Emergency visit, high (level 4) at MercyOne Dubuque Medical Center. CPT 99284.
What MercyOne Dubuque 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
$4.56–$5,423range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina Medicaid | Molina Medicaid | $189 |
| Wellpoint Medicaid | Wellpoint Medicaid | $190 |
| Iowa Total Care | Iowa Total Care Medicaid | $374 |
| Aetna Medicare Advantage | Aetna Medicare Advantage | $406 |
| Medicare Medical Associates Health Plans | Medical Associates Medicare | $406 |
| Medigold Medicare Advantage | Mercyone Health Plan Medicare Advantage | $406 |
| Blue Cross - Ia (Wellmark) Medicare Advantage | Wellmark Medicare Adva | $411 |
| United Healthcare Medicare | United Healthcare Medicare Advantage | $415 |
| Health Partners Medicare Advantage | Unitypoint Health Partners Medica | $419 |
| Wellpoint Medicare Advantage | Wellpoint Medicare Advantage | $423 |
| Amish Hospital Aid | Amish Hospital Aid | $552 |
| Oscar | Oscar | $566 |
| Centivo | Centivo | $650 |
| Ambetter | Ambetter Marketplace | $697 |
| Claimdoc | Claimdoc | $834 |
| Nova | Claimdoc | $834 |
| The Alliance | The Alliance | $867 |
| Preferred Health Choice | Preferred Health Choices | $869 |
| Health Choices | Medical Associates | $890 |
| Aetna Domestic | Aetna | $1,199 |
| Aetna | Aetna | $1,199 |
| Meritain | Aetna | $1,199 |
| Multiplan | Multiplan | $1,292 |
| Midlands Choice | Midlands Choice Eagle Window And Door | $1,411 |
| Iowa Dept Of Public Health | Care For Yourself | $1,935 |
| Stephenson Cty Health | Stephenson County Health | $1,935 |
| Mhnet | Mental Health Associates | $1,946 |
| Christian Brother Services | Aetna | $2,032 |
| Trustmark Small Business Benefits | Aetna | $2,032 |
| Webtpa | Aetna | $2,032 |
Inpatient
$284cash price (self-pay)
$284list price
$75.40–$284range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cmh Jackson County/Lifeways | Medicaid Iowa | $91.03 |
| Cmh Kent County | Medicaid Iowa | $91.03 |
| Cmh Lenawee County | Medicaid Iowa | $91.03 |
| Cmh Wayne County/Carelink | Medicaid Iowa | $91.03 |
| Cmh West Mi County | Medicaid Iowa | $91.03 |
| Cmh Ottawa County | Medicaid Iowa | $91.03 |
| Cmh Van Buren County | Medicaid Iowa | $91.03 |
| Cmh Washtenaw County | Medicaid Iowa | $91.03 |
| Cmh Detroit Wayne Integrated Health Network | Medicaid Iowa | $91.03 |
| Cmh Newaygo County | Medicaid Iowa | $91.03 |
| Cmh Northern Lakes County | Medicaid Iowa | $91.03 |
| Mvp Medicaid Advantage | Medicaid Iowa | $91.03 |
| Rx Allwin | Medicare | $108 |
| Blue Cross - Id Medicare Advantage | Medicare | $108 |
| Aetna Medicare Assure Premier HMO D-Snp | Medicare | $108 |
| Champion Health Plan Mcr Advantage | Medicare | $108 |
| Us Family Health Plan | Tricare | $110 |
| Tricare | Tricare | $110 |
| Blue Cross - IL Alternate | Wellmark BCBS | $198 |
| Blue Cross - Ok | Wellmark BCBS | $198 |
| Blue Cross - Mt | Wellmark BCBS | $198 |
| Blue Cross - Ms | Wellmark BCBS | $198 |
| Blue Cross - Md (Carefirst) | Wellmark BCBS | $198 |
| Blue Cross - Nm | Wellmark BCBS | $198 |
| Blue Cross - Nh (Anthem) | Wellmark BCBS | $198 |
| Blue Shield - Id (Regence) | Wellmark BCBS | $198 |
| Blue Cross - Hi | Wellmark BCBS | $198 |
| Blue Cross - MA | Wellmark BCBS | $198 |
| Blue Cross - Me (Anthem) | Wellmark BCBS | $198 |
| Claimdoc | Claimdoc | $230 |
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