Emergency visit, high (level 4) at Olive View-UCLA Medical Center. CPT 99284.
What Olive View-UCLA Medical Center publishes for this service, straight from its standard-charges file, last updated March 12, 2026.
Outpatient / ER
—cash price (self-pay)
$1,626list price
$77.21–$1,626range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| [Medi-Cal Managed Care] | [Kaiser] | $87.62 |
| [Medi-Cal Managed Care] | [Anthem Blue Cross] | $94.63 |
| [Medi-Cal Managed Care] | [L.A. Care Term Jan 2026-Jun 2026] | $110 |
| [Medi-Cal Managed Care] | [L.A. Care Term Jul 2026-Dec 2026] | $114 |
| [Medi-Cal Managed Care] | [Blue Shield Promise] | $123 |
| [Medi-Cal Managed Care] | [Health Net] | $127 |
| [Commercial] | [Anthem Blue Cross] | $206 |
| [Medi-Cal Managed Care] | [Molina] | $268 |
| [Commercial] | [Blue Shield Triwest] | $310 |
| [Medicare Advantage] | [Kaiser] | $500 |
| [Medicare Advantage] | [L.A.Care] | $500 |
| [Covered California] | [L.A. Care] | $500 |
| [Medicare Advantage] | [Molina] | $575 |
| [Covered California] | [Molina] | $900 |
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