Emergency visit, high (level 4) at CHOC at Mission Hospital. CPT 99284.
What CHOC at Mission Hospital publishes for this service, straight from its standard-charges file, last updated March 18, 2026.
Outpatient / ER
$6,827cash price (self-pay)
$6,827list price
$68.35–$6,827range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Heritage Provider Network | Heritage Provider Network-Medi-Cal | $98.04 |
| Medi-Cal Out of County | Medi-Cal Out of County Medi-Cal | $98.04 |
| Monarch Health Plan | Monarch Health Plan/Medi-Cal/Cal Optima | $98.04 |
| Molina Medical Centers - Medi-Cal | Molina Medical Centers - Medi-Cal | $113 |
| Medi-Cal Out of County-LA Care | LA Care Medi-Cal Out of County | $127 |
| CALOPTIMA Direct | CalOPTIMA Direct | $137 |
| Medi-Cal Kaiser | Medi-Cal Kaiser | $147 |
| Inland Empire Health Plan | IEHP Medi-Cal Out of County-Inland Empire | $242 |
| Blue Shield-TriWest-TriCare Programs | Blue Shield-TriWest-TriCare Pro | $537 |
| Health Net Federal Services | Health Net Federal Services-Tricare Prog | $537 |
| Blue Cross of California | Blue Cross of California VIVITY HMO In Net | $701 |
| MemorialCare MG (formerly Bristol Park MG) HMO/POS In Net | MemorialCa | $1,000 |
| Blue Cross of California | Blue Cross of California Select PPO Out Net | $1,114 |
| Blue Cross of California | Blue Cross of California HMO/POS In Net | $1,173 |
| Blue Cross of California | Blue Cross of California PPO/POS Out Net | $1,173 |
| Arta Health Network | Arta Health Network HMO/POS In Net | $1,200 |
| Heritage Provider Network | Heritage Provider Network-HMO | $2,000 |
| Health Net | Health Net HMO/POS In Net | $2,533 |
| Health Net | Health Net PPO/POS Out Net | $2,533 |
| Aetna US Healthcare | Aetna US Healthcare HMO/POS In Net | $2,609 |
| Aetna US Healthcare | Aetna US Healthcare PPO/POS Out Net | $2,609 |
| Cigna Healthcare of California | Cigna EPO/PPO | $3,700 |
| CIGNA HealthCare of California | Cigna Healthcare HMO/POS In Net | $3,700 |
| Anaheim Memorial Medical Center | Anaheim Memorial Medical Center | $4,096 |
| Family Choice Health Network (Fountain Valley Regional Hospital) | Fam | $4,096 |
| Kaiser Foundation Hospitals | Kaiser Foundation Hospitals HMO | $4,096 |
| Monarch Health Plan | Monarch Health Plan | $4,154 |
| Affiliated Doctors of Orange County | Affiliated Doctors of Orange Cou | $4,438 |
| Bright Medical Group | Bright Medical Group HMO/POS In Net | $4,438 |
| Greater Newport Physicians | Greater Newport Physicians HMO/POS In Net | $4,438 |
Inpatient
$6,827cash price (self-pay)
$6,827list price
$3,072–$6,827range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Office of Refugee Resettlement-Point Comfort | Point Comfort Underwrit | $3,072 |
| Anaheim Memorial Medical Center | Anaheim Memorial Medical Center | $4,096 |
| Affiliated Health Funds | Affiliated Health Funds PPO | $5,462 |
| PPO Next | PPO Next PPO | $5,462 |
| MultiPlan | MultiPlan PPO | $6,144 |
| Other Payor | Other Payor | $6,827 |
| Self Pay | Self Pay | $6,827 |
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