Emergency visit, high (level 4) at Tri-City Medical Center. CPT 99284.
What Tri-City Medical Center publishes for this service, straight from its standard-charges file, last updated May 29, 2026.
Outpatient / ER
$2,400cash price (self-pay)
$4,000list price
$87.20–$3,266range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Net | Medi-Cal, Healthy Families Healthy Kids | $87.20 |
| Blue Shield of California | Covered California | $401 |
| Multiplan | Auto Medical | $470 |
| Aetna | Medicare Advantage | $537 |
| Central Health Plan | Medicare Advantage | $537 |
| Kaiser Permanente | HMO | $537 |
| Molina Healthcare | Medicare Advantage | $537 |
| Anthem | Medicare Advantage | $537 |
| Blue Shield of California | Medicare Advantage | $537 |
| Community Health Group | Medicare Advantage | $537 |
| Health Net | Medicare Advantage | $537 |
| Humana | Medicare Advantage | $537 |
| Imperial Health Plan of California | Medicare Advantage | $537 |
| Kaiser Permanente | Medicare Advantage | $537 |
| Managed Health Network | Medicare Advantage | $537 |
| UnitedHealthcare | Medicare Advantage | $537 |
| Molina Healthcare | Covered California PPO | $725 |
| Providence Health Plan | Covered California | $751 |
| Health Net | Bronze Network (SmartCare) | $767 |
| Sharp Health Plan | PPO | $805 |
| Health Net | Blue and Gold | $848 |
| Multiplan | Workers Comp | $867 |
| Prospect Health Plan | Medicare Advantage | $1,800 |
| Clever Care of California | Medicare Advantage | $2,000 |
| Blue Shield of California | Commercial | $2,376 |
| Magellan Health | Commercial/Medicare Advantage | $2,400 |
| Multiplan | PPO | $2,800 |
| Cigna | HMO | $2,960 |
| Aetna | Commercial | $3,004 |
| Cigna | PPO | $3,156 |
Inpatient
$2,400cash price (self-pay)
$4,000list price
$2,800–$3,225range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Multiplan | PPO | $2,800 |
| Health Net | Commercial/Covered California PPO | $3,116 |
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