Emergency visit, high (level 4) at Mercy Medical Center Mt. Shasta. CPT 99284.

What Mercy Medical Center Mt. Shasta publishes for this service, straight from its standard-charges file, last updated February 28, 2026.

Outpatient / ER

$3,764cash price (self-pay)

$4,838list price

$133–$4,741range insurers pay

Insurance plan	Negotiated rate
BCBS - Anthem \| Medicaid\|All Plans	$133
California Health & Wellness \| Medicaid\|All Plans	$218
Partnership Health Plan \| Medicaid\|All Plans	$422
Aetna \| Medicare\|All Plans	$1,161
BCBS - Anthem \| Medicare\|All Plans	$1,161
Blue Shield CA \| Medicare\|All Plans	$1,161
Health Net \| Medicare\|All Plans	$1,161
Humana \| Medicare\|All Plans	$1,161
Kaiser \| Medicare\|All Plans	$1,161
United \| Medicare\|All Plans	$1,161
BCBS - Anthem \| Commercial\|Exchange	$3,241
BCBS - Anthem \| Commercial\|All Other Plans	$3,967
Cigna \| Commercial\|All Other Plans	$3,967
Cigna \| Commercial\|PPO	$3,967
United \| Commercial\|HMO	$4,161
Aetna \| Commercial\|All Other Plans	$4,209
Aetna \| Commercial\|HMO	$4,209
Aetna \| Commercial\|PPO	$4,209
United \| Commercial\|All Other Plans	$4,257
Health Net \| Commercial\|All Plans	$4,499
Coventry \| Commercial\|All Plans	$4,741
MultiPlan \| Commercial\|All Plans	$4,741

$3,764cash price (self-pay)

$4,838list price

$2,516–$4,741range insurers pay

Insurance plan	Negotiated rate
California Health & Wellness \| Medicaid\|All Plans	$2,516
Cigna \| Commercial\|All Other Plans	$3,967
Cigna \| Commercial\|PPO	$3,967
United \| Commercial\|HMO	$4,161
Aetna \| Commercial\|All Other Plans	$4,257
Aetna \| Commercial\|HMO	$4,257
Aetna \| Commercial\|PPO	$4,257
United \| Commercial\|All Other Plans	$4,257
Health Net \| Commercial\|All Plans	$4,499
Coventry \| Commercial\|All Plans	$4,741
MultiPlan \| Commercial\|All Plans	$4,741

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