Emergency visit, high (level 4) at Hamilton County Public Hospital DBA Van Diest Medical Center. CPT 99284.
What Hamilton County Public Hospital DBA Van Diest Medical Center publishes for this service, straight from its standard-charges file, last updated February 5, 2026.
Outpatient / ER
$287cash price (self-pay)
$711list price
$132–$640range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Partners Health Alliance | Commercial | $319 |
| Humana of IA | Commercial PPO (non PPOx)/Medicare Advantage HMO/Medica | $320 |
| Medical Associates | Managed Medicare | $320 |
| Amerigroup | Medicare | $323 |
| Midlands Choice | Commercial | $375 |
| United Healthcare | Commercial | $386 |
| Medical Associates | Commercial | $401 |
| Aetna of IA | Medicare | $405 |
| Iowa Total Care | Managed Medicaid | $406 |
| Amerigroup | Medicaid | $410 |
| Molina Healthcare | Managed Medicaid | $412 |
| United Healthcare | Managed Medicare | $419 |
| Health Alliance-Midwest, Inc. of IA | Commercial | $533 |
| Aetna of IA | Commercial | $640 |
| Aetna of IA | Medical Rental Products | $640 |
Inpatient
$569cash price (self-pay)
$711list price
$498–$640range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Midlands Choice | Commercial | $498 |
| Health Alliance-Midwest, Inc. of IA | Commercial | $533 |
| Medical Associates | Commercial | $533 |
| Aetna of IA | Commercial | $640 |
| Aetna of IA | Medical Rental Products | $640 |
| United Healthcare | Commercial | $640 |
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All common services at Hamilton County Public Hospital DBA Van Diest Medical Center