Emergency visit, high (level 4) at Mary Greeley Medical Center. CPT 99284.
What Mary Greeley Medical Center publishes for this service, straight from its standard-charges file, last updated December 31, 2025.
Outpatient / ER
$281cash price (self-pay)
$374list price
$77.37–$3,739range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Iowa Total Care | Managed Medicaid-NP | $78.14 |
| Molina | Managed Medicaid-NP | $78.14 |
| Iowa Total Care | Managed Medicaid-MD | $91.94 |
| Iowa Total Care | Managed Medicaid-Podiatrist | $91.94 |
| Iowa Total Care | Managed Medicaid-DO | $91.94 |
| Molina | Managed Medicaid-DO | $91.94 |
| Molina | Managed Medicaid-MD | $91.94 |
| Molina | Managed Medicaid-Podiatrist | $91.94 |
| Wellmark | HMO LISW - Non_Facility | $169 |
| Wellmark | HMO LMHC - Facility | $169 |
| Wellmark | HMO LMHC - Non_Facility | $169 |
| Wellmark | PPO PA - Non_Facility | $169 |
| Wellmark | HMO PA - Non_Facility | $169 |
| Wellmark | PPO/Indemnity | $198 |
| Wellmark | HMO | $198 |
| Wellmark | PPO MD_DO - Facility | $198 |
| Wellmark | PPO Podiatry - Facility | $198 |
| Wellmark | PPO Psych -Non_Facility | $198 |
| HealthPartners | HMO Non_Facility | $214 |
| HealthPartners | HMO Facility | $214 |
| Wellpoint | Medicare Advantage | $253 |
| Molina | Medicare Advantage | $258 |
| Wellmark | Medicare Advantage | $258 |
| Wellpoint | Managed Medicaid | $385 |
| Iowa Total Care | Managed Medicaid | $389 |
| Molina | Managed Medicaid | $389 |
| Aetna | Medicare Advantage | $400 |
| UHC | Vaccn | $400 |
| UHC | Medicare Advantage | $408 |
| Humana | Medicare Advantage | $420 |
Inpatient
$1,094cash price (self-pay)
$1,459list price
$802–$1,386range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Midlands Choice | All Products | $875 |
| Midlands Choice | All Products-Premier | $1,021 |
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