Emergency visit, high (level 4) at Children's Hospital of Orange County. CPT 99284.
What Children's Hospital of Orange County publishes for this service, straight from its standard-charges file, last updated March 19, 2026.
Outpatient / ER
$364cash price (self-pay)
$1,528list price
$68.35–$2,691range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Net CalOPTIMA/Medi-Cal | Health Net CalOPTIMA/Medi-Cal | $68.35 |
| Blue Cross of California Medi-Cal/CalOptima/Healthy Families | Blue Cr | $98.04 |
| CHOC Physicians Network (CPN) Medi-Cal/CalOptima/Healthy Families | CH | $98.04 |
| CHOC Physicians Network BX California Kids | CHOC Physicians Network B | $98.04 |
| CALOPTIMA KIDS | CalOPTIMA Kids/CalOPTIMA Healthy Families | $123 |
| CALOPTIMA Direct | CalOPTIMA Direct | $137 |
| Alpha Care Medical Group | Alpha Care IPA MediCal | $142 |
| Rady Childrens Hospital San Diego | Rady Childrens Hospital San Diego | $182 |
| OptumHealth Care Solutions, Inc | OptumHealth Care Solutions HMO In Ne | $209 |
| OptumHealth Care Solutions, Inc | OptumHealth Care Solutions PPO Out N | $209 |
| Blue Cross of California HMO/POS/PPO | Blue Cross of California HMO/PO | $427 |
| Blue Shield-TriWest-TriCare Programs | Blue Shield-TriWest-TriCare Pro | $537 |
| Bristol Park Medical Group HMO/POS In Net | Bristol Park Medical Group | $600 |
| Blue Cross of California | Blue Cross/VIVITY/PIH-Presbyterian Health/H | $696 |
| Affiliated Doctors of Orange County (ADOC) HMO/POS In Net | Affiliated | $709 |
| Arta Health Network | Arta Health Network HMO/POS In Net | $709 |
| Greater Newport Physicians | Greater Newport Physicians HMO/POS In Net | $840 |
| Blue Shield of California UC Care PPO | Blue Shield of California UC C | $904 |
| Cigna Healthcare of California | Cigna EPO/PPO | $912 |
| Cigna Healthcare of California | Cigna Healthcare of California HMO/PO | $912 |
| Bright Medical Group | Bright Medical Group HMO/POS in Net | $917 |
| EPIC Management | EPIC Management In Network HMO | $917 |
| Coventry Healthcare | Coventry Healthcare | $993 |
| Genesis Healthcare (Edward Medical Group) HMO/POS In Net | Genesis Hea | $993 |
| Blue Shield Exchange/Covered CA/PPO | Blue Shield Exchange/Covered CA/ | $1,060 |
| Blue Shield CalPERS PPO | Blue Shield CalPERS PPO | $1,098 |
| Blue Shield of California HMO/POS/PPO | Blue Shield of California HMO/ | $1,098 |
| First Health Affordable EPO/PPO | First Health Affordable EPO/PPO** | $1,115 |
| CCN Managed Care PPO/EPO | CCN Managed Care PPO/EPO | $1,146 |
| Aetna US Healthcare | Aetna US Healthcare HMO/POS In Net | $1,164 |
Inpatient
$364cash price (self-pay)
$1,528list price
$164–$2,691range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Office of Refugee Resettlement-Point Comfort | Point Comfort Underwrit | $687 |
| UCI Medical Group | UCI Medical Group HMO/POS in Net | $993 |
| Affiliated Health Funds PPO | Affiliated Health Funds PPO** | $1,222 |
| MultiPlan PPO fka BCE Emergis PPO | MultiPlan PPO** | $1,222 |
| PPO Next PPO | PPO Next PPO** | $1,222 |
| Private Healthcare Systems (PHCS) EPO/PPO | Private Healthcare Systems | $1,375 |
| Charity | Charity** | $1,528 |
| Other Payer | Other Payer** | $1,528 |
| Self Pay | Self Pay** | $1,528 |
| US Behavioral Health Plan | United Behavioral Health Optum HMO In Net | $1,528 |
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