Emergency visit, high (level 4) at California Hospital Medical Center. CPT 99284.

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

Outpatient / ER

$2,069cash price (self-pay)

$4,436list price

$84.37–$16,509range insurers pay

Insurance plan	Negotiated rate
HCLA \| Medicaid\|All Other Plans < 21	$84.37
HCLA \| Medicaid\|All Other Plans > 21	$84.37
Gold Coast Health Plan \| Medicaid\|All Plans	$98.04
HCLA \| Medicaid\|Preferred IPA < 21	$98.04
HCLA \| Medicaid\|Preferred IPA > 21	$98.04
Inland Empire Health Plan \| Medicaid\|All Plans	$98.04
BCBS - Anthem \| Medicaid\|All Plans	$123
Health Net \| Medicaid\|< 21	$133
Health Net \| Medicaid\|> 21	$133
Molina \| Medicaid\|< 21	$137
Kaiser \| Medicaid\|< 21	$147
Kaiser \| Medicaid\|> 21	$147
LA Care \| Medicaid\|All Plans	$345
Blue Shield CA \| Medicaid\|All Plans	$490
Care 1st \| Medicaid\|All Plans	$490
GlobalCare \| Commercial\|All Plans	$541
Central California Alliance for Health \| Medicaid\|All Plans	$603
HCLA \| Commercial\|Preferred IPA	$676
LA Care \| Commercial\|All Plans	$676
DHR \| Medicaid\|< 21	$1,109
DHR \| Medicaid\|> 21	$1,109
Blue Shield CA \| Commercial\|Exchange	$2,794
Healthcare Partners \| Commercial\|All Plans	$2,972
Aetna \| Commercial\|All Other Plans	$3,016
Aetna \| Commercial\|HMO	$3,016
Aetna \| Commercial\|PPO	$3,016
First Health \| Commercial\|All Plans	$3,060
HPN \| Commercial\|All Plans	$3,415
Healthsmart \| Commercial\|All Plans	$3,415
Cigna \| Commercial\|All Other Plans	$3,504

$2,069cash price (self-pay)

$4,436list price

$2,773–$3,638range insurers pay

Insurance plan	Negotiated rate
Kaiser \| Commercial\|All Plans	$2,883
First Health \| Commercial\|All Plans	$3,060
Healthsmart \| Commercial\|All Plans	$3,415
MultiPlan \| Commercial\|All Plans	$3,504

Billed more than this?

Snap a photo of your bill. We compare every line with these prices and coding rules, free.