Emergency visit, high (level 4) at Lucas County Health Center. CPT 99284.
What Lucas County Health Center publishes for this service, straight from its standard-charges file, last updated March 19, 2026.
Outpatient / ER
$0.05cash price (self-pay)
$258list price
$0.03–$767range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Medicare Advantage | Medicare Advantage | $142 |
| Humana Medicare Advantage | Medicare Advantage | $142 |
| WellMark Medicare Advantage | Medicare Advantage | $142 |
| United Healthcare Medicare Advantage | Medicare Advantage | $142 |
| Occunet | All Commercial Products | $155 |
| Molina | Medicaid | $181 |
| Iowa Total Care | Medicaid | $181 |
| United Healthcare | All Commercial Products | $201 |
| Humana ChoiceCare | All Commercial Products | $219 |
| Midlands Choice | All Commercial Products | $245 |
Inpatient
$0.05cash price (self-pay)
$258list price
$0.03–$767range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Occunet | All Commercial Products | $155 |
| Wellmark HMO | HMO | $170 |
| Wellmark PPO | PPO | $170 |
| United Healthcare | All Commercial Products | $201 |
| Humana ChoiceCare | All Commercial Products | $219 |
| Midlands Choice | All Commercial Products | $245 |
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