Emergency visit, moderate (level 3) at Arroyo Grande Hospital. CPT 99283.

What Arroyo Grande Hospital publishes for this service, straight from its standard-charges file, last updated February 28, 2026.

Outpatient / ER

$758cash price (self-pay)

$1,854list price

$63.97–$20,457range insurers pay

Insurance plan	Negotiated rate
CenCal \| Medicaid\|< 21	$63.97
CenCal \| Medicaid\|> 21	$63.97
Partnership Health Plan \| Medicaid\|< 21	$63.97
Partnership Health Plan \| Medicaid\|> 21	$63.97
Health Net \| Medicaid\|< 21	$96.78
Health Net \| Medicaid\|> 21	$96.78
MHS Hospice \| Commercial\|All Plans	$272
Aetna \| Medicare\|All Plans	$352
Alignment \| Medicare\|All Plans	$352
BCBS - Anthem \| Medicare\|All Plans	$352
Humana \| Medicare\|All Plans	$352
Kaiser \| Medicare\|All Plans	$352
Scan Health Plan \| Medicare\|All Plans	$352
United \| Medicare\|All Plans	$352
Western Growers \| Commercial\|All Plans	$1,020
Blue Shield CA \| Commercial\|Exchange	$1,205
Aetna \| Commercial\|All Other Plans	$1,261
Aetna \| Commercial\|HMO	$1,261
Aetna \| Commercial\|PPO	$1,261
Kaiser \| Commercial\|All Plans	$1,391
Cigna \| Commercial\|All Other Plans	$1,489
Cigna \| Commercial\|PPO	$1,489
First Health \| Commercial\|All Plans	$1,557
Blue Shield CA \| Commercial\|FFS	$1,669
Healthsmart \| Commercial\|All Plans	$1,706
MultiPlan \| Commercial\|All Plans	$1,817
BCBS - Anthem \| Commercial\|Non-MCS	$3,442
Health Net \| Commercial\|Care Product	$4,017
Health Net \| Commercial\|FFS	$4,550
BCBS - Anthem \| Commercial\|MCS	$4,612

$758cash price (self-pay)

$1,854list price

$1,028–$1,897range insurers pay

Insurance plan	Negotiated rate
Kaiser \| Commercial\|All Plans	$1,075
First Health \| Commercial\|All Plans	$1,557
Healthsmart \| Commercial\|All Plans	$1,706
MultiPlan \| Commercial\|All Plans	$1,817

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