Emergency visit, high (level 4) at Mountains Community Hospital. CPT 99284.
What Mountains Community Hospital publishes for this service, straight from its standard-charges file, last updated January 14, 2026.
Outpatient / ER
$106cash price (self-pay)
$1,581list price
$68.35–$2,462range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Kaiser | Med Adv | $68.35 |
| Ccn | All Products | $382 |
| Blue Cross | All Products | $615 |
| Aetna | All Products | $687 |
| Molina | Med Adv | $711 |
| Aetna | Med Adv | $759 |
| Kaiser | All Products | $1,012 |
| Cigna | All Products | $1,106 |
| Blue Shield | Covered California | $1,125 |
| Usa | All Products | $1,185 |
| Healthnet | All Products | $1,273 |
| Phcs | All Products | $1,343 |
| Blue Shield | HMO/POS/PPO | $2,318 |
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