Emergency visit, high (level 4) at Banner Lassen Medical Center. CPT 99284.
What Banner Lassen Medical Center publishes for this service, straight from its standard-charges file, last updated September 12, 2026.
Outpatient / ER
$2,826cash price (self-pay)
$1,886list price
$85.26–$1,829range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem Blue Cross California | Medicare Advantage | $85.26 |
| Partnership HealthPlan of CA | Partnership Medi-Cal | $88.82 |
| Banner Health | Banner Choice Plus/Banner Select | $773 |
| United Healthcare | UHC Medicare Advantage | $773 |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | $1,000 |
| Network Providers, LLC | California Prison Health Care Services (CPHCS | $1,005 |
| Imperial Health Plan of California, Inc | Medi-Medi/Medicare Advantage | $1,044 |
| Blue Shield of California | CalPERS PPO | $1,641 |
| Multiplan | Commercial | $1,697 |
| United Healthcare | Commercial | $1,754 |
| Cigna Healthcare & Life Insurance Company – WY | Commercial | $1,792 |
| Coventry | Commercial | $1,811 |
| Coventry | Workers Comp | $1,811 |
| First Health | Medical Rental | $1,811 |
| Health Net | Commercial Exchange | $1,829 |
| Health Net | Medicare | $1,829 |
Inpatient
$2,826cash price (self-pay)
$1,886list price
$1,641–$1,829range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Shield of California | CalPERS PPO | $1,641 |
| Multiplan | Commercial | $1,697 |
| United Healthcare | Commercial | $1,754 |
| Cigna Healthcare & Life Insurance Company – WY | Commercial | $1,792 |
| Coventry | Commercial | $1,811 |
| Coventry | Workers Comp | $1,811 |
| First Health | Medical Rental | $1,811 |
| Health Net | Commercial Exchange | $1,829 |
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