Emergency visit, highest (level 5) at Dominican Hospital. CPT 99285.

What Dominican Hospital publishes for this service, straight from its standard-charges file, last updated February 28, 2026.

Outpatient / ER

$4,498cash price (self-pay)

$9,996list price

$155–$17,101range insurers pay

Insurance plan	Negotiated rate
BCBS - Anthem \| Medicaid\|All Plans	$155
COSC Psych \| Medicaid\|All Plans	$155
Central California Alliance for Health \| Medicaid\|All Plans	$155
Health Net \| Medicaid\|< 21	$235
Health Net \| Medicaid\|> 21	$235
Blue Shield CA \| Medicare\|All Plans	$842
Health Net \| Medicare\|All Plans	$842
Kaiser \| Medicare\|All Plans	$842
United \| Medicare\|All Plans	$842
Blue Shield CA \| Commercial\|DHMF	$960
Sutter Health \| Commercial\|All Plans	$2,636
Aetna \| Commercial\|HMO	$4,298
Aetna \| Commercial\|PPO	$4,298
Blue Shield CA \| Commercial\|ACO Trio	$5,898
Cigna \| Commercial\|LocalPlus	$5,998
Blue Shield CA \| Commercial\|Exchange	$6,098
Cigna \| Commercial\|All Other Plans	$6,397
Western Growers \| Commercial\|All Plans	$6,797
United \| Commercial\|HMO	$7,166
Blue Shield CA \| Commercial\|All Other Plans	$7,197
Kaiser \| Commercial\|All Plans	$7,497
Healthsmart \| Commercial\|All Plans	$7,997
First Health \| Commercial\|All Plans	$8,497
Multiplan \| Commercial\|All Plans	$8,497
Health Net \| Commercial\|Community Care	$11,460
BCBS - Anthem \| Commercial\|All Other Plans	$12,241
United \| Commercial\|Non-Options PPO	$12,322
Health Net \| Commercial\|Care Product	$13,953
Health Net \| Commercial\|Blue Gold	$14,116
United \| Commercial\|All Other Plans	$14,818

$4,498cash price (self-pay)

$9,996list price

$5,998–$8,497range insurers pay

Insurance plan	Negotiated rate
Kaiser \| Commercial\|All Plans	$5,998
Healthsmart \| Commercial\|All Plans	$7,997
First Health \| Commercial\|All Plans	$8,497
Multiplan \| Commercial\|All Plans	$8,497

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