Emergency visit, high (level 4) at Cass County Memorial Hospital. CPT 99284.
What Cass County Memorial Hospital publishes for this service, straight from its standard-charges file, last updated June 1, 2026.
Outpatient / ER
$283cash price (self-pay)
$404list price
$80.80–$809range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Midlands Choice Medica Mcr | Midlands Choice Medica Mcr | $126 |
| Wellmark HMO | Wellmark HMO | $198 |
| Wellmark PPO - All Other Plans | Wellmark PPO - All Other Plans | $198 |
| Triwest - All Plans | Triwest - All Plans | $227 |
| Aetna Coventry Mcr Adv | Aetna Coventry Mcr Adv | $234 |
| Amerigroup Mcr Adv - All Other Plans | Amerigroup Mcr Adv - All Other | $234 |
| Tricare - All Plans | Tricare - All Plans | $234 |
| UHC Mcr Adv | UHC Mcr Adv | $234 |
| Medica Mcr Adv | Medica Mcr Adv | $234 |
| Va Ccn - All Plans | Va Ccn - All Plans | $234 |
| Wellmark Mcr Adv | Wellmark Mcr Adv | $236 |
| Iowa Total Care Mcr | Iowa Total Care Mcr | $239 |
| American Hlth Mcr Adv - All Plans | American Hlth Mcr Adv - All Plans | $241 |
| Iowa Total Care Comm - All Other Plans | Iowa Total Care Comm - All Ot | $257 |
| Amerigroup Medicaid | Amerigroup Medicaid | $386 |
| Molina Mcaid - All Plans | Molina Mcaid - All Plans | $389 |
| Iowa Total Care Mcaid | Iowa Total Care Mcaid | $389 |
| Midlands Choice New Bus | Midlands Choice New Bus | $389 |
| UHC All Payer -All Other Plans | UHC All Payer -All Other Plans | $453 |
| Midlands Choice Pho (PPO) - All Other Plans | Midlands Choice Pho (PPO | $495 |
| Medica Comm - All Other Plans | Medica Comm - All Other Plans | $553 |
| Aetna Coventry-All Other Plans | Aetna Coventry-All Other Plans | $587 |
| Multiplan - All Plans | Multiplan - All Plans | $597 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.