Emergency visit, high (level 4) at Glendale Adventist Medical Center. CPT 99284.
What Glendale Adventist Medical Center publishes for this service, straight from its standard-charges file, last updated July 30, 2026.
Outpatient / ER
$63.45cash price (self-pay)
$423list price
$68.35–$6,407range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Bc Medi-Cal | Bc Medi-Cal | $68.35 |
| Blue Shield Medi-Cal | Blue Shield Medi-Cal | $68.35 |
| Molina Mcal | Molina Mcal | $68.35 |
| Medi-Cal | Medi-Cal | $68.35 |
| Heritage Mcal | Heritage Mcal | $72.45 |
| Healthnet Mcal | Healthnet Mcal | $81.40 |
| Aetna - All Plans | Aetna - All Plans | $111 |
| Blue Shield Mcr Adv | Blue Shield Mcr Adv | $121 |
| Caremore Mcr Adv - All Plans | Caremore Mcr Adv - All Plans | $121 |
| Clever Care Mcr Adv - All Plans | Clever Care Mcr Adv - All Plans | $121 |
| La Care Mcr Adv- All Plans | La Care Mcr Adv- All Plans | $121 |
| UHC Mcr Adv | UHC Mcr Adv | $121 |
| Alignment Hp Mcr Adv - All Plans | Alignment Hp Mcr Adv - All Plans | $121 |
| Healthcare Partners- All Plans | Healthcare Partners- All Plans | $121 |
| Molina Mcr | Molina Mcr | $121 |
| Optum Health Mcr Adv | Optum Health Mcr Adv | $124 |
| Optum Health - All Other Plans | Optum Health - All Other Plans | $124 |
| Blue Cross Mcr Adv | Blue Cross Mcr Adv | $126 |
| Ah Employee Health Plan - All Plans | Ah Employee Health Plan - All Pl | $133 |
| Cigna All Other - All Other Plans | Cigna All Other - All Other Plans | $138 |
| Cigna HMO | Cigna HMO | $138 |
| Heritage Commercial - All Other Plans | Heritage Commercial - All Oth | $145 |
| Heritage Sr | Heritage Sr | $145 |
| UHC All Payer - All Other Plans | UHC All Payer - All Other Plans | $157 |
| Dept Of State Hsp Metropolitan- All Plans | Dept Of State Hsp Metropol | $157 |
| Molina Exchange - All Other Plans | Molina Exchange - All Other Plans | $163 |
| Western Growers/Pinnacle - All Plans | Western Growers/Pinnacle - All | $168 |
| Blue Shield Epn - All Other Plans | Blue Shield Epn - All Other Plans | $169 |
| Healthnet Mcr Adv | Healthnet Mcr Adv | $172 |
| Healthnet - All Other Plans | Healthnet - All Other Plans | $176 |
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