Emergency visit, high (level 4) at Jefferson County Health Center. CPT 99284.
What Jefferson County Health Center publishes for this service, straight from its standard-charges file, last updated August 20, 2026.
Outpatient / ER
$290cash price (self-pay)
$720list price
$75.00–$1,000range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UHC Mcr Adv | UHC Mcr Adv | $245 |
| Tricare - All Plans | Tricare - All Plans | $272 |
| Iowa Total Care Comm - All Other Plans | Iowa Total Care Comm - All Ot | $281 |
| Iowa Total Care Mcr | Iowa Total Care Mcr | $281 |
| Amerigroup Mcr Adv | Amerigroup Mcr Adv | $281 |
| Humana Medicare-All Plans | Humana Medicare-All Plans | $281 |
| Molina Mcr Adv | Molina Mcr Adv | $281 |
| UHC Va Ccn | UHC Va Ccn | $281 |
| Molina Mcaid/Chip | Molina Mcaid/Chip | $305 |
| Iowa Total Care Mcaid | Iowa Total Care Mcaid | $305 |
| Amerigroup Medicaid - All Other Plans | Amerigroup Medicaid - All Othe | $311 |
| Aetna Mcr Adv | Aetna Mcr Adv | $353 |
| Coventry Medicare | Coventry Medicare | $353 |
| Midlands New Product | Midlands New Product | $590 |
| Midlands Choice-All Other Plans | Midlands Choice-All Other Plans | $648 |
| UHC All Payer-All Other Plans | UHC All Payer-All Other Plans | $648 |
| Coventry Commercial HMO | Coventry Commercial HMO | $657 |
| Aetna-All Other Plans | Aetna-All Other Plans | $695 |
| Coventry Commercial PPO - All Other Plans | Coventry Commercial PPO - | $695 |
| Molina Marketplace - All Other Plans | Molina Marketplace - All Other | $1,000 |
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