Emergency visit, moderate (level 3) at Dallas County Hospital. CPT 99283.
What Dallas County Hospital publishes for this service, straight from its standard-charges file, last updated May 29, 2026.
Outpatient / ER
$209cash price (self-pay)
$570list price
$63.36–$571range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicare B IA J5 | Default | $63.36 |
| AmeriGroup Wellpoint | Default | $164 |
| Iowa Total Care MCD Adv (active 7/1/19) | Default | $164 |
| Medicaid Iowa | Default | $164 |
| Molina Healthcare of Iowa MCD Rep | Default | $164 |
| Aetna Medicare Advantage | Default | $257 |
| Humana | Medicare Advantage | $257 |
| Medicare A IA J5 | Default | $257 |
| United Healthcare | Medicare Advantage | $262 |
| United Healthcare | Default | $528 |
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