Emergency visit, moderate (level 3) at Audubon County Memorial Hospital. CPT 99283.
What Audubon County Memorial Hospital publishes for this service, straight from its standard-charges file, last updated September 14, 2026.
Outpatient / ER
$300cash price (self-pay)
$338list price
$64.65–$368range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Wellmark HMO | Wellmark HMO | $111 |
| Wellmark PPO - All Other Plans | Wellmark PPO - All Other Plans | $111 |
| Aetna Mcr Adv | Aetna Mcr Adv | $167 |
| Tricare - All Plans | Tricare - All Plans | $167 |
| UHC All Payer - All Plans | UHC All Payer - All Plans | $195 |
| Molina Mcaid - All Plans | Molina Mcaid - All Plans | $319 |
| Iowa Total Care Mcaid - All Plans | Iowa Total Care Mcaid - All Plans | $322 |
| Amerigroup Mcaid - All Plans | Amerigroup Mcaid - All Plans | $335 |
| Aetna Comm - All Other Plans | Aetna Comm - All Other Plans | $338 |
| Midlands Choice - All Plans | Midlands Choice - All Plans | $368 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.