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

What Sonoma Valley Hospital publishes for this service, straight from its standard-charges file, last updated May 22, 2026.

Outpatient / ER

$4,105cash price (self-pay)
$5,864list price
$98.04–$10,555range insurers pay
Insurance planNegotiated rate
Medi-Cal | Medi-Cal$98.04
Mcal Mgd Care (Php)-All Plans | Mcal Mgd Care (Php)-All Plans$162
Partnership Healthplan-All Plans | Partnership Healthplan-All Plans$343
Blue Cross Senior | Blue Cross Senior$574
Bright Hlth/Brand New Day Mcr Adv | Bright Hlth/Brand New Day Mcr Adv$574
Veterans Admin-All Plans | Veterans Admin-All Plans$574
Hospice Of Marin-All Plans | Hospice Of Marin-All Plans$574
Marin General Comm/Mcr Adv (Western Hlth)-All Plan | Marin General Com$631
Cdcr Prison-All Plans | Cdcr Prison-All Plans$689
Three Rivers (Trpn)-All Plans | Three Rivers (Trpn)-All Plans$689
Chp - Correctional Health Partners - All Plans | Chp - Correctional He$746
Bright Hlth/Brand New Day - All Other Plands | Bright Hlth/Brand New D$775
Comm Care Network(Ccn)-All Plans | Comm Care Network(Ccn)-All Plans$1,000
Canopy Health Solutions-All Other Plans | Canopy Health Solutions-All $1,033
Canopy Bay Area Accountable Care Ntwrk (Baacn) - A | Canopy Bay Area A$1,033
First Health(Coventry)-All Plans | First Health(Coventry)-All Plans$1,285
Aetna-All Plans | Aetna-All Plans$1,285
Pacificare (Mipa)-All Plans | Pacificare (Mipa)-All Plans$1,364
St Joseph Heritage Hltcare Comm-All Other Plans | St Joseph Heritage H$1,800
Blue Cross HMO/PPO-All Other Plans | Blue Cross HMO/PPO-All Other Plan$2,123
Healthnet HMO/PPO-All Other Plans | Healthnet HMO/PPO-All Other Plans$2,819
Blue Shield PPO-All Plans | Blue Shield PPO-All Plans$3,331
Integrated Health Plan-All Plans | Integrated Health Plan-All Plans$4,339
Champus-All Plans | Champus-All Plans$4,691
Cigna-All Plans | Cigna-All Plans$4,691
Networks By Design - All Plans | Networks By Design - All Plans$4,691
Great West-One Health Plan PPO/POS-All Plans | Great West-One Health P$4,984
Phcs/Multiplan/Beech St-All Plans | Phcs/Multiplan/Beech St-All Plans$4,984
Interplan-All Plans | Interplan-All Plans$5,160
Bps-All Plans | Bps-All Plans$5,278
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All common services at Sonoma Valley Hospital