Emergency visit, high (level 4) at MercyOne Centerville Medical Center. CPT 99284.
What MercyOne Centerville Medical Center publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$40.48cash price (self-pay)
$253list price
$3.40–$1,280range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Rx Allwin | Medicare | $62.47 |
| Iowa Total Care | Iowa Total Care Medicaid | $92.85 |
| Molina Medicaid | Molina Medicaid | $93.31 |
| Wellpoint Medicare Advantage | Wellpoint Medicare Advantage | $110 |
| Aetna Medicare Advantage | Aetna Medicare Advantage | $126 |
| Wellpoint Medicaid | Wellpoint Medicaid | $180 |
| Medical Associates | Medical Associates | $217 |
| Claimdoc | Claimdoc | $230 |
| United Healthcare | United Healthcare | $253 |
| Geha | United Healthcare | $253 |
| Meritain | Aetna | $266 |
| Aetna | Aetna | $266 |
| Aetna Domestic | Aetna | $266 |
| Iowa Dept Of Public Health | Care For Yourself | $284 |
| Blue Cross - Ia (Wellmark) Medicare Advantage | Wellmark Medicare Adva | $367 |
| Health Partners Medicare Advantage | Unitypoint Health Partners Medica | $375 |
| Medigold Medicare Advantage | Mercyone Health Plan Medicare Advantage | $386 |
| United Healthcare Medicare | United Healthcare Medicare Advantage | $393 |
| Ambetter | Ambetter Marketplace | $624 |
| Nova | Claimdoc | $746 |
| Health Choices | Medical Associates | $978 |
| Christian Brother Services | Aetna | $1,199 |
| 1199 National Benefit Fund | Aetna | $1,199 |
| First Health | Aetna | $1,199 |
| Aetna Eap | Aetna | $1,199 |
| Lucent Health | Aetna | $1,199 |
| Webtpa | Aetna | $1,199 |
| Medical Mutual | Aetna | $1,199 |
| Allied Benefit Systems | Aetna | $1,199 |
| Coventry | Aetna | $1,199 |
Inpatient
$284cash price (self-pay)
$284list price
$75.40–$284range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross - De (Highmark) Medicaid Advantage | Medicaid Iowa | $91.03 |
| Upmc Medicaid Advantage | Medicaid Iowa | $91.03 |
| Trillium Community Ohp | Medicaid Iowa | $91.03 |
| Green Mountain Medicaid Advantage | Medicaid Iowa | $91.03 |
| Illinicare Health Medicaid Advantage | Medicaid Iowa | $91.03 |
| Massachusetts Behavioral Health Partnership | Medicaid Iowa | $91.03 |
| Health New England Medicaid Advantage | Medicaid Iowa | $91.03 |
| Blue Cross - Nj (Horizon) Medicaid Advantage | Medicaid Iowa | $91.03 |
| Metroplus Medicaid Advantage | Medicaid Iowa | $91.03 |
| Affinity Health Plan Medicaid Advantage | Medicaid Iowa | $91.03 |
| Highmark Wholecare Medicaid | Medicaid Iowa | $91.03 |
| Dscc | Medicaid Iowa | $91.03 |
| Community Benefit Health | Medicaid Iowa | $91.03 |
| Cmh Wayne Cty/Com Liv Svcs | Medicaid Iowa | $91.03 |
| Peach State Healthplan | Medicaid Iowa | $91.03 |
| Medi-Cal | Medicaid Iowa | $91.03 |
| Cmh Ionia County | Medicaid Iowa | $91.03 |
| Cmh Central Mi County | Medicaid Iowa | $91.03 |
| Cmh Clinton-Eaton-Ingham County | Medicaid Iowa | $91.03 |
| Rx Allwin | Medicare | $108 |
| Community Pace At Home | Medicare | $108 |
| Tricare East Humana | Tricare | $110 |
| Blue Cross - Nj (Horizon) | Wellmark BCBS | $198 |
| Blue Cross - Md (Carefirst) | Wellmark BCBS | $198 |
| Blue Cross - Ms | Wellmark BCBS | $198 |
| Blue Cross - MA | Wellmark BCBS | $198 |
| Blue Cross - Me (Anthem) | Wellmark BCBS | $198 |
| Blue Cross - La | Wellmark BCBS | $198 |
| Blue Cross - Id | Wellmark BCBS | $198 |
| Blue Cross - Hi | Wellmark BCBS | $198 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.