Emergency visit, high (level 4) at Dameron Hospital. CPT 99284.
What Dameron Hospital publishes for this service, straight from its standard-charges file, last updated April 2, 2026.
Outpatient / ER
$2,108cash price (self-pay)
$4,684list price
$98.04–$4,680range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medi-Cal Ip/Op Only | Medi-Cal Ip/Op Only | $98.04 |
| Hill Physicians Mg Mcal Op Only | Hill Physicians Mg Mcal Op Only | $108 |
| Hp Of San Joaquin Mcal Ip/Op Only-All Plans | Hp Of San Joaquin Mcal I | $127 |
| Blue Shield Promise Mcal Ip/Op Only | Blue Shield Promise Mcal Ip/Op O | $132 |
| Alignment Mcr Adv Ip/Op Only-All Plans | Alignment Mcr Adv Ip/Op Only- | $506 |
| Easy Choice Hp Mcr Adv Ip/Op Only-All Plans | Easy Choice Hp Mcr Adv I | $534 |
| America'S Choice Mcr Adv Ip/Op Only | America'S Choice Mcr Adv Ip/Op O | $550 |
| Blue Cross Medicare Ip/Op Only | Blue Cross Medicare Ip/Op Only | $550 |
| Blue Shield Mcr Adv Ip/Op Only | Blue Shield Mcr Adv Ip/Op Only | $550 |
| Commonwealth Care Mcr Ip/Op Only-All Plans | Commonwealth Care Mcr Ip/ | $550 |
| Humana Mcr Adv Ip/Op Only-All Plans | Humana Mcr Adv Ip/Op Only-All Pl | $550 |
| Medcore Hp Mcr Adv Ip/Op Only-All Plans | Medcore Hp Mcr Adv Ip/Op Onl | $550 |
| Omni Ipa/Medcore Mg Mcr Op Only | Omni Ipa/Medcore Mg Mcr Op Only | $550 |
| Scan Mcr Ip/Op Only-All Plans | Scan Mcr Ip/Op Only-All Plans | $550 |
| Triwest Va Ip/Op Only-All Plans | Triwest Va Ip/Op Only-All Plans | $550 |
| Usa Mco Mcr Adv Ip/Op Only-All Plans | Usa Mco Mcr Adv Ip/Op Only-All | $550 |
| Aetna Medicare Ip/Op Only | Aetna Medicare Ip/Op Only | $550 |
| Care 1st Health Plan Mcr Ip/Op Only-All Plans | Care 1st Health Plan M | $550 |
| Bright Hlth/Universal Care/Bnd Mcr Adv Ip/Op Only | Bright Hlth/Univer | $561 |
| Imperial Hp Of CA Mcr Adv Ip/Op Only-All Plans | Imperial Hp Of CA Mcr | $616 |
| Cdcr (Network Providers, LLC) Ip/Op Only-All Plans | Cdcr (Network Pro | $715 |
| Incentive Care Network Ip/Op Only-All Plans | Incentive Care Network I | $991 |
| Bright Hlth/Universal Care/Bnd Ip/Op Only-All Othe | Bright Hlth/Unive | $1,018 |
| Cigna HMO Ip/Op Only | Cigna HMO Ip/Op Only | $1,171 |
| Blue Shield Ifp/Epn Ip/Op Only | Blue Shield Ifp/Epn Ip/Op Only | $1,199 |
| Omni Ipa/Medcore Mg Comm Op Only-All Other Plans | Omni Ipa/Medcore Mg | $1,405 |
| Sutter Select Ip/Op Only-All Other Plans | Sutter Select Ip/Op Only-Al | $1,405 |
| Blue Shield Comm Ip/Op Only-All Other Plans | Blue Shield Comm Ip/Op O | $1,504 |
| Hill Physicians Mg Mcr Op Only | Hill Physicians Mg Mcr Op Only | $1,640 |
| Hill Physicians Mg Comm Op Only-All Other Plans | Hill Physicians Mg C | $1,874 |
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