Emergency visit, highest (level 5) at St. Mary Medical Center. CPT 99285.
What St. Mary Medical Center publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$2,511cash price (self-pay)
$5,978list price
$140–$12,749range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Noble IPA | Medicaid|< 21 | $140 |
| Noble IPA | Medicaid|> 21 | $140 |
| BCBS - Anthem | Medicaid|All Plans | $155 |
| HCLA | Medicaid|Preferred IPA < 21 | $155 |
| HCLA | Medicaid|Preferred IPA > 21 | $155 |
| Inland Empire Health Plan | Medicaid|All Plans | $155 |
| Partnership Health Plan | Medicaid|< 21 | $155 |
| Health Net | Medicaid|< 21 | $207 |
| Health Net | Medicaid|> 21 | $207 |
| Molina | Medicaid|All Plans | $217 |
| Kaiser | Medicaid|< 21 | $233 |
| Kaiser | Medicaid|> 21 | $233 |
| LA Care | Medicaid|All Plans | $639 |
| Blue Shield CA | Medicaid|All Plans | $775 |
| Care 1st | Medicaid|All Plans | $775 |
| HCLA | Commercial|Preferred IPA | $974 |
| LA Care | Commercial|All Plans | $974 |
| DHR | Medicaid|< 21 | $1,495 |
| DHR | Medicaid|> 21 | $1,495 |
| Healthcare Partners | Commercial|All Plans | $3,109 |
| Blue Shield CA | Commercial|Exchange | $3,467 |
| Cigna | Commercial|All Other Plans | $3,706 |
| Cigna | Commercial|PPO | $3,706 |
| Blue Shield CA | Commercial|All Other Plans | $3,826 |
| Aetna | Commercial|All Other Plans | $4,065 |
| Aetna | Commercial|HMO | $4,065 |
| Aetna | Commercial|PPO | $4,065 |
| Kaiser | Commercial|All Plans | $4,185 |
| HPN | Commercial|All Plans | $4,603 |
| MultiPlan | Commercial|All Plans | $4,782 |
Inpatient
$2,511cash price (self-pay)
$5,978list price
$4,088–$6,116range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Kaiser | Commercial|All Plans | $4,185 |
| MultiPlan | Commercial|All Plans | $4,782 |
| SMIPA | Medicare|All Plans | $5,978 |
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