Emergency visit, high (level 4) at Community Hospital San Bernardino. CPT 99284.
What Community Hospital San Bernardino publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$1,020cash price (self-pay)
$3,443list price
$98.04–$8,395range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Kaiser | Medicaid|< 21 | $98.04 |
| Kaiser | Medicaid|> 21 | $98.04 |
| LA Care | Medicaid|< 21 | $98.04 |
| LA Care | Medicaid|> 21 | $98.04 |
| Partnership Health Plan | Medicaid|< 21 | $98.04 |
| Partnership Health Plan | Medicaid|> 21 | $98.04 |
| Molina | Medicaid|All Plans | $137 |
| HPN | Medicaid|All Plans | $144 |
| BCBS - Anthem | Medicaid|All Plans | $147 |
| Health Net | Medicaid|< 21 | $148 |
| Health Net | Medicaid|> 21 | $148 |
| Inland Empire Health Plan | Medicaid|All Plans | $196 |
| SBMG | Commercial|All Plans | $407 |
| Care 1st | Medicaid|All Plans | $490 |
| BCBS - Anthem | Medicare|All Plans | $541 |
| Blue Shield CA | Medicare|All Other Plans | $541 |
| Ballards Rehab | Commercial|All Plans | $595 |
| Epic Health | Commercial|All Plans | $920 |
| Naphcare | Commercial|All Plans | $1,055 |
| Aetna | Commercial|Gatekeeper | $1,687 |
| Blue Shield CA | Commercial|Exchange | $1,825 |
| PrimeCare | Commercial|All Plans | $1,859 |
| Aetna | Commercial|Non-Gatekeeper | $2,031 |
| Magellan | Commercial|All Plans | $2,066 |
| Cigna | Commercial|All Other Plans | $2,135 |
| Cigna | Commercial|PPO | $2,135 |
| Blue Shield CA | Commercial|All Other Plans | $2,410 |
| First Health | Commercial|All Plans | $2,410 |
| Blue Shield CA | Medicare|BlueShield Promise | $2,582 |
| Kaiser | Commercial|All Plans | $2,686 |
Inpatient
$1,020cash price (self-pay)
$3,443list price
$1,513–$4,277range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Kaiser | Commercial|All Plans | $1,997 |
| Magellan | Commercial|All Plans | $2,066 |
| First Health | Commercial|All Plans | $2,410 |
| MultiPlan | Commercial|All Plans | $2,754 |
| Redlands | Commercial|All Plans | $3,443 |
| SBMG | Commercial|All Plans | $3,443 |
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