Emergency visit, high (level 4) at Seton Medical Center. CPT 99284.
What Seton Medical Center publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$4,037cash price (self-pay)
$4,037list price
$68.35–$7,043range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medi-Cal | Medi-Cal HMO Non-Contract | $68.35 |
| Blue Cross of California | Blue Cross Medi-Cal | $78.86 |
| San Mateo County/San Mateo County General Hospital | San Mateo County | $84.07 |
| San Francisco Health Plan | San Francisco Health Plan | $95.69 |
| Kaiser | Kaiser Medi-Cal | $98.04 |
| CMAC | Medi-Cal | $98.04 |
| Jade Health Care MG | Jade Health Care Medi-Cal | $103 |
| Hill Physicians Medical Group Inc | Hill Physicians Medical Group Medi | $114 |
| Asian American Medical Group | All American Medical Group Medi-Cal | $118 |
| Health Plan of San Mateo Healthworx | Health Plan of San Mateo Healthw | $121 |
| Brown and Toland Medical Group | Brown and Toland Medical Group Medi-C | $123 |
| Health Plan of San Mateo | Health Plan of San Mateo | $137 |
| Hill Physicians Medical Group Inc | Hill Physicians Medical Group Comm | $149 |
| North East Medical Services | North East Medical Services Medi-Cal Man | $475 |
| Blue Shield of California | BLUE SHIELD COVERED CA | $832 |
| Self Pay | Self Pay | $1,373 |
| Chinese Community Health Plan | CCHP Commercial (Full-Risk) | $2,019 |
| Jade Health Care MG | Jade Health Care Commercial | $2,019 |
| Anthem Blue Cross | Anthem Blue Cross Priority Select HMO | $2,395 |
| CIGNA Healthcare of California | CIGNA HMO | $2,543 |
| Cigna | Cigna PPO | $2,543 |
| Anthem Blue Cross | Anthem Blue Cross Select HMO | $2,572 |
| Blue Cross of California | Blue Cross Non-MCS | $2,957 |
| Blue Cross of California | Blue Cross Out of State | $2,957 |
| The First Health Network | First Health/CCN | $3,028 |
| Interplan Corporation | Interplan | $3,028 |
| MultiPlan/BCE Emergis | Multiplan PPO Primary Network | $3,028 |
| Private Healthcare Sytems Inc | PHCS | $3,028 |
| Blue Shield of California | Blue Shield HMO | $3,040 |
| Blue Shield of California | Blue Shield PPO | $3,040 |
Inpatient
$2,422cash price (self-pay)
$4,037list price
$606–$4,037range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Self Pay | Self Pay | $606 |
| Kaiser | Kaiser Commercial | $3,310 |
| ChoiceCare Network | Choice Care Humana PPO | $3,431 |
| Multiplan | Multiplan PPO Complementary Network | $3,431 |
| Mills Peninsula Health Services | Mills Peninsula Commercial | $3,633 |
| Indemnity | Indemnity | $4,037 |
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