Emergency visit, high (level 4) at San Gorgonio Memorial Hospital. CPT 99284.
What San Gorgonio Memorial Hospital publishes for this service, straight from its standard-charges file, last updated May 20, 2026.
Outpatient / ER
$639cash price (self-pay)
$3,193list price
$507–$2,095range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| LaSalle Medical Associates | Commercial/Senior | $507 |
| Anthem Blue Cross | Medicare Advantage | $534 |
| Beaver Medical Group | Commercial | $534 |
| Blue Shield | Medicare Advantage | $534 |
| Choice Physicians Network | Commercial | $534 |
| Inland Empire Health Plan | Medicare Advantage | $534 |
| Kaiser | Medicare | $534 |
| Providence Health Network | Medicare Advantage | $534 |
| Redlands Community Hospital | Medicare Advantage | $534 |
| United Healthcare | Medicare Advantage | $534 |
| Easy Choice Health Plan | Medicare Advantage | $561 |
| Epic Management | Medicare Advantage | $561 |
| Inland Empire Health Plan | Covered California | $587 |
| Velocity | Medicare Advantage | $587 |
| Imperial Health Plan | Commercial | $603 |
| Anthem Blue Cross | Commercial | $649 |
| Health Net | Ambetter HMO | $683 |
| Health Net | Ambetter PPO | $765 |
| Kaiser | Commercial | $1,602 |
| Heritage Provider Network | Commercial | $2,095 |
| Heritage Provider Network | Senior | $2,095 |
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