Emergency visit, high (level 4) at Orange County Global Medical Center. CPT 99284.
What Orange County Global Medical Center publishes for this service, straight from its standard-charges file, last updated June 15, 2026.
Outpatient / ER
$4,425cash price (self-pay)
$4,614list price
$82.02–$5,170range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Brand New Day | Brand New Day/Medi-Cal | $82.02 |
| Hollywood Presbyterian MCal | Hollywood Presbyterian MCal | $98.04 |
| Kaiser | Kaiser Medi-Cal HMO | $98.04 |
| State of California | Medi Cal/Medicaid | $98.04 |
| Medi-Cal HMO | Medi-Cal HMO/Non Contract | $98.04 |
| AltaMed | AltaMed MCAL HMO | $137 |
| AltaMed MCAL PACE | AltaMed MCAL PACE | $137 |
| AltaMed | AltaMed Whole Child Model/Caloptima | $137 |
| CalOptima | CalOptima (Traditional and Adult Expansion) | $137 |
| CHOC Health Alliance | CHOC Health Alliance/CalOptima | $137 |
| Family Choice | Family Choice MCAL HMO | $137 |
| Heritage Provider Network | Heritage Provider Network Medi-Cal | $137 |
| County of Orange | Medical Safety Net | $137 |
| Monarch Health Plan | Monarch Health Plan/CalOptima | $137 |
| IHHI | IHHI Reciprocity | $350 |
| CHAMPUS Tricare | CHAMPUS Tricare Prime/Extra Standard | $515 |
| Champva | Champva | $515 |
| Aetna | Aetna All Commercial Payers | $2,254 |
| Cigna | Cigna HMO | $2,386 |
| Cigna | Cigna PPO | $2,386 |
| Heritage Provider Network | Heritage Provider Network HMO | $2,537 |
| Health Net | Health Net/Salud Con Health/HMO/PPO/EPO | $2,700 |
| Magellan Behavioral Health | Magellan Behavioral Health Comm | $2,768 |
| Magellan Behavioral Health | Magellan Behavioral Health SR | $2,768 |
| Health Net | Health Net Community Care HMO/PPO | $2,819 |
| Kaiser | Kaiser Commercial HMO | $2,841 |
| CIGNA | CIGNA/Outside Payors | $2,999 |
| Health Net | Health Net HMO/POS | $3,022 |
| Health Net | Health Net PPO/EPO | $3,022 |
| Monarch Health Plan | Monarch Health Plan/Covered California | $3,413 |
Inpatient
$4,425cash price (self-pay)
$4,614list price
$2,655–$4,802range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Magellan Behavioral Health | Magellan Behavioral Health Comm | $2,768 |
| Magellan Behavioral Health | Magellan Behavioral Health SR | $2,768 |
| Kaiser | Kaiser Commercial HMO | $2,841 |
| CIGNA | CIGNA/Outside Payors | $2,999 |
| Multiplan | Multiplan PPO | $3,229 |
| First Health (Affordable) PPO | First Health (Affordable) PPO | $3,460 |
| HealthSmart | HEALTHSMART PREFERRED NETWORK | $3,460 |
| Interplan | Interplan PPO | $3,460 |
| CIGNA | CIGNA Behavioral Health | $3,691 |
| PNOA-Provider Network of America | PNOA-Provider Network of America | $3,691 |
| Prime Health Srvs | Prime Health Srvs/PPO | $3,691 |
| Prime Health Srvs | Prime Health Srvs/Network | $3,921 |
| Other Non Contracted Insurance Plans | Other Non Contracted Insurance | $4,614 |
| Private Pay | Private Pay | $4,614 |
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