Emergency visit, high (level 4) at Simi Valley Hospital And Health Care Services. CPT 99284.
What Simi Valley Hospital And Health Care Services publishes for this service, straight from its standard-charges file, last updated May 21, 2026.
Outpatient / ER
$608cash price (self-pay)
$3,798list price
$121–$3,680range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Gold Coast Mcal - All Plans | Gold Coast Mcal - All Plans | $121 |
| Blue Shield Mcare | Blue Shield Mcare | $537 |
| Facey Medical Mdcare | Facey Medical Mdcare | $537 |
| Medicare 1/1/21 | Medicare 1/1/21 | $537 |
| Tricare Blue Shield - All Plans | Tricare Blue Shield - All Plans | $537 |
| UHC Mcr Adv | UHC Mcr Adv | $537 |
| Facey Medical HMO/POS - All Other Plans | Facey Medical HMO/POS - All | $644 |
| Ah Employee Health Plan - All Plans | Ah Employee Health Plan - All Pl | $966 |
| Centivo - All Plans | Centivo - All Plans | $1,208 |
| Scan Mcr Adv - All Plans | Scan Mcr Adv - All Plans | $1,500 |
| Vchcp - All Plans | Vchcp - All Plans | $1,519 |
| Bc Exchange | Bc Exchange | $1,550 |
| Bc Non Mcs | Bc Non Mcs | $1,723 |
| Hpn Senior HMO | Hpn Senior HMO | $1,727 |
| Ehn - All Plans | Ehn - All Plans | $1,899 |
| Kaiser - All Plans | Kaiser - All Plans | $1,899 |
| Western Growers - All Plans | Western Growers - All Plans | $1,956 |
| Bc Mcs - All Other Plans | Bc Mcs - All Other Plans | $2,067 |
| Hpn - All Other Plans | Hpn - All Other Plans | $2,290 |
| Blue Shield - All Other Plans | Blue Shield - All Other Plans | $2,440 |
| First Health - All Plans | First Health - All Plans | $2,659 |
| Choicecare PPO - All Plans | Choicecare PPO - All Plans | $2,849 |
| Phcs PPO - All Plans | Phcs PPO - All Plans | $2,849 |
| Health Net - All Plans | Health Net - All Plans | $2,863 |
| UHC HMO | UHC HMO | $2,924 |
| Cigna All Other - All Other Plans | Cigna All Other - All Other Plans | $3,023 |
| Cigna HMO | Cigna HMO | $3,023 |
| Beech Street PPO - All Plans | Beech Street PPO - All Plans | $3,038 |
| Corvel Corp - All Plans | Corvel Corp - All Plans | $3,038 |
| Interplan PPO - All Plans | Interplan PPO - All Plans | $3,038 |
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All common services at Simi Valley Hospital And Health Care Services