Emergency visit, high (level 4) at Twin Cities Community Hospital. CPT 99284.
What Twin Cities Community Hospital publishes for this service, straight from its standard-charges file, last updated January 10, 2026.
Outpatient / ER
$508cash price (self-pay)
$7,693list price
$536–$19,239range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UHC Mcr Adv | UHC Mcr Adv | $536 |
| Aetna Mcr Adv | Aetna Mcr Adv | $536 |
| Cencal Mcr Adv - All Other Plans | Cencal Mcr Adv - All Other Plans | $536 |
| Tricare Blue Shield-All Plans | Tricare Blue Shield-All Plans | $536 |
| Cfmg-CA Forensic Med Grp Op/Profee Only-All Plans | Cfmg-CA Forensic M | $696 |
| Ah Employee Health Plan - All Plans | Ah Employee Health Plan - All Pl | $964 |
| Blue Shield Epn | Blue Shield Epn | $2,669 |
| Blue Shield HMO/POS | Blue Shield HMO/POS | $3,054 |
| Blue Shield EPO/PPO - All Other Plans | Blue Shield EPO/PPO - All Othe | $3,608 |
| Hpn-Heritage Prov Ntwrk-All Plans | Hpn-Heritage Prov Ntwrk-All Plans | $4,000 |
| Chn-Community Hlth Ntwrk-All Plans | Chn-Community Hlth Ntwrk-All Plan | $4,231 |
| Nbd-Ntwrks By Design Exlus-All Other Plans | Nbd-Ntwrks By Design Exlu | $4,443 |
| Nbd-Ntwrks By Design Non-Exlus | Nbd-Ntwrks By Design Non-Exlus | $4,443 |
| Aetna - All Other Plans | Aetna - All Other Plans | $4,770 |
| Pacific Health Alliance-All Plans | Pacific Health Alliance-All Plans | $6,924 |
| Medi-Cal | Medi-Cal | $7,693 |
| Cencal Mcal | Cencal Mcal | $8,770 |
| Blue Shield Promise Mcal | Blue Shield Promise Mcal | $9,247 |
| Ccah-Centrl CA Allince Mcal-All Plans | Ccah-Centrl CA Allince Mcal-Al | $10,001 |
| Coalinga-All Plans | Coalinga-All Plans | $10,001 |
| UHC HMO | UHC HMO | $13,398 |
| UHC All Payer - All Other Plans | UHC All Payer - All Other Plans | $15,388 |
| UHC PPO | UHC PPO | $19,239 |
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