Emergency visit, high (level 4) at Hayward sisters hospital dba st rose hospital. CPT 99284.
What Hayward sisters hospital dba st rose hospital publishes for this service, straight from its standard-charges file, last updated February 23, 2026.
Outpatient / ER
$822cash price (self-pay)
$2,742list price
$564–$2,330range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Centers for Elder Independence | Centers for Elders | $564 |
| United Healthcare | Secure Horizons (Pacificare)/Hill | $584 |
| United Healthcare | Secure Horizons (Pacificare)/Affinity | $584 |
| United Healthcare | Secure Horizons (Pacificare) | $584 |
| Healthnet of California | Healthnet SR Advantage/Hill | $584 |
| Healthnet of California | Healthnet SR Advantage/Affinity | $584 |
| Healthnet of California | Healthnet SR Advantage | $584 |
| Medicare SR Advantage | Medicare SR Advantage | $593 |
| Imperial Health Senior | Imperial Health Senior | $593 |
| Humana | Humana Medicare Advantage | $593 |
| Brown & Toland | Brown Toland | $593 |
| Aetna Health Plans of California | Aetna Medicare PPO | $593 |
| Canopy | Canopy Commercial | $1,127 |
| Blue Shield Hill | Blue Shield Hill | $1,483 |
| Blue Shield Affinity | Blue Shield Affinity | $1,483 |
| Blue Shield | Blue Shield | $1,483 |
| Blue Cross of California | Blue Cross HMO/PPO/Hill | $1,685 |
| Blue Cross of California | Blue Cross HMO/PPO/Affinity | $1,685 |
| Blue Cross of California | Blue Cross HMO/PPO | $1,685 |
| United Healthcare | United Healthcare PPO-POS-EPO/Pacificare of Califo | $1,900 |
| Interplan | Interplan | $1,919 |
| Healthnet of California | Healthnet HMO/PPO/Hill | $1,919 |
| Healthnet of California | Healthnet HMO/PPO/Affinity | $1,919 |
| Healthnet of California | Healthnet HMO/PPO | $1,919 |
| Aetna Health Plans of California | Aetna Health Plan/Hill | $2,055 |
| Aetna Health Plans of California | Aetna Health Plan/Affinity | $2,055 |
| Aetna Health Plans of California | Aetna Health Plan | $2,055 |
| Cigna Healthcare of California | Cigna/Hill | $2,056 |
| Cigna Healthcare of California | Cigna/Affinity | $2,056 |
| Cigna Healthcare of California | Cigna | $2,056 |
Inpatient
$822cash price (self-pay)
$2,742list price
$1,919–$2,111range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Interplan | Interplan | $1,919 |
| Multiplan Inc | Multiplan | $2,111 |
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All common services at Hayward sisters hospital dba st rose hospital