Emergency visit, high (level 4) at Providence Saint John's Health Center. CPT 99284.
What Providence Saint John's Health Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$1,030cash price (self-pay)
$2,943list price
$537–$1,148range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicare Managed Care Plan | $537 |
| Blue Shield | Epn/Ifp Benefit Exchange | $540 |
| Humana | Choicecare Medicare Managed Care Plan | $547 |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $562 |
| Central Health Plan | Medicare Managed Care Plan | $590 |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $633 |
| La Care Health Plan | Covered Ca Exchange | $698 |
| Healthnet | Ambetter Hmo | $993 |
| Healthnet | Ambetter Ppo | $1,148 |
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All common services at Providence Saint John's Health Center