Emergency visit, high (level 4) at Orchard Hospital. CPT 99284.
What Orchard Hospital publishes for this service, straight from its standard-charges file, last updated September 26, 2026.
Outpatient / ER
$1,077cash price (self-pay)
$1,881list price
$53.83–$1,740range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| CA Health And Wellness-All Plans | CA Health And Wellness-All Plans | $53.83 |
| Medi-Cal | Medi-Cal | $53.83 |
| Blue Cross Mcal | Blue Cross Mcal | $54.37 |
| Blue Cross Mcr Adv | Blue Cross Mcr Adv | $116 |
| Aetna-All Plans | Aetna-All Plans | $1,317 |
| Cigna-All Plans | Cigna-All Plans | $1,317 |
| Blue Shield-All Plans | Blue Shield-All Plans | $1,473 |
| Blue Cross-All Other Plans | Blue Cross-All Other Plans | $1,505 |
| UHC-All Plans | UHC-All Plans | $1,740 |
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