Emergency visit, moderate (level 3) at Cass County Memorial Hospital. CPT 99283.
What Cass County Memorial Hospital publishes for this service, straight from its standard-charges file, last updated June 1, 2026.
Outpatient / ER
$193cash price (self-pay)
$275list price
$55.00–$526range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Midlands Choice Medica Mcr | Midlands Choice Medica Mcr | $82.90 |
| Wellmark HMO | Wellmark HMO | $116 |
| Wellmark PPO - All Other Plans | Wellmark PPO - All Other Plans | $116 |
| Triwest - All Plans | Triwest - All Plans | $144 |
| Aetna Coventry Mcr Adv | Aetna Coventry Mcr Adv | $149 |
| Amerigroup Mcr Adv - All Other Plans | Amerigroup Mcr Adv - All Other | $149 |
| Va Ccn - All Plans | Va Ccn - All Plans | $149 |
| Medica Mcr Adv | Medica Mcr Adv | $149 |
| Tricare - All Plans | Tricare - All Plans | $149 |
| UHC Mcr Adv | UHC Mcr Adv | $149 |
| Wellmark Mcr Adv | Wellmark Mcr Adv | $150 |
| Iowa Total Care Mcr | Iowa Total Care Mcr | $152 |
| American Hlth Mcr Adv - All Plans | American Hlth Mcr Adv - All Plans | $153 |
| Iowa Total Care Comm - All Other Plans | Iowa Total Care Comm - All Ot | $164 |
| Midlands Choice New Bus | Midlands Choice New Bus | $239 |
| Amerigroup Medicaid | Amerigroup Medicaid | $257 |
| Iowa Total Care Mcaid | Iowa Total Care Mcaid | $259 |
| Molina Mcaid - All Plans | Molina Mcaid - All Plans | $259 |
| UHC All Payer -All Other Plans | UHC All Payer -All Other Plans | $288 |
| Midlands Choice Pho (PPO) - All Other Plans | Midlands Choice Pho (PPO | $308 |
| Medica Comm - All Other Plans | Medica Comm - All Other Plans | $365 |
| Aetna Coventry-All Other Plans | Aetna Coventry-All Other Plans | $387 |
| Multiplan - All Plans | Multiplan - All Plans | $394 |
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