Emergency visit, high (level 4) at Foothill Regional Medical Center. CPT 99284.
What Foothill Regional Medical Center publishes for this service, straight from its standard-charges file, last updated March 18, 2026.
Outpatient / ER
$5,305cash price (self-pay)
$5,305list price
$5.53–$4,562range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Shield of California | Covered California/IFP/PPO | $5.53 |
| Blue Shield of California | HMO | $6.34 |
| Blue Shield of California | EPO/PPO/Out of State | $6.90 |
| CalOptima | Managed Medi-Cal LTC | $68.35 |
| CalOptima | Managed Medi-Cal | $164 |
| Alignment Health Plan | Medicare Advantage | $426 |
| Anthem Blue Cross | Medicare Advantage | $426 |
| Blue Shield of California | Medicare Advantage | $426 |
| Central Health Plan | Medicare Advantage | $426 |
| Health Net of California | Medicare Advantage | $426 |
| Humana | Medicare Advantage | $426 |
| Legacy Health Plan | Medicare Advantage | $426 |
| Aetna | Medicare Advantage | $426 |
| CalOptima | Medicare Advantage/PACE | $426 |
| Optum Health | Commercial HMO | $426 |
| Clever Care | Medicare Advantage | $434 |
| Imperial Health Plan | Medicare Advantage | $434 |
| Bright Health | Medicare Advantage | $434 |
| Easy Choice Health Plan (WellCare) | Medicare Advantage | $434 |
| Optum Health | Medicare Advantage | $434 |
| Prime Health Services | Medicare Advantage | $447 |
| Patient Choice | Medicare Advantage | $447 |
| Bright Health | Covered California/HMO/PPO | $468 |
| Aetna | Exchange | $554 |
| Naphcare | Commercial | $639 |
| Aetna | All Gatekeeper Plans | $1,004 |
| Aetna | All Non-Gatekeeper Plans | $1,004 |
| Anthem Blue Cross | Commercial HMO-PPO/Covered California | $1,098 |
| United Healthcare | Managed Care | $1,292 |
| Anthem Blue Cross | PPG | $1,373 |
Inpatient
$5,305cash price (self-pay)
$5,305list price
$3,713–$4,562range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Prime Health Services | Commercial | $3,713 |
| PHCS Network | Commercial PPO | $3,819 |
| Multiplan | Commercial | $4,562 |
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