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Emergency visit, high (level 4) at Coast Plaza Hospital. CPT 99284.

What Coast Plaza Hospital publishes for this service, straight from its standard-charges file, last updated February 4, 2026.

Outpatient / ER

$2,930cash price (self-pay)
$2,930list price
$69.72–$2,344range insurers pay
Insurance planNegotiated rate
Blue Cross | Medi-Cal$69.72
OmniCare Medical Group | HMO$537
AltaMed Health Network | HMO$553
America's Health Network | HMO$553
Blue Cross | Medicare Advantage$553
LA Care | Covered California$553
Heritage Provider Network | All Commercial Plans$581
Santa Monica Unite Here Health Benefit Trust Fund | All Plans$581
Brand New Day | All Commercial Plans$609
Bright Health | All Commercial Plans$609
Providence Health Network/Oscar | EPO$609
United Healthcare | All Plans$681
Optum Health Plan of California | HMO$692
Central Health Plan | HMO$719
Blue Shield | HMO/PPO$830
Health Net Salud | HMO/PPO/EPO$1,009
Health Net/Ambetter | PPO/Covered California$1,053
Prime Health Services | HMO/PPO$1,107
Provider Network of America | PPO$1,107
Blue Cross | HMO/PPO$1,266
Health Net/Ambetter | HMO$1,290
Health Net | HMO/PPO$1,316
Cigna | HMO/PPO$1,374
HealthRisk Resource Group | All Commercial Plans$2,051
Affiliated Health Funds | PPO$2,198
HealthSmart Preferred Care | All Commercial Plans$2,198
Multiplan/PHCS | All Plans$2,285
Pacific Health Alliance | PPO$2,344
Three Rivers Provider Network | All Commercial Plans$2,344

Inpatient

$2,930cash price (self-pay)
$2,930list price
$2,051–$2,344range insurers pay
Insurance planNegotiated rate
HealthRisk Resource Group | All Commercial Plans$2,051
HealthSmart Preferred Care | All Commercial Plans$2,198
Multiplan/PHCS | All Plans$2,285
Pacific Health Alliance | PPO$2,344
Three Rivers Provider Network | All Commercial Plans$2,344
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All common services at Coast Plaza Hospital