Emergency visit, high (level 4) at Henry Mayo Newhall Memorial Hospital. CPT 99284.
What Henry Mayo Newhall Memorial Hospital publishes for this service, straight from its standard-charges file, last updated March 6, 2026.
Outpatient / ER
$3,389cash price (self-pay)
$3,389list price
$534–$6,261range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicare Advantage | $534 |
| Anthem | Medicare Advantage | $534 |
| Blue Shield | Medicare Advantage | $534 |
| Facey | Medicare Advantage | $534 |
| Health Net | Medicare Advantage | $534 |
| Heritage Provider Network | Medicare Advantage | $534 |
| Humana | Medicare Advantage | $534 |
| Kaiser | Medicare Advantage | $534 |
| Optum Healthcare | Commercial | $534 |
| Providence Health | Medicare Advantage | $534 |
| United Healthcare | Medicare Advantage | $534 |
| Optum Healthcare | Medicare Advantage | $545 |
| Facey | Commercial HMO | $748 |
| Health Net | Enhanced PPO | $961 |
| Heritage Provider Network | Commercial | $1,800 |
| Anthem | HMO PPO | $3,005 |
| United Healthcare | Select & Select Plus | $4,346 |
| United Healthcare | Non Select | $4,543 |
| Cigna | HMO OAP | $5,047 |
| Blue Shield | Exchange | $6,261 |
| Blue Shield | HMO PPO EPO | $6,261 |
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