Emergency visit, high (level 4) at St. Elizabeth Community Hospital. CPT 99284.
What St. Elizabeth Community Hospital publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$2,867cash price (self-pay)
$15,154list price
$140–$24,889range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS - Anthem | Medicaid|All Plans | $140 |
| California Health & Wellness | Medicaid|All Plans | $194 |
| Partnership Health Plan | Medicaid|All Plans | $422 |
| Aetna | Medicare|All Plans | $541 |
| BCBS - Anthem | Medicare|All Plans | $541 |
| Blue Shield CA | Medicare|All Plans | $541 |
| Health Net | Medicare|All Plans | $541 |
| Humana | Medicare|All Plans | $541 |
| Kaiser | Medicare|All Plans | $541 |
| United | Medicare|All Plans | $541 |
| BCBS - Anthem | Commercial|Exchange | $7,880 |
| Blue Shield CA | Commercial|Exchange | $8,486 |
| BCBS - Anthem | Commercial|All Other Plans | $9,698 |
| Aetna | Commercial|All Other Plans | $10,607 |
| Aetna | Commercial|HMO | $10,607 |
| Aetna | Commercial|PPO | $10,607 |
| Blue Shield CA | Commercial|All Other Plans | $11,062 |
| Cigna | Commercial|All Other Plans | $11,062 |
| Cigna | Commercial|PPO | $11,062 |
| United | Commercial|All Other Plans | $13,638 |
| United | Commercial|HMO | $14,093 |
| Coventry | Commercial|All Plans | $14,850 |
| Health Net | Commercial|All Plans | $14,850 |
| MultiPlan | Commercial|All Plans | $14,850 |
Inpatient
$2,867cash price (self-pay)
$15,154list price
$2,750–$24,889range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Shield CA | Commercial|Exchange | $8,486 |
| Blue Shield CA | Commercial|All Other Plans | $11,062 |
| Cigna | Commercial|All Other Plans | $11,062 |
| Cigna | Commercial|PPO | $11,062 |
| Aetna | Commercial|All Other Plans | $11,214 |
| Aetna | Commercial|HMO | $11,214 |
| Aetna | Commercial|PPO | $11,214 |
| United | Commercial|All Other Plans | $13,638 |
| United | Commercial|HMO | $14,093 |
| Coventry | Commercial|All Plans | $14,850 |
| Health Net | Commercial|All Plans | $14,850 |
| MultiPlan | Commercial|All Plans | $14,850 |
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