Emergency visit, high (level 4) at Los Angeles Community Hospital. CPT 99284.
What Los Angeles Community Hospital 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
$21.57–$4,562range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Shield of California | Commercial/IFP | $21.57 |
| Blue Shield Promise | Medi-Cal | $68.35 |
| Anthem Blue Cross | Managed Medi-Cal | $69.72 |
| Molina | Managed Medi-Cal | $71.77 |
| Health Net of California | Managed Medi-Cal | $75.19 |
| LA Care | Managed Medi-Cal for PASC-SEIU Members | $82.02 |
| LA Care | Managed Medi-Cal | $82.02 |
| Aids Healthcare Foundation | Managed Medi-Cal | $95.69 |
| Alignment Health Plan | Medicare Advantage | $426 |
| Anthem Blue Cross | Medicare Advantage | $426 |
| Blue Shield of California | Medicare Advantage | $426 |
| Care First Health Plan | Medicare Advantage | $426 |
| Central Health Plan | Medicare Advantage | $426 |
| Easy Choice Health Plan (WellCare) | Medicare Advantage | $426 |
| Health Net of California | Medicare Advantage | $426 |
| Humana | Medicare Advantage | $426 |
| LA Care | Medicare Advantage | $426 |
| Legacy Health Plan | Medicare Advantage | $426 |
| LA Care | HMO Covered California | $426 |
| Optum Health | Commercial HMO | $426 |
| Molina | Medicare Advantage | $426 |
| Aids Healthcare Foundation | Medicare Advantage | $434 |
| Clever Care | Medicare Advantage | $434 |
| Imperial Health Plan | Medicare Advantage | $434 |
| Optum Health | Medicare Advantage | $434 |
| Patient Choice | Medicare Advantage | $447 |
| Prime Health Services | Medicare Advantage | $447 |
| Molina | Exchange | $468 |
| Naphcare | Commercial | $639 |
| Aetna | All Gatekeeper Plans | $1,004 |
Inpatient
$5,305cash price (self-pay)
$5,305list price
$1,411–$4,562range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Net of California | Medicare Advantage | $1,411 |
| Prime Health Services | Commercial | $3,713 |
| PHCS Network | Commercial PPO | $3,819 |
| Multiplan | Commercial | $4,562 |
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