Emergency visit, high (level 4) at Mercy General Hospital. CPT 99284.

What Mercy General Hospital publishes for this service, straight from its standard-charges file, last updated February 28, 2026.

Outpatient / ER

$930cash price (self-pay)

$12,180list price

$98.04–$18,285range insurers pay

Insurance plan	Negotiated rate
United \| Medicaid\|< 21	$98.04
United \| Medicaid\|> 21	$98.04
Hill Physicians \| Medicaid\|All Plans	$108
Hill Physicians \| Commercial\|All Plans	$118
Molina \| Medicaid\|All Plans	$129
BCBS - Anthem \| Medicaid\|All Plans	$186
California Health & Wellness \| Medicaid\|All Plans	$227
Health Net \| Medicaid\|All Plans	$227
Partnership Health Plan \| Medicaid\|All Plans	$422
BCBS - Anthem \| Medicare\|All Other Plans	$528
Humana \| Commercial\|All Plans	$560
Aetna \| Medicare\|All Plans	$560
BCBS - Anthem \| Medicare\|Imperial	$576
BrightHealth \| Commercial\|All Plans	$616
Prison Healthcare \| Medicaid\|All Plans	$839
Western Health Advantage \| Commercial\|All Plans	$4,263
Kaiser \| Medicaid\|All Plans	$4,994
United \| Commercial\|HMO	$5,422
Health Net \| Commercial\|EPPO	$7,077
BCBS - Anthem \| Commercial\|Connection EPO	$7,528
Cigna \| Commercial\|LocalPlus	$8,038
Blue Shield CA \| Commercial\|ACO Trio CalPers	$8,160
Healthsmart \| Commercial\|All Plans	$8,769
First Health \| Commercial\|All Plans	$9,135
Blue Shield CA \| Commercial\|Exchange	$9,256
BCBS - Anthem \| Commercial\|All Other Plans	$9,410
Kaiser \| Commercial\|All Plans	$9,622
MultiPlan \| Commercial\|All Plans	$9,744
Sutter Health \| Commercial\|All Plans	$9,744
Aetna \| Commercial\|All Other Plans	$10,474

$930cash price (self-pay)

$12,180list price

$3,072–$16,074range insurers pay

Insurance plan	Negotiated rate
Healthsmart \| Commercial\|All Plans	$8,769
First Health \| Commercial\|All Plans	$9,135
MultiPlan \| Commercial\|All Plans	$9,744
Sutter Health \| Commercial\|All Plans	$9,744

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