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Emergency visit, high (level 4) at Mountain Communities Healthcare District. CPT 99284.

What Mountain Communities Healthcare District publishes for this service, straight from its standard-charges file, last updated March 30, 2026.

Outpatient / ER

$155cash price (self-pay)
$305list price
$68.35–$1,538range insurers pay
Insurance planNegotiated rate
United Healthcare | Default$109
Medicare B CA JE Northern CA | Default$113
TriWest | Default$118
Aetna | Default$139
Partnership Health Plan of California MCD Rep | Default$142
Medicare A CA JE | Default$185
Cigna | Default$190
Blue Shield of CA | Default$194
Blue Cross of CA Anthem | Default$197
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All common services at Mountain Communities Healthcare District