Emergency visit, high (level 4) at Guttenberg Municipal Hospital. CPT 99284.
What Guttenberg Municipal Hospital publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$26.40cash price (self-pay)
$455list price
$17.00–$667range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| AETNA | Medicare | $210 |
| AETNA | Medicare HMO | $210 |
| AETNA | Medicare PPO | $210 |
| MEDICAL ASSOCIATES | Medicare | $210 |
| WELLMARK | Medicare | $210 |
| HUMANA | Medicare | $223 |
| IOWA TOTAL CARE | Medicaid | $242 |
| MOLINA | Medicare | $247 |
| MIDLANDS CHOICE | Commercial | $283 |
| Medical Associates | HMO | $303 |
| HEALTH CHOICES | Commercial | $348 |
| QUARTZ | Commercial | $364 |
Inpatient
$26.40cash price (self-pay)
$405list price
$22.00–$776range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Wellmark | HMO | $271 |
| Wellmark | PPO | $271 |
| HEALTH PARTNERS | Commercial | $283 |
| MIDLANDS CHOICE | Commercial | $283 |
| Medical Associates | HMO | $303 |
| QUARTZ | Commercial | $324 |
| HEALTH CHOICES | Commercial | $348 |
| UHC | Commercial | $372 |
| AETNA | Medicare | $405 |
| AETNA | Medicare HMO | $405 |
| AETNA | Medicare PPO | $405 |
| HUMANA | Medicare | $405 |
| IOWA TOTAL CARE | Medicaid | $405 |
| MEDICAL ASSOCIATES | Medicare | $405 |
| MOLINA | Medicare | $405 |
| UHC | Medicare | $405 |
| WELLMARK | Medicare | $405 |
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