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Emergency visit, high (level 4) at Mayers Memorial Hospital District. CPT 99284.

What Mayers Memorial Hospital District publishes for this service, straight from its standard-charges file, last updated May 12, 2026.

Outpatient / ER

$841cash price (self-pay)
$2,785list price
$68.35–$2,785range insurers pay
Insurance planNegotiated rate
Medi-Cal | Medi-Cal$83.19
Partnership Hp-All Plans | Partnership Hp-All Plans$392
Blue Shield CA Va | Blue Shield CA Va$928
Blue Shield Mcr Adv | Blue Shield Mcr Adv$928
Blue Shield Tricare | Blue Shield Tricare$974
Health Net Mcr Adv | Health Net Mcr Adv$977
Arcadian Health Services-All Plans | Arcadian Health Services-All Plan$980
Imperial Health Plan-All Plans | Imperial Health Plan-All Plans$1,104
Corvel PPO-All Plans | Corvel PPO-All Plans$1,722
Coventry/First Health-All Plans | Coventry/First Health-All Plans$1,722
Integrated Hp-All Plans | Integrated Hp-All Plans$1,722
Cigna-All Plans | Cigna-All Plans$1,722
Interplan-All Plans | Interplan-All Plans$1,722
Blue Cross Mcr Adv | Blue Cross Mcr Adv$1,856
Health Net Prison | Health Net Prison$2,004
Blue Cross Exchange | Blue Cross Exchange$2,143
Blue Cross-All Other Plans | Blue Cross-All Other Plans$2,381
Blue Shield CA Exchange | Blue Shield CA Exchange$2,381
Hmn-All Plans | Hmn-All Plans$2,646
Blue Shield-All Other Plans | Blue Shield-All Other Plans$2,646
Multiplan Phcs-All Plans | Multiplan Phcs-All Plans$2,646
Pfmc-All Plans | Pfmc-All Plans$2,646
Superior CA-All Plans | Superior CA-All Plans$2,646
Health Net-All Other Plans | Health Net-All Other Plans$2,771
Pacificare-All Plans | Pacificare-All Plans$2,785
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All common services at Mayers Memorial Hospital District