Emergency visit, high (level 4) at Sequoia Hospital. CPT 99284.

What Sequoia Hospital publishes for this service, straight from its standard-charges file, last updated February 28, 2026.

Outpatient / ER

$2,374cash price (self-pay)

$6,523list price

$98.04–$15,074range insurers pay

Insurance plan	Negotiated rate
BCBS - Anthem \| Medicaid\|< 21	$98.04
BCBS - Anthem \| Medicaid\|> 21	$98.04
Kaiser \| Medicaid\|< 21	$98.04
Kaiser \| Medicaid\|> 21	$98.04
Partnership Health Plan \| Medicaid\|< 21	$98.04
Partnership Health Plan \| Medicaid\|> 21	$98.04
Health Net \| Medicaid\|< 21	$121
Health Net \| Medicaid\|> 21	$121
Health Plan San Mateo \| Medicaid\|< 21	$121
Health Plan San Mateo \| Medicaid\|> 21	$121
Brown Toland \| Medicare\|All Plans	$132
Health Net \| Commercial\|Canopy Health	$624
Humana \| Commercial\|All Plans	$624
Aetna \| Medicare\|All Plans	$624
BCBS - Anthem \| Medicare\|All Plans	$624
Blue Shield CA \| Medicare\|All Plans	$624
Health Net \| Medicare\|All Plans	$624
Health Plan San Mateo \| Medicare\|All Plans	$624
Humana \| Medicare\|All Plans	$624
Kaiser \| Medicare\|All Plans	$624
United \| Medicare\|All Plans	$624
Brown Toland \| Commercial\|All Plans	$687
Chinese Community \| Medicare\|All Plans	$812
Sutter Health \| Commercial\|All Plans	$1,955
Connected Care \| Commercial\|Intel	$2,805
Blue Shield CA \| Commercial\|ACO Trio	$4,044
Aetna \| Commercial\|All Plans	$4,109
Blue Shield CA \| Commercial\|Exchange	$4,109
Healthsmart \| Commercial\|All Plans	$4,436
Kaiser \| Commercial\|All Plans	$5,023

$2,374cash price (self-pay)

$6,523list price

$2,805–$5,349range insurers pay

Insurance plan	Negotiated rate
Connected Care \| Commercial\|Intel	$2,805
Healthsmart \| Commercial\|All Plans	$4,436
Kaiser \| Commercial\|All Plans	$5,023
Multiplan \| Commercial\|All Plans	$5,349

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