Emergency visit, high (level 4) at Scripps Memorial Hospital La Jolla. CPT 99284.
What Scripps Memorial Hospital La Jolla publishes for this service, straight from its standard-charges file, last updated March 30, 2026.
Outpatient / ER
$971cash price (self-pay)
$11,759list price
$119–$17,670range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina Medicare Advantage [462] | Medicare HMO/PPO W Pass Thru Shlj | $537 |
| Optum Health Mcr Adv [865] | Medicare HMO/PPO Shlj | $537 |
| Gpmg/Altura - Mcr Adv [888] | Medicare HMO/PPO W Pass Thru Shlj | $537 |
| Cigna Medicare Advantage [281] | Medicare HMO/PPO Shlj | $537 |
| Pcac Medicare Advantage [8001] | Medicare HMO/PPO W Pass Thru Shlj | $537 |
| Easy Choice Medicare Advantage [322] | Medicare HMO/PPO W Pass Thru Sh | $537 |
| Optum Health Mcr Adv [491] | Medicare HMO/PPO Shlj | $537 |
| Clever Care Mcr Adv [465] | Medicare HMO/PPO Shlj | $537 |
| San Diego Pace Medicare Advantage HMO [554] | Medicare HMO/PPO W Pass | $537 |
| Inland Empire Health Plan Medicare Advantage HMO [457] | Medicare HMO/ | $537 |
| Sharp Rees Stealy Med Grp Mcr Adv [841] | Medicare HMO/PPO Shlj | $537 |
| St Paul'S Pace Medicare Advantage [552] | Medicare HMO/PPO W Pass Thru | $537 |
| Sharp Health Plan Mcr Adv [531] | Medicare HMO/PPO Shlj | $537 |
| Humana Mcr Adv [871] | Medicare HMO/PPO Shlj | $537 |
| Gary And Mary West Pace Medi-Cal HMO [557] | Medicare HMO/PPO Shlj | $537 |
| Community Health Group Medicare Advantage [312] | Medicare HMO/PPO W P | $537 |
| Dsnp/Csnp - Generic [458] | Medicare HMO/PPO Shlj | $537 |
| Bs Mcr Adv [829] | Medicare HMO/PPO W Pass Thru Shlj | $537 |
| D-Snp Mcr Adv [889] | Medicare HMO/PPO Shlj | $537 |
| Health Net [340] | Ambetter HMO/Commcare Clin/Co Shlj | $853 |
| Prime Healthcare [614] | Prime Healthcare Services Shlj | $912 |
| Mc Blue Cross [901] | Shps Shlj | $941 |
| Mc Blue Shield [902] | Shps Shlj | $941 |
| Health Net [340] | Ambetter PPO/Enhanced PPO Shlj | $966 |
| Health Net [340] | Ambetter HMO Comm Care Shlj | $998 |
| Health Net [340] | Health Net Salud Shlj | $1,342 |
| Imperial County Phys Med Group [855] | Blue Shield HMO | $9,313 |
| Choice Care Network [270] | Choice Care Network PPO | $9,407 |
| Managed Health Network [862] | Managed Health Network | $9,407 |
| Hn [815] | Health Net HMO PPO | $9,525 |
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