Emergency visit, moderate (level 3) at White Memorial Medical Center. CPT 99283.
What White Memorial Medical Center publishes for this service, straight from its standard-charges file, last updated May 23, 2026.
Outpatient / ER
$45.90cash price (self-pay)
$3,450list price
$44.60–$5,279range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Ahp Medi-Cal | Ahp Medi-Cal | $63.97 |
| Lasalle Mg Medi-Cal | Lasalle Mg Medi-Cal | $63.97 |
| Pacific Ipa Medi-Cal | Pacific Ipa Medi-Cal | $63.97 |
| Access Medi-Cal | Access Medi-Cal | $63.97 |
| Altamed Medi-Cal - All Other Plans | Altamed Medi-Cal - All Other Plan | $73.57 |
| Healthnet Mcal | Healthnet Mcal | $76.19 |
| Care First Medi-Cal | Care First Medi-Cal | $290 |
| Bc Medi-Cal | Bc Medi-Cal | $295 |
| Access Group | Access Group | $298 |
| Lasalle Mg Commercial - All Other Plans | Lasalle Mg Commercial - All | $298 |
| Ahp - All Other Plans | Ahp - All Other Plans | $298 |
| Brand New Day Mcare - All Plans | Brand New Day Mcare - All Plans | $351 |
| Clever Care - All Plans | Clever Care - All Plans | $351 |
| Lasalle Mg Senior | Lasalle Mg Senior | $351 |
| Pacific Alliance Mcare - All Other Plans | Pacific Alliance Mcare - Al | $351 |
| Sunlight Living Hlth Mcr Adv-All Other Plans | Sunlight Living Hlth Mc | $351 |
| Tricare Blue Shield-All Plans | Tricare Blue Shield-All Plans | $351 |
| Access Senior - All Other Plans | Access Senior - All Other Plans | $351 |
| Fcs Ipa Op/Profee Only - All Other Plans | Fcs Ipa Op/Profee Only - Al | $369 |
| Preferred Commercial - All Other Plans | Preferred Commercial - All Ot | $421 |
| Molina Benefit Exchange - All Other Plans | Molina Benefit Exchange - | $474 |
| Ah Employee Health Plan - All Plans | Ah Employee Health Plan - All Pl | $632 |
| Scan Health Mcare - All Plans | Scan Health Mcare - All Plans | $1,200 |
| La Care Mcr Adv - All Plans | La Care Mcr Adv - All Plans | $1,500 |
| Bella Vista Mcr Adv Op/Profee Only - All Other Pla | Bella Vista Mcr A | $1,600 |
| Blue Shield Mcr Adv | Blue Shield Mcr Adv | $1,600 |
| Blue Cross Mcs - All Other Plans | Blue Cross Mcs - All Other Plans | $1,604 |
| Caremore Mcare - All Plans | Caremore Mcare - All Plans | $1,725 |
| Cigna | Cigna | $1,739 |
| Cigna All Other - All Other Plans | Cigna All Other - All Other Plans | $1,739 |
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