Emergency visit, high (level 4) at Sherman Oaks Hospital. CPT 99284.
What Sherman Oaks Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$534cash price (self-pay)
$1,733list price
$98.04–$2,600range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| AIDS Healthcare Foundation | Aids Health Care Foundation Medi-Cal | $98.04 |
| Blue Shield Of Promise | Blue Shield Of Promise Medi-Cal | $98.04 |
| Health Net Of CA | Health Net Of CA Medi-Cal IPA | $98.04 |
| L.A Care Health Plan | L.A Care Health Plan Medi-Cal | $98.04 |
| Molina | Molina Medi-Cal | $98.04 |
| Traditional Medi-Cal | Traditional Medi-Cal | $98.04 |
| Anthem Blue cross | Anthem Blue Cross Medi-cal | $103 |
| Health Net Of CA | Health Net Of CA Medi-Cal | $105 |
| AIDS Healthcare Foundation | Aids Health Care Foundation MSSP | $534 |
| Alignment | Alignment Medicare | $534 |
| BLUE SHIELD OF CA, VA | Blue Shield of CA, VA | $534 |
| Elite Health Plan | Elite Health Plan (Medicare) | $534 |
| HEALTH NET FEDERAL SERVICES TRICARE | Health Net Federal Services Tric | $534 |
| Health Net Of CA | Health Net Of CA Cal-Mediconnect | $534 |
| Health Net Of CA | Health Net Of CA Medicare | $534 |
| Imperial Health Plan | Imperial Health Plan Medicare | $534 |
| L.A Care Health Plan | L.A Care Health Plan Covered CA and Covered Dir | $534 |
| L.A Care Health Plan | L.A Care Health Plan Duals | $534 |
| Molina | Molina Exchange | $534 |
| Molina | Molina Medicare | $534 |
| Renal Payer Solutions | Renal Payer Solutions Medicare | $534 |
| Traditional Medicare | Traditional Medicare | $534 |
| Tricare | Tricare | $534 |
| Brand New Day | Brand New Day Medicare | $539 |
| AIDS Healthcare Foundation | Aids Health Care Foundation Medicare | $545 |
| CORVEL | Corvel Workers Compensation | $609 |
| AMERICAS CHOICE PROVIDER NETWORK | Americas Choice Provider Network Wo | $622 |
| MULTIPLAN | Multiplan Workers Compensation | $622 |
| PRIME HEALTH SERVICES | Prime Health Services Workers Compensation | $622 |
| THREE RIVERS | Three Rivers Workers Compensation | $622 |
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