Emergency visit, high (level 4) at Pacifica Hospital of the Valley. CPT 99284.
What Pacifica Hospital of the Valley publishes for this service, straight from its standard-charges file.
Outpatient / ER
$242cash price (self-pay)
$1,032list price
$97.00–$1,822range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Alignment Health | Commercial | $262 |
| America Cash Health Plan | Commercial | $328 |
| Anthem Blue Cross | Medicare Advantage | $328 |
| Care 1st Health Plan | Medi-Cal | $328 |
| Care 1st Health Plan | Commercial | $328 |
| Humana | Commercial | $328 |
| LA Health Care | Commercial | $328 |
| Bright Health Group | Commercial | $344 |
| Health Net Of California | PPO | $410 |
| Aetna | Commercial | $516 |
| Altamed | Commercial | $1,032 |
| Blue Cross Blue Shield - CA | Medi-Cal | $1,032 |
| Heritage Provider Network | Medi-Cal | $1,032 |
| Molina | Medi-Cal | $1,032 |
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