Emergency visit, highest (level 5) at San Dimas Community Hospital. CPT 99285.
What San Dimas Community Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$762cash price (self-pay)
$5,059list price
$155–$5,059range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Heritage Provider Network Inc | Heritage Provider Network Medi-Cal | $155 |
| LA Care Health Plan | L A Care Health Plan Medi-cal | $155 |
| Molina Healthcare | Molina Medi-Cal | $155 |
| Traditional Medi-cal | Traditional Medi-Cal | $155 |
| AIDS Healthcare Foundation | Aids Health Care Foundation Medi-cal | $155 |
| Blue Shield of Promise | Blue Shield Of Promise Medi-Cal | $155 |
| Anthem Blue Cross | Anthem Blue Cross Medi-Cal | $163 |
| Health Net of CA | Health Net Of CA Medi-Cal | $166 |
| Blue Shield of CA | Blue Shield Of CA Exchange | $539 |
| RIOS | RIOS Medicare | $724 |
| Health Net of CA | Health Net Of CA Medicare | $762 |
| Heritage Provider Network Inc | Heritage Provider Network Medicare | $762 |
| LA Care Health Plan | LA Care Health Plan Covered CA and Covered Direc | $762 |
| LA Care Health Plan | LA Care Health Plan Duals Cal MediConnect | $762 |
| LA Care Health Plan | LA Care Health Plan Medicare | $762 |
| Molina Healthcare | Molina Exchange | $762 |
| Molina Healthcare | Molina Medicare | $762 |
| Optum Health Plan | Optum Health Plan Medicare | $762 |
| Patient Choice Health Plan | Patient Choice Health Plan Medicare | $762 |
| Primecare Medical Network | Primecare Medical Network Medicare | $762 |
| Renal Payer Solutions | Renal Payer Solutions Medicare | $762 |
| Traditional Medicare | Traditional Medicare | $762 |
| Tricare | Tricare | $762 |
| UHC | UHC Medicare | $762 |
| AIDS Healthcare Foundation | Aids Health Care Foundation MSSP | $762 |
| Anthem Blue Cross | Anthem Blue Cross Medicare | $762 |
| Blue Shield of CA | Blue Sheild Of CA Medicare | $762 |
| Blue Shield of CA | Blue Shield Of CA Triwest | $762 |
| AIDS Healthcare Foundation | Aids Health Care Foundation Medicare | $777 |
| Imperial Health Plan Inc | Imperial Health Plan Medicare | $808 |
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