Emergency Department Visit with Moderate Level of Medical Decision Making Cost in California
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 201 California hospitals. CPT 99284. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
📊 Median $1,953
📉 Low $40.48
📈 High $13,840
🏥 201 hospitals
🏛️ 144 with insurance contracts
🇺🇸 Medicare $119
Hospital comparison — California
Sorted by cash price (lowest first). Showing top 60 of 201 hospitals.
Billed more than $1,953 for this? That gap is evidence.
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| Hospital | Cash | BCBS | Aetna | Health Net | Kaiser | UHC | Cigna | MultiPlan | Humana |
|---|---|---|---|---|---|---|---|---|---|
| SAINT AGNES MEDICAL CENTER FRESNO |
$40.48 | — | — | — | — | — | — | — | — |
| OROVILLE HOSPITAL OROVILLE |
$232 | $415 | $422 | $370 | — | $394 | $370 | $370 | — |
| MARK TWAIN MEDICAL CENTER SAN ANDREAS |
$237 | $92.10 | $92.10 | $92.10 | $92.10 | $92.10 | $319 | $349 | $92.10 |
| PROVIDENCE ST. JOSEPH HOSPITAL - ORANGE ORANGE |
$258 | $562 | $537 | $993 | — | — | — | — | — |
| STANFORD HEALTH CARE STANFORD |
$262 | $351 | $380 | $281 | $283 | $409 | $211 | $283 | — |
| EISENHOWER MEDICAL CENTER RANCHO MIRAGE |
$266 | — | — | — | — | — | — | — | — |
| KERN MEDICAL CENTER BAKERSFIELD |
$296 | — | — | — | — | — | — | — | — |
| PROVIDENCE MISSION HOSPITAL LAGUNA BEACH LAGUNA BEACH |
$332 | $562 | $537 | $993 | — | — | — | — | — |
| COLORADO RIVER MEDICAL CENTER NEEDLES |
$423 | — | — | — | — | — | — | — | — |
| JEROLD PHELPS COMMUNITY HOSPITAL GARBERVILLE |
$502 | — | — | — | — | — | — | — | — |
| PIH HEALTH DOWNEY HOSPITAL BROOKSHIRE AVE DOWNEY |
$517 | $939 | — | — | $393 | $2,016 | — | — | — |
| EASTERN PLUMAS HOSPITAL-LOYALTON CAMPUS ST AVENUE POROLA |
$530 | — | — | — | — | — | — | — | — |
| PIH HEALTH WHITTIER HOSPITAL WASHINGTON BLVD WHITTIER |
$534 | $1,377 | $1,374 | — | — | $2,769 | — | — | $386 |
| DESERT VALLEY HOSPITAL VICTORVILLE |
$534 | $98.04 | $534 | $105 | — | $534 | — | — | — |
| WEST ANAHEIM MEDICAL CENTER ANAHEIM |
$534 | $534 | $682 | $105 | — | — | — | — | — |
| CENTINELA HOSPITAL MEDICAL CENTER INGLEWOOD |
$534 | $98.04 | $682 | $98.04 | — | — | — | $704 | — |
| HUNTINGTON BEACH HOSPITAL HUNTINGTON BEACH |
$534 | $534 | — | $105 | — | — | — | — | — |
| SAN DIMAS COMMUNITY HOSPITAL SAN DIMAS |
$534 | $98.04 | $682 | $105 | — | $534 | — | — | — |
| CHINO VALLEY MEDICAL CENTER CHINO |
$534 | $98.04 | $682 | $105 | — | — | — | — | — |
| ENCINO HOSPITAL MEDICAL CENTER ENCINO |
$534 | $98.04 | $682 | $98.04 | — | — | — | $682 | — |
| ST. FRANCIS MEDICAL CENTER LYNWOOD |
$534 | $103 | $801 | $98.04 | $98.04 | $534 | — | $682 | — |
| SHERMAN OAKS HOSPITAL SHERMAN OAKS |
$534 | $98.04 | $682 | $98.04 | — | — | — | $622 | — |
| GARDEN GROVE HOSPITAL AND MEDICAL CENTER GARDEN GROVE |
$534 | $534 | $682 | $105 | — | — | — | — | — |
| PARADISE VALLEY HOSPITAL NATIONAL CITY |
$534 | $534 | $98.04 | $105 | — | $98.04 | — | — | — |
| MONTCLAIR HOSPITAL MEDICAL CENTER MONTCLAIR |
$534 | $98.04 | — | $105 | — | — | — | — | — |
| LA PALMA INTERCOMMUNITY HOSPITAL LA PALMA |
$534 | $98.04 | $682 | $105 | — | — | — | — | — |
| SHASTA REGIONAL MEDICAL CENTER REDDING |
$534 | $534 | $682 | $534 | — | — | — | — | — |
| CONTRA COSTA REGIONAL MEDICAL CENTER MATRINEZ |
$555 | — | — | — | — | — | — | — | — |
| PROVIDENCE REDWOOD MEMORIAL HOSPITAL FORTUNA |
$631 | — | — | — | — | — | — | — | — |
| SAN GORGONIO MEMORIAL HOSPITAL BANNING |
$661 | $15.30 | $53.40 | $70.00 | $534 | $75.00 | $40.90 | — | — |
| PROVIDENCE ST. JOSEPH HOSPITAL EUREKA EUREKA |
$699 | — | $537 | — | — | — | — | — | — |
| FRESNO SURGICAL HOSPITAL FRESNO |
$729 | — | — | — | — | — | — | — | $566 |
| O'CONNOR HOSPITAL SAN JOSE |
$776 | — | — | — | — | — | — | — | — |
| ST. LOUISE REGIONAL HOSPITAL GILROY |
$776 | — | — | — | — | — | — | — | — |
| SANTA CLARA VALLEY MEDICAL CENTER SAN JOSE |
$776 | — | — | — | — | — | — | — | — |
| REGIONAL MEDICAL CENTER SANTA CLARA VALLEY HEALTHCARE SAN JOSE |
$776 | — | — | — | — | — | — | — | — |
| PROVIDENCE QUEEN OF THE VALLEY MEDICAL CENTER NAPA |
$807 | — | $592 | — | — | — | — | — | — |
| PROVIDENCE SANTA ROSA MEMORIAL HOSPITAL SANTA ROSA |
$817 | — | $592 | $581 | — | — | — | — | — |
| BEAR VALLEY COMMUNITY HOSPITAL BIG BEAR LAKE |
$861 | $830 | — | $861 | — | $1,045 | — | — | — |
| ST. BERNARDINE MEDICAL CENTER SAN BERNARDINO |
$877 | $541 | $1,475 | $148 | $465 | $541 | $1,633 | $2,107 | $541 |
| ST. JOHN'S HOSPITAL CAMARILLO CAMARILLO |
$879 | $541 | $541 | $148 | $541 | $541 | $1,736 | $1,694 | $541 |
| USC ARCADIA HOSPITAL W HUNTINGTON DRIVE ARCADIA |
$917 | $69.00 | $100 | $53.13 | $100 | $100 | $60.20 | $63.00 | $100 |
| FRENCH HOSPITAL MEDICAL CENTER SAN LUIS OBISPO |
$920 | $541 | $541 | $121 | $541 | $541 | $1,642 | $2,299 | $541 |
| MERCY GENERAL HOSPITAL SACRAMENTO |
$930 | $560 | $560 | $227 | $560 | $98.04 | $2,816 | $3,413 | $560 |
| SCRIPPS MERCY HOSPITAL SAN DIEGO |
$971 | — | — | — | — | — | — | — | — |
| SCRIPPS GREEN HOSPITAL LA JOLLA |
$971 | — | — | — | — | — | — | — | — |
| SCRIPPS MEMORIAL HOSPITAL ENCINITAS ENCINITAS |
$971 | — | — | — | — | — | — | — | — |
| SCRIPPS MEMORIAL HOSPITAL LA JOLLA LA JOLLA |
$971 | — | — | — | — | — | — | — | — |
| SCRIPPS MERCY HOSPITAL CHULA VISTA CHULA VISTA |
$971 | — | — | — | — | — | — | — | — |
| NORTHRIDGE HOSPITAL MEDICAL CENTER NORTHRIDGE |
$1,003 | $490 | $541 | $131 | $98.04 | $541 | $1,761 | $2,875 | $541 |
| DIGNITY HEALTH GLENDALE MEMORIAL HOSPITAL AND HEALTH CENTER GLENDALE |
$1,004 | $1,725 | $1,386 | $98.04 | $147 | $541 | $1,910 | $2,465 | $541 |
| COMMUNITY HOSPITAL OF SAN BERNARDINO SAN BERNARDINO |
$1,020 | $541 | $1,278 | $148 | $98.04 | $541 | $1,618 | $2,087 | $541 |
| PROVIDENCE ST. JOHN'S HEALTH CENTER SANTA MONICA |
$1,030 | $540 | $537 | $993 | — | — | — | — | $547 |
| DIGNITY HEALTH - MARIAN REGIONAL MEDICAL CENTER SANTA MARIA |
$1,084 | $1,496 | $541 | $148 | $541 | $541 | $7,148 | $2,256 | $541 |
| ARROYO GRANDE COMMUNITY HOSPITAL ARROYO GRANDE |
$1,084 | $541 | $541 | $148 | $541 | $541 | $7,148 | $2,481 | $541 |
| ST. JOHN'S REGIONAL MEDICAL CENTER OXNARD |
$1,113 | $154 | $154 | $148 | $541 | $154 | $2,084 | $1,982 | $541 |
| MERCY SAN JUAN HOSPITAL CARMICHAEL |
$1,169 | $560 | $560 | $225 | $560 | $98.04 | $2,816 | $3,541 | $560 |
| WOODLAND MEMORIAL HOSPITAL WOODLAND |
$1,169 | $560 | $560 | $247 | $560 | $98.04 | $1,792 | $3,925 | — |
| PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE TORRANCE |
$1,169 | $562 | $537 | $993 | — | — | — | — | $547 |
| PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER SAN PEDRO SAN PEDRO |
$1,169 | $562 | $537 | $993 | — | — | — | — | $547 |
What these prices are. Each figure is the facility’s own published self-pay (cash) price for CPT 99284, filed under the federal price transparency rule (45 CFR Part 180). Hospital facility charges may not include separate physician, anesthesia, or pathology fees. National median for this code: $834 across all reporting facilities. Dataset: Q4 2026. Always confirm the final price with the facility before booking.
Billed more than $1,953 for this?
That is the median of what the 201 California hospitals above publish for Emergency department visit with moderate level of medical decision making — their own figures, filed under federal law. A bill well above them is evidence you can put in writing.
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Medicare reimbursement benchmark
For CPT 99284 in California, Medicare reimburses about $119 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in California range from $40.48 to $13,840 — that means hospital cash prices are typically 16.4x what Medicare pays. If a self-pay quote you receive is more than 2-3x the Medicare rate, ask the hospital for the cash-discount price in writing.
Frequently asked questions
- How much does emergency department visit with moderate level of medical decision making cost in California?
- Cash prices for emergency department visit with moderate level of medical decision making (CPT 99284) in California range from $40.48 to $13,840, with a median of $1,953. Prices vary widely by hospital.
- Where can I find the cheapest emergency department visit with moderate level of medical decision making in California?
- The cheapest California hospital published cash price for this procedure is $40.48. Use the table above sorted by cash price to find the lowest-priced facility near you.
- Are these the prices I'll pay?
- These are the rates hospitals publish. Final price depends on your insurance, deductible, and the specific services billed. Always confirm with the facility and your insurer before any procedure.
- Why do prices vary so much between hospitals?
- Hospitals set cash prices independently, and insurance contracts negotiate different rates per payer. Two facilities a few miles apart can charge 5-10x different prices for the same procedure.
- Where does this data come from?
- Federal law (45 CFR § 180) requires hospitals to publish their pricing in a machine-readable file. We aggregate these files and republish in a consumer-friendly format.
Emergency department visit with moderate level of medical decision making in nearby states
Other procedures in California
Methodology. Cash prices and insurance-negotiated rates published by each California facility under federal price transparency rules (45 CFR § 180). CPT code 99284 (Doctor Visits). Data refreshed regularly; verify with the facility before any procedure.