Emergency visit, moderate (level 3) at Southern California Hospital at Hollywood. CPT 99283.

What Southern California Hospital at Hollywood publishes for this service, straight from its standard-charges file, last updated March 18, 2026.

Outpatient / ER

—cash price (self-pay)

—list price

$3.46–$2,387range insurers pay

Insurance plan	Negotiated rate
Blue Shield of California \| Covered California/IFP/PPO	$3.46
Blue Shield of California \| HMO	$3.97
Blue Shield of California \| EPO/PPO/Out of State	$4.32
Blue Shield Promise \| Medi-Cal	$44.60
Health Net of California \| Managed Medi-Cal	$49.06
Aids Healthcare Foundation \| Managed Medi-Cal	$62.44
Aetna \| All Gatekeeper Plans	$134
Aetna \| All Non-Gatekeeper Plans	$134
Aetna \| Medicare Advantage	$277
Alignment Health Plan \| Medicare Advantage	$277
Central Health Plan \| Medicare Advantage	$277
Health Net of California \| Medicare Advantage	$277
Kaiser \| Medicare Advantage/Medi-Cal	$277
LA Care \| Medicare Advantage/Covered California	$277
Legacy Health Plan \| Medicare Advantage	$277
Molina \| Medicare Advantage	$277
Optum Health \| Commercial HMO	$277
United Healthcare \| Medicare Advantage	$277
Anthem Blue Cross \| Medicare Advantage	$277
Blue Shield of California \| Medicare Advantage	$277
Humana \| Medicare Advantage	$277
Bright Health \| Medicare Advantage	$282
Aids Healthcare Foundation \| Medicare Advantage	$282
Easy Choice (WellCare) \| Medicare Advantage	$282
Imperial Health Plan \| Medicare Advantage	$282
Optum Health \| Medicare Advantage	$282
Clever Care \| Medicare Advantage	$282
Patient Choice \| Medicare Advantage	$291
Prime Health Services \| Medicare Advantage	$291
Bright Health \| Covered California	$305

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