Emergency visit, high (level 4) at Adventist Health Medical Center Tehachapi. CPT 99284.
What Adventist Health Medical Center Tehachapi publishes for this service, straight from its standard-charges file, last updated May 21, 2026.
Outpatient / ER
$109cash price (self-pay)
$403list price
$53.83–$2,876range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medi-Cal | Medi-Cal | $53.83 |
| Universal Ipa Mcal Op/Profee Only | Universal Ipa Mcal Op/Profee Only | $53.83 |
| Kaiser Medi-Cal Ip/Op Only | Kaiser Medi-Cal Ip/Op Only | $98.04 |
| Bc Mcal | Bc Mcal | $101 |
| Aetna-All Plans | Aetna-All Plans | $105 |
| Healthnet Mcare | Healthnet Mcare | $117 |
| Tricare Blue Shield | Tricare Blue Shield | $117 |
| Universal Ipa Mcr Adv Op/Profee Only-All Other Pla | Universal Ipa Mcr | $117 |
| UHC Mcr Adv | UHC Mcr Adv | $117 |
| Healthnet Medi-Cal | Healthnet Medi-Cal | $120 |
| Network Providers- All Plans | Network Providers- All Plans | $127 |
| Ah Employee Health Plan - All Plans | Ah Employee Health Plan - All Pl | $129 |
| Cigna- All Plans | Cigna- All Plans | $132 |
| Oscar Health Plan- All Plans | Oscar Health Plan- All Plans | $134 |
| Coventry- All Plans | Coventry- All Plans | $140 |
| UHC All Payer- All Other Plans | UHC All Payer- All Other Plans | $154 |
| UHC Jll Csp | UHC Jll Csp | $154 |
| Western Grwrs/Pinnacle - All Plans | Western Grwrs/Pinnacle - All Plan | $162 |
| Blue Shield Epn- All Other Plans | Blue Shield Epn- All Other Plans | $169 |
| Healthnet- All Other Plans | Healthnet- All Other Plans | $170 |
| Centivo - All Plans | Centivo - All Plans | $175 |
| Blue Shield Non-Epn | Blue Shield Non-Epn | $178 |
| Blue Cross Non-Mcs- All Other Plans | Blue Cross Non-Mcs- All Other Pl | $208 |
| Klhp-Kern Legacy EPO -All Other Plans | Klhp-Kern Legacy EPO -All Othe | $286 |
| Khs-Kern Hlth Systm Mcal | Khs-Kern Hlth Systm Mcal | $470 |
| Kaiser Medicare Ip/Op Only | Kaiser Medicare Ip/Op Only | $607 |
| Kaiser Ip/Op Only- All Other Plans | Kaiser Ip/Op Only- All Other Plan | $1,044 |
| Blue Cross Exchange | Blue Cross Exchange | $1,936 |
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All common services at Adventist Health Medical Center Tehachapi