Emergency visit, high (level 4) at Victor Valley Global Medical Center. CPT 99284.
What Victor Valley Global Medical Center publishes for this service, straight from its standard-charges file, last updated May 13, 2026.
Outpatient / ER
$2,177cash price (self-pay)
$2,177list price
$80.65–$2,418range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| LaSalle Medical Assoc | LaSalle Medical Assoc (Ancillary) MCAL HMO | $80.65 |
| Health Net | Health Net Medi-Cal HMO | $98.04 |
| Heritage Provider Network | Heritage Provider Network Med-Cal | $98.04 |
| Inland Faculty Medical Group | Inland Faculty Med Grp MCAL HMO | $98.04 |
| Kaiser | Kaiser Medi-cal HMO | $98.04 |
| AltaMed | AltaMed Health Services MCAL HMO | $137 |
| AltaMed | AltaMed MCAL/PACE | $137 |
| IEHP | IEHP Direct | $147 |
| Blue Shield | Blue Shield EPN | $250 |
| Blue Shield | Blue Shield | $295 |
| Tricare | Tricare | $315 |
| Aetna Healthcare | Aetna SR | $327 |
| Blue Shield | Blue Shield SR | $327 |
| Central Health Plan | Central Health Plan SR | $327 |
| Desert View Correctional | Desert View Correctional | $327 |
| Epic Medical Network | Epic Medical Network SR | $327 |
| Health Net | Health Net SR | $327 |
| IEHP | IEHP Medicare Advantage | $327 |
| Inter Valley | Inter Valley Health Plan SR | $327 |
| Other Medicare Senior | Other Medicare Senior | $327 |
| United Healthcare | United Healthcare SR | $327 |
| US Dept of Labor | US Dept of Labor/Workers Comp | $327 |
| Hardship Program | AB774 Hardship Program | $328 |
| Alignment Health Plan | Alignment Health Plan MCare Adv | $328 |
| Prime Health Services | Prime Health Services SR | $376 |
| Heritage Provider Network | Heritage Provider Network Exchange | $980 |
| Heritage Provider Network | Heritage Provider Network HMO | $980 |
| Aetna Healthcare | Aetna | $1,004 |
| Cigna Healthcare | Cigna HMO/PPO | $1,086 |
| Brand New Day | Brand New Day Medi-Cal | $1,130 |
Inpatient
$2,177cash price (self-pay)
$2,177list price
$1,143–$2,177range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| First Health/CCN | First Health/CCN | $1,143 |
| Kaiser | Kaiser Commercial HMO | $1,324 |
| MultiPlan | MultiPlan | $1,524 |
| MultiPlan | MultiPlan WCOMP | $1,524 |
| Provider Network of America | PNOA-Provider Network of America | $1,742 |
| Prime Health Services | Prime Health Services PPO | $1,742 |
| Other Commercial Non-Contract | Other Commercial Non-Contract | $2,177 |
| Private Pay | Private Pay | $2,177 |
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