Emergency visit, high (level 4) at Arroyo Grande Hospital. CPT 99284.

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

Outpatient / ER

$985cash price (self-pay)

$2,532list price

$98.04–$20,457range insurers pay

Insurance plan	Negotiated rate
CenCal \| Medicaid\|< 21	$98.04
CenCal \| Medicaid\|> 21	$98.04
Partnership Health Plan \| Medicaid\|< 21	$98.04
Partnership Health Plan \| Medicaid\|> 21	$98.04
Health Net \| Medicaid\|< 21	$148
Health Net \| Medicaid\|> 21	$148
MHS Hospice \| Commercial\|All Plans	$429
Aetna \| Medicare\|All Plans	$541
Alignment \| Medicare\|All Plans	$541
BCBS - Anthem \| Medicare\|All Plans	$541
Humana \| Medicare\|All Plans	$541
Kaiser \| Medicare\|All Plans	$541
Scan Health Plan \| Medicare\|All Plans	$541
United \| Medicare\|All Plans	$541
Western Growers \| Commercial\|All Plans	$1,393
Blue Shield CA \| Commercial\|Exchange	$1,646
Aetna \| Commercial\|All Other Plans	$1,722
Aetna \| Commercial\|HMO	$1,722
Aetna \| Commercial\|PPO	$1,722
Kaiser \| Commercial\|All Plans	$1,899
First Health \| Commercial\|All Plans	$2,127
Blue Shield CA \| Commercial\|FFS	$2,279
Healthsmart \| Commercial\|All Plans	$2,329
MultiPlan \| Commercial\|All Plans	$2,481
BCBS - Anthem \| Commercial\|Non-MCS	$6,883
Cigna \| Commercial\|All Other Plans	$7,148
Cigna \| Commercial\|PPO	$7,148
BCBS - Anthem \| Commercial\|MCS	$9,223
Health Net \| Commercial\|Care Product	$9,459
United \| Commercial\|Non-Options PPO	$10,091

$985cash price (self-pay)

$2,532list price

$1,335–$2,590range insurers pay

Insurance plan	Negotiated rate
Kaiser \| Commercial\|All Plans	$1,469
First Health \| Commercial\|All Plans	$2,127
Healthsmart \| Commercial\|All Plans	$2,329
MultiPlan \| Commercial\|All Plans	$2,481

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