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Emergency visit, moderate (level 3) at San Gorgonio Memorial Hospital. CPT 99283.

What San Gorgonio Memorial Hospital publishes for this service, straight from its standard-charges file, last updated May 20, 2026.

Outpatient / ER

$229cash price (self-pay)
$1,163list price
$229–$1,048range insurers pay
Insurance planNegotiated rate
Blue Shield | Non EPN$229
LaSalle Medical Associates | Commercial/Senior$332
Anthem Blue Cross | Medicare Advantage$349
Beaver Medical Group | Commercial$349
Blue Shield | Medicare Advantage$349
Choice Physicians Network | Commercial$349
Inland Empire Health Plan | Medicare Advantage$349
Kaiser | Medicare$349
Providence Health Network | Medicare Advantage$349
Redlands Community Hospital | Medicare Advantage$349
United Healthcare | Medicare Advantage$349
Easy Choice Health Plan | Medicare Advantage$367
Epic Management | Medicare Advantage$367
Inland Empire Health Plan | Covered California$384
Velocity | Medicare Advantage$384
Imperial Health Plan | Commercial$395
Health Net | Ambetter HMO$446
Health Net | Ambetter PPO$500
Anthem Blue Cross | Commercial$649
Kaiser | Commercial$1,048
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All common services at San Gorgonio Memorial Hospital