Emergency visit, moderate (level 3) at MercyOne New Hampton Medical Center. CPT 99283.
What MercyOne New Hampton Medical Center publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$101cash price (self-pay)
$148list price
$39.71–$927range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Medicare Advantage | Aetna Medicare Advantage | $218 |
| Wellpoint Medicare Advantage | Wellpoint Medicare Advantage | $221 |
| Medical Associates | Medical Associates | $288 |
| Iowa Total Care | Iowa Total Care Medicaid | $317 |
| Oscar | Oscar | $332 |
| Blue Cross - Ia (Wellmark) Medicare Advantage | Wellmark Medicare Adva | $367 |
| Molina Medicaid | Molina Medicaid | $376 |
| Geha | United Healthcare | $390 |
| United Healthcare | United Healthcare | $390 |
| Medicare Medical Associates Health Plans | Medical Associates Medicare | $391 |
| United Healthcare Medicare | United Healthcare Medicare Advantage | $393 |
| Medigold Medicare Advantage | Mercyone Health Plan Medicare Advantage | $414 |
| Claimdoc | Claimdoc | $440 |
| Health Choices | Medical Associates | $468 |
| Amish Hospital Aid | Amish Hospital Aid | $493 |
| Aetna | Aetna | $512 |
| Meritain | Aetna | $512 |
| Aetna Domestic | Aetna | $512 |
| Wellpoint Medicaid | Wellpoint Medicaid | $646 |
| Nova | Claimdoc | $745 |
| Webtpa | Aetna | $876 |
| Medical Mutual | Aetna | $876 |
| Trustmark Small Business Benefits | Aetna | $876 |
| First Health | Aetna | $876 |
| Luminare Health | Aetna | $876 |
| Asr Health Benefits | Aetna | $876 |
| Allied Benefit Systems | Aetna | $876 |
| Coventry | Aetna | $876 |
| Lucent Health | Aetna | $876 |
| Aetna Eap | Aetna | $876 |
Inpatient
$156cash price (self-pay)
$156list price
$44.30–$156range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Positive Healthcare Partners Medicaid | Medicaid Iowa | $59.12 |
| County Funding Generic | Medicaid Iowa | $59.12 |
| City Of Philadelphia | Medicaid Iowa | $59.12 |
| Id County Payette | Medicaid Iowa | $59.12 |
| Id County Other | Medicaid Iowa | $59.12 |
| Cmh North Country | Medicaid Iowa | $59.12 |
| Id County Ada | Medicaid Iowa | $59.12 |
| Rx Allwin | Medicare | $63.36 |
| Medipak Advantage | Medicare | $63.36 |
| Blue Cross - Tn Medicare Advantage | Medicare | $63.36 |
| Blue Cross - Ms Medicare Advantage | Medicare | $63.36 |
| The Health Plan | Medicare | $63.36 |
| Peak Pace Solutions | Medicare | $63.36 |
| Blue Cross - Ne Medicare Advantage | Medicare | $63.36 |
| Blue Cross - Ky (Anthem) Medicare Advantage | Medicare | $63.36 |
| Total Healthcare Medicare Snp | Medicare | $63.36 |
| Hap Empowered Mi Health Link Medicare Dual | Medicare | $63.36 |
| Blue Cross - Or (Regence) Medicare Advantage | Medicare | $63.36 |
| Lasso Healthcare Msa | Medicare | $63.36 |
| Longevity Ipa Of Michigan LLC Health Plan Isnp | Medicare | $63.36 |
| Carefirst Medicare Advantage | Medicare | $63.36 |
| Central Valley Medical Services Corp Pace | Medicare | $63.36 |
| Keystone First Chc Medicare Advantage | Medicare | $63.36 |
| Blue Cross - NY (Anthem) Medicare Advantage | Medicare | $63.36 |
| Medicare Puerto Rico | Medicare | $63.36 |
| Connecticare Vip Medicare | Medicare | $63.36 |
| Lifecircles Pace | Medicare | $63.36 |
| Union Health Service | Medicare | $63.36 |
| Wc Nationwide | Workers Comp | $156 |
| Wc Procura Management | Workers Comp | $156 |
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