Emergency visit, high (level 4) at Providence Mission Hospital - Mission Viejo. CPT 99284.
What Providence Mission Hospital - Mission Viejo publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$332cash price (self-pay)
$2,907list price
$456–$993range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Providence | Oscar All Commercial Plans | $456 |
| Aetna | Medicare Managed Care Plan | $537 |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $562 |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $633 |
| Healthnet | Ambetter Hmo | $993 |
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All common services at Providence Mission Hospital - Mission Viejo