Emergency visit, high (level 4) at Adventist Health Mendocino Coast. CPT 99284.
What Adventist Health Mendocino Coast publishes for this service, straight from its standard-charges file, last updated August 2, 2026.
Outpatient / ER
$266cash price (self-pay)
$403list price
$68.35–$2,721range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medi-Cal | Medi-Cal | $98.04 |
| Blue Shield Epn | Blue Shield Epn | $169 |
| Ah Employee Health Plan - All Plans | Ah Employee Health Plan - All Pl | $210 |
| Healthnet - All Plans | Healthnet - All Plans | $262 |
| Tricare Blue Shield | Tricare Blue Shield | $279 |
| Partnership Hp Mcal-All Plans | Partnership Hp Mcal-All Plans | $294 |
| Blue Shield - All Other Plans | Blue Shield - All Other Plans | $310 |
| Cigna - All Plans | Cigna - All Plans | $314 |
| Blue Cross - All Other Plans | Blue Cross - All Other Plans | $342 |
| Great West HMO/POS/EPO/Oa | Great West HMO/POS/EPO/Oa | $403 |
| Ahcc - All Plans | Ahcc - All Plans | $403 |
| Beech Street - All Plans | Beech Street - All Plans | $403 |
| Great West PPO - All Other Plans | Great West PPO - All Other Plans | $403 |
| Multiplan - All Plans | Multiplan - All Plans | $403 |
| UHC Mcr Adv | UHC Mcr Adv | $873 |
| UHC Jll Csp | UHC Jll Csp | $1,241 |
| UHC All Payer - All Other Plans | UHC All Payer - All Other Plans | $1,302 |
| Blue Cross Exchange | Blue Cross Exchange | $1,947 |
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