Emergency visit, high (level 4) at Clarke County Hospital. CPT 99284.
What Clarke County Hospital publishes for this service, straight from its standard-charges file, last updated June 4, 2026.
Outpatient / ER
$44.39cash price (self-pay)
$650list price
$106–$725range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Iowa Total Care | Managed Medicaid | $106 |
| Molina Healthcare | Managed Medicaid | $106 |
| Wellpoint | Managed Medicaid | $106 |
| Aetna | Medicare Advantage | $126 |
| Blue Cross Medicare Blue | Medicare Advantage | $126 |
| Health Partners | Medicare Advantage | $126 |
| Humana Choice | Medicare Advantage | $126 |
| United Healthcare Medicare Solutions | Medicare Advantage | $126 |
| Wellpoint | Medicare Advantage | $126 |
| Wellmark | Commercial | $188 |
| United Healthcare | Commercial | $674 |
| Aetna Coventry | Commercial | $681 |
| Cigna | Commercial | $681 |
| Health Partners | Commercial/Self-Funded | $681 |
| Midlands Choice | Commercial | $681 |
Inpatient
$488cash price (self-pay)
$695list price
$592–$725range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Wellmark | Commercial | $632 |
| United Healthcare | Commercial | $674 |
| Aetna Coventry | Commercial | $681 |
| Cigna | Commercial | $681 |
| Health Partners | Commercial/Self-Funded | $681 |
| Midlands Choice | Commercial | $681 |
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