Emergency visit, highest (level 5) at San Gabriel Valley Medical Center. CPT 99285.
What San Gabriel Valley Medical Center publishes for this service, straight from its standard-charges file, last updated July 1, 2026.
Outpatient / ER
$494cash price (self-pay)
$2,744list price
$46.51–$6,872range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Healthy Way LA | Healthy Way LA | $46.51 |
| AHMC Medi-Cal Reciprocity | AHMC Medi-Cal Reciprocity | $108 |
| Allied Physicians | Allied Physicians Medi-Cal | $108 |
| AltaMed Health Network | AltaMed Health Network Medi-Cal | $108 |
| Beverly Hospital | BEVERLY HOSPITAL MCL | $108 |
| Emanate Health | Emanate Health Medi-Cal | $108 |
| HealthNet Medi-Cal Non-Contract | Health Net Medi-Cal | $108 |
| LA Care Health Plan | LA Care Healthy Kids and Medi-Cal Managed Care | $124 |
| Blue Cross Medi-Cal Managed Care | Blue Cross Medi-Cal | $125 |
| Care 1st Health Plan | BLUE SHIELD PROMISE HEALTH PLAN MCAL | $151 |
| AIDS Healthcare Foundation | AIDS Hlth Fndn/Positive Hlth Mcal | $155 |
| Avanti | Avanti Medi-cal | $155 |
| Hollywood Presbyterian Adv Med Mcal | Hollywood Presbyterian Adv Med M | $155 |
| Hollywood Presbyterian Medpoint Mcal | Hollywood Presbyterian Medpoint | $155 |
| Blue Cross Medi-Cal Managed Care | Blue Cross Healthy Families | $171 |
| United Healthcare Senior Medicare Advantage | United Healthcare Senior | $461 |
| Care 1st Health Plan | Care 1st Health Plan Healthy Families | $686 |
| Central Health Plan | Central Health Plan HMO | $800 |
| AHMC Reciprocity | AHMC Reciprocity Commercial | $823 |
| AHMC Reciprocity | AHMC Reciprocity Sr | $823 |
| Alignment Healthplan | Alignment Healthplan Allied Pacific Sr Cap | $960 |
| Brand New Day | Brand New Day Allied Pacific SR Cap | $960 |
| Clever Care | Clever Care Accountable Phys Cap | $960 |
| Clever Care | Clever Care Allied Phys Cap | $960 |
| Health Net | Health Net Healthy Families/Kids/AIM | $1,000 |
| AIDS Healthcare Foundation | AIDS Healthcare Foundation | $1,098 |
| Facey Medical | Facey Medical | $1,372 |
| Health Net | Health Net Enhanced PPO | $1,443 |
| Care 1st Health Plan | BLUE SHIELD PROMISE HEALTH HMO | $1,784 |
| Care 1st Health Plan | BLUE SHIELD PROMISE HEALTH SENIOR | $1,784 |
Inpatient
$494cash price (self-pay)
$2,744list price
$1,318–$2,792range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Beech Street | Beech Street PPO | $2,195 |
| MultiPlan | MultiPlan PPO | $2,470 |
| PPO Next | PPO Next | $2,470 |
| Other Non Contracted Commercial | Other Non Contracted Commercial | $2,744 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.