Emergency visit, high (level 4) at San Martin Hospital. CPT 99284.
What San Martin Hospital publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$858cash price (self-pay)
$4,186list price
$108–$6,948range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Sierra Health Plan NV | Medicaid|All Plans | $108 |
| Aetna | Medicare|All Plans | $471 |
| BCBS - Anthem | Medicare|All Plans | $471 |
| Humana | Medicare|All Plans | $471 |
| CareMore | Medicare|All Plans | $480 |
| Intermountain | Medicare|All Plans | $480 |
| United | Medicare|All Plans | $480 |
| United | Commercial|DH Employees | $1,256 |
| Aetna | Commercial|HMO | $1,758 |
| Health Services Coalition | Commercial|All Plans | $1,967 |
| Coventry | Commercial|All Plans | $2,093 |
| Aetna | Commercial|All Other Plans | $2,344 |
| Aetna | Commercial|PPO | $2,344 |
| MultiPlan | Commercial|All Plans | $2,888 |
| BCBS - Anthem | Commercial|HMO | $2,937 |
| United | Commercial|Options | $3,014 |
| Teachers Health Trust | Commercial|All Plans | $3,307 |
| Health Plan of NV | Commercial|All Plans | $4,696 |
| BCBS - Anthem | Commercial|PPO | $5,185 |
| United | Commercial|All Payer | $5,452 |
| Cigna | Commercial|All Other Plans | $5,817 |
| Cigna | Commercial|PPO | $5,817 |
| Sierra Health Options | Commercial|Prime | $5,971 |
| Sierra Health Options | Commercial|State of NV | $6,948 |
Inpatient
$858cash price (self-pay)
$4,186list price
$1,256–$3,014range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United | Commercial|DH Employees | $1,256 |
| Coventry | Commercial|All Plans | $2,093 |
| MultiPlan | Commercial|All Plans | $2,888 |
| United | Commercial|Options | $3,014 |
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