Emergency visit, high (level 4) at Glendora Hospital. CPT 99284.
What Glendora Hospital publishes for this service, straight from its standard-charges file, last updated July 1, 2026.
Outpatient / ER
$1,451cash price (self-pay)
$1,935list price
$60.00–$3,220range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Beacon Health Services | Commercial Managed Care | $60.00 |
| Beacon Health Services | Healthy Kids | $60.00 |
| Beacon Health Services | Medicare Managed Care | $60.00 |
| Accountable Healthcare IPA | MediCal Managed Care | $68.35 |
| Anthem Blue Cross | MediCal Managed Care | $68.35 |
| Benevolence Healthcare | MediCal Managed Care | $68.35 |
| Blue Shield | MediCal Managed Care | $68.35 |
| Brand New Day | MediCal Managed Care | $68.35 |
| Care First | MediCal Managed Care | $68.35 |
| Health Net | MediCal Managed Care | $68.35 |
| Heritage Provider Network | MediCal Managed Care | $68.35 |
| Brand New Day | Medicare Managed Care | $105 |
| Accountable Healthcare IPA | Managed Care | $429 |
| Imperial Health Plan | Medicare Managed Care | $429 |
| Behavioral Health System | Managed Care | $484 |
| Accountable Healthcare IPA | Medicare Managed Care | $536 |
| Aetna | Medicare Managed Care | $536 |
| AltaMed | MediCal Managed Care | $536 |
| AltaMed | Medicare Managed Care | $536 |
| Anthem Blue Cross | Medicare Managed Care HMO and PPO | $536 |
| Benevolence Healthcare | Covered California | $536 |
| Benevolence Healthcare | Medicare Managed Care | $536 |
| Blue Shield | Medicare Managed Care | $536 |
| Care First | Medicare Managed Care | $536 |
| Caremore | Medicare Managed Care | $536 |
| Central Health Plan | Medicare Managed Care | $536 |
| Easy Choice | Medicare Managed Care | $536 |
| Health Net | Medicare Managed Care | $536 |
| Heritage Provider Network | Medicare Managed Care | $536 |
| Health Net | Commercial | $616 |
Inpatient
$1,451cash price (self-pay)
$1,935list price
$1,161–$2,969range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Kaiser | Commercial | $1,161 |
| Anthem Blue Cross | MediCal Managed Care | $1,700 |
| Anthem Blue Cross | HMO/PPO/EPO/Indemnity/Workers Comp | $2,969 |
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