Emergency visit, moderate (level 3) at St. Mary Medical Center. CPT 99283.

What St. Mary Medical Center publishes for this service, straight from its standard-charges file, last updated February 28, 2026.

Outpatient / ER

$1,143cash price (self-pay)

$2,657list price

$57.57–$12,480range insurers pay

Insurance plan	Negotiated rate
Noble IPA \| Medicaid\|< 21	$57.57
Noble IPA \| Medicaid\|> 21	$57.57
BCBS - Anthem \| Medicaid\|All Plans	$63.97
HCLA \| Medicaid\|Preferred IPA < 21	$63.97
HCLA \| Medicaid\|Preferred IPA > 21	$63.97
Inland Empire Health Plan \| Medicaid\|All Plans	$63.97
Partnership Health Plan \| Medicaid\|< 21	$63.97
Health Net \| Medicaid\|< 21	$85.27
Health Net \| Medicaid\|> 21	$85.27
Molina \| Medicaid\|All Plans	$89.56
Kaiser \| Medicaid\|< 21	$95.95
Kaiser \| Medicaid\|> 21	$95.95
LA Care \| Medicaid\|All Plans	$264
Blue Shield CA \| Medicaid\|All Plans	$320
Care 1st \| Medicaid\|All Plans	$320
HCLA \| Commercial\|Preferred IPA	$440
LA Care \| Commercial\|All Plans	$440
DHR \| Medicaid\|< 21	$664
DHR \| Medicaid\|> 21	$664
Healthcare Partners \| Commercial\|All Plans	$1,382
Blue Shield CA \| Commercial\|Exchange	$1,541
Cigna \| Commercial\|All Other Plans	$1,647
Cigna \| Commercial\|PPO	$1,647
Blue Shield CA \| Commercial\|All Other Plans	$1,700
Aetna \| Commercial\|All Other Plans	$1,807
Aetna \| Commercial\|HMO	$1,807
Aetna \| Commercial\|PPO	$1,807
Kaiser \| Commercial\|All Plans	$1,860
HPN \| Commercial\|All Plans	$2,046
Health Net \| Commercial\|EPPO	$2,084

$1,143cash price (self-pay)

$2,657list price

$1,860–$2,657range insurers pay

Insurance plan	Negotiated rate
Kaiser \| Commercial\|All Plans	$1,860
MultiPlan \| Commercial\|All Plans	$2,126
SMIPA \| Medicare\|All Plans	$2,657

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