider Netwo	$5,619
Interplan- All Plans \| Interplan- All Plans	$5,619
Partnership Mcal - All Plans \| Partnership Mcal - All Plans	$10,301

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