Emergency visit, high (level 4) at Crawford County Memorial Hospital. CPT 99284.
What Crawford County Memorial Hospital publishes for this service, straight from its standard-charges file, last updated July 27, 2026.
Outpatient / ER
$522cash price (self-pay)
$710list price
$110–$751range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerigroup Mcr Adv-All Plans | Amerigroup Mcr Adv-All Plans | $220 |
| Wellmark PPO-All Other Plans | Wellmark PPO-All Other Plans | $294 |
| Wellmark HMO | Wellmark HMO | $294 |
| UHC Comm-All Plans | UHC Comm-All Plans | $453 |
| Avera-All Plans | Avera-All Plans | $461 |
| Medica Comm-All Plans | Medica Comm-All Plans | $464 |
| Midlands Choice-All Plans | Midlands Choice-All Plans | $464 |
| Iowa Total Care Mcaid-All Plans | Iowa Total Care Mcaid-All Plans | $506 |
| Sanford Health-All Plans | Sanford Health-All Plans | $532 |
| Multiplan-All Plans | Multiplan-All Plans | $674 |
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