Emergency visit, high (level 4) at MemorialCare Orange Coast Medical Center. CPT 99284.
What MemorialCare Orange Coast Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$4,035cash price (self-pay)
$4,035list price
$483–$1,465range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Seoul Medical Group | Ipa Medicare Managed Care Plan | $483 |
| Blue Shield | Senior Medicare Managed Care Plan | $526 |
| Blue Cross | Senior Medicare Managed Care Plan | $537 |
| Molina | Senior Medicare Managed Care Plan | $553 |
| Blue Cross | Anthem Vivity City Other Commercial Plan | $562 |
| Universal Care | Senior Medicare Managed Care Plan | $564 |
| Central Health | Senior Medicare Managed Care Plan | $590 |
| Blue Cross | Anthem Vivity Non-City Other Commercial Plan | $633 |
| Clever Care | Medicare Managed Care Plan | $644 |
| Healthcare Partners | Senior/Dual Eligible Medicare Managed Care Plan | $671 |
| Select Health | Hmo | $725 |
| Blue Cross | Anthem Hmo Exchange | $794 |
| Monarch Health Plan | Covered California Other Commercial Plan | $923 |
| Centivo | Ppo | $1,208 |
| Blue Cross | Anthem Non-Mcs Other Commercial Plan | $1,221 |
| Monarch Health Plan | Other Commercial Plan | $1,245 |
| Healthcare Partners | All Commercial Plans | $1,393 |
| Blue Cross | Anthem Mcs Other Commercial Plan | $1,465 |
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All common services at MemorialCare Orange Coast Medical Center