Emergency visit, high (level 4) at Sierra Nevada Memorial Hospital. CPT 99284.
What Sierra Nevada Memorial Hospital publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$2,165cash price (self-pay)
$3,973list price
$98.04–$15,926range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Partnership Health Plan | Medicaid|< 21 | $98.04 |
| Partnership Health Plan | Medicaid|> 21 | $98.04 |
| BCBS - Anthem | Medicaid|All Plans | $134 |
| California Health & Wellness | Medicaid|All Plans | $222 |
| Health Net | Medicaid|All Plans | $222 |
| Hill Physicians | Commercial|All Plans | $560 |
| Humana | Commercial|All Plans | $560 |
| Aetna | Medicare|All Plans | $560 |
| BCBS - Anthem | Medicare|All Plans | $560 |
| Blue Shield CA | Medicare|All Plans | $560 |
| Health Net | Medicare|All Plans | $560 |
| Humana | Medicare|All Plans | $560 |
| Kaiser | Medicare|All Plans | $560 |
| United | Medicare|All Plans | $560 |
| Blue Shield CA | Commercial|Exchange | $2,781 |
| Blue Shield CA | Commercial|ACO Trio | $3,059 |
| Kaiser | Commercial|All Plans | $3,099 |
| Aetna | Commercial|All Other Plans | $3,258 |
| Aetna | Commercial|HMO | $3,258 |
| Aetna | Commercial|PPO | $3,258 |
| Cigna | Commercial|All Other Plans | $3,457 |
| Cigna | Commercial|PPO | $3,457 |
| Blue Shield CA | Commercial|All Other Plans | $3,695 |
| First Health | Commercial|All Plans | $3,774 |
| Healthsmart | Commercial|All Plans | $3,894 |
| MultiPlan | Commercial|All Plans | $3,894 |
| BCBS - Anthem | Commercial|All Other Plans | $4,651 |
| United | Commercial|Non-Options PPO | $5,648 |
| BCBS - Anthem | Commercial|Exchange | $8,088 |
| United | Commercial|All Other Plans | $9,363 |
Inpatient
$2,165cash price (self-pay)
$3,973list price
$2,861–$3,894range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Kaiser | Commercial|All Plans | $2,861 |
| Cigna | Commercial|All Other Plans | $3,457 |
| Cigna | Commercial|PPO | $3,457 |
| First Health | Commercial|All Plans | $3,774 |
| Healthsmart | Commercial|All Plans | $3,894 |
| MultiPlan | Commercial|All Plans | $3,894 |
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