Emergency visit, moderate (level 3) at MercyOne Centerville Medical Center. CPT 99283.
What MercyOne Centerville Medical Center publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$148cash price (self-pay)
$148list price
$42.81–$927range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Iowa Total Care | Iowa Total Care Medicaid | $128 |
| Molina Medicaid | Molina Medicaid | $130 |
| Wellpoint Medicaid | Wellpoint Medicaid | $130 |
| Wellpoint Medicare Advantage | Wellpoint Medicare Advantage | $169 |
| Aetna Medicare Advantage | Aetna Medicare Advantage | $172 |
| Blue Cross - Ia (Wellmark) Medicare Advantage | Wellmark Medicare Adva | $266 |
| Medigold Medicare Advantage | Mercyone Health Plan Medicare Advantage | $279 |
| United Healthcare Medicare | United Healthcare Medicare Advantage | $285 |
| Claimdoc | Claimdoc | $338 |
| Amish Hospital Aid | Amish Hospital Aid | $358 |
| Medical Associates | Medical Associates | $414 |
| Ambetter | Ambetter Marketplace | $452 |
| Geha | United Healthcare | $475 |
| United Healthcare | United Healthcare | $475 |
| Aetna Domestic | Aetna | $507 |
| Meritain | Aetna | $507 |
| Aetna | Aetna | $507 |
| Nova | Claimdoc | $540 |
| Health Choices | Medical Associates | $708 |
| Asr Health Benefits | Aetna | $869 |
| Luminare Health | Aetna | $869 |
| Allied Benefit Systems | Aetna | $869 |
| Coventry | Aetna | $869 |
| Medical Mutual | Aetna | $869 |
| Webtpa | Aetna | $869 |
| First Health | Aetna | $869 |
| Lucent Health | Aetna | $869 |
| Aetna Eap | Aetna | $869 |
| 1199 National Benefit Fund | Aetna | $869 |
| Christian Brother Services | Aetna | $869 |
Inpatient
$156cash price (self-pay)
$156list price
$44.30–$156range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Bccp | Medicaid Iowa | $59.12 |
| Jefferson Health Plans Medicaid | Medicaid Iowa | $59.12 |
| Nascentia Health Options | Medicaid Iowa | $59.12 |
| Medicaid Pending | Medicaid Iowa | $59.12 |
| Medicaid - FL | Medicaid Iowa | $59.12 |
| Medicaid - Ar | Medicaid Iowa | $59.12 |
| Medicaid - Ct | Medicaid Iowa | $59.12 |
| Medicaid - Az | Medicaid Iowa | $59.12 |
| Rx Allwin | Medicare | $63.36 |
| Aetna Medicare Transplant | Medicare | $63.36 |
| Gateway Health Plan | Medicare | $63.36 |
| Sanford Health Plan Medicare Advantage | Medicare | $63.36 |
| Jefferson Health Plans Medicare | Medicare | $63.36 |
| Alignment Health Plan Medicare Advantage | Medicare | $63.36 |
| Pace Southeast | Medicare | $63.36 |
| Lasso Healthcare Msa | Medicare | $63.36 |
| BCBS Medicare Advantage Generic | Medicare | $63.36 |
| Paramount Medicare Advantage | Medicare | $63.36 |
| Medicare Puerto Rico | Medicare | $63.36 |
| Central Valley Medical Services Corp Pace | Medicare | $63.36 |
| Huron Valley Pace | Medicare | $63.36 |
| Buckeye Health Plan Medicare Advantage | Medicare | $63.36 |
| Avmed Medicare | Medicare | $63.36 |
| Genesys Pace Of Genesee County | Medicare | $63.36 |
| Tricare West Healthnet | Tricare | $64.45 |
| Blue Shield - Pa (Highmark) | Wellmark BCBS | $116 |
| Blue Cross - Pa (Capital) | Wellmark BCBS | $116 |
| Blue Cross - Pa (Independence) | Wellmark BCBS | $116 |
| Blue Cross - Or (Regence) | Wellmark BCBS | $116 |
| Blue Cross - NY (Anthem) | Wellmark BCBS | $116 |
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