Emergency visit, high (level 4) at MercyOne Oelwein Medical Center. CPT 99284.
What MercyOne Oelwein Medical Center publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$185cash price (self-pay)
$253list price
$51.31–$1,280range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Iowa Total Care | Iowa Total Care Medicaid | $248 |
| Molina Medicaid | Molina Medicaid | $252 |
| Wellpoint Medicaid | Wellpoint Medicaid | $253 |
| Medicare Medical Associates Health Plans | Medical Associates Medicare | $489 |
| Wellpoint Medicare Advantage | Wellpoint Medicare Advantage | $535 |
| Aetna Medicare Advantage | Aetna Medicare Advantage | $604 |
| Amish Hospital Aid | Amish Hospital Aid | $698 |
| Iowa Dept Of Public Health | Care For Yourself | $782 |
| Centivo | Centivo | $787 |
| Ambetter | Ambetter Marketplace | $882 |
| Medical Associates | Medical Associates | $942 |
| Health Choices | Medical Associates | $942 |
| Claimdoc | Claimdoc | $1,055 |
| Nova | Claimdoc | $1,055 |
| United Healthcare | United Healthcare | $1,105 |
| Geha | United Healthcare | $1,105 |
| Aetna | Aetna | $1,176 |
| Meritain | Aetna | $1,176 |
| Aetna Domestic | Aetna | $1,176 |
| Webtpa | Aetna | $1,176 |
| Trustmark Small Business Benefits | Aetna | $1,176 |
| Lucent Health | Aetna | $1,176 |
| Aetna Eap | Aetna | $1,176 |
| 1199 National Benefit Fund | Aetna | $1,176 |
| Luminare Health | Aetna | $1,176 |
| Coventry | Aetna | $1,176 |
| Allied Benefit Systems | Aetna | $1,176 |
| Asr Health Benefits | Aetna | $1,176 |
| Christian Brother Services | Aetna | $1,176 |
| Medical Mutual | Aetna | $1,176 |
Inpatient
$284cash price (self-pay)
$284list price
$75.40–$284range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Wellpoint | Wellpoint Medicaid Advantage | $93.76 |
| Wc Corvel | Corvel Workers Comp | $104 |
| Rx Allwin | Medicare | $108 |
| Veterans Eval Services | Tricare | $110 |
| Triwest Health Alliance | Tricare | $110 |
| Veterans Administration | Veterans Affairs | $110 |
| Optum Health | Ubh Optum | $115 |
| Avera | Avera Health Plan | $166 |
| Medical Associates | Medical Associates | $184 |
| Ambetter | Ambetter | $187 |
| Sanford Health Plan | Sanford Health Plan | $189 |
| Kaiser Domestic | Wellmark BCBS | $198 |
| Blue Cross - Ks | Wellmark BCBS | $198 |
| Wc Domestic | Wellmark BCBS | $198 |
| Pre-Employment | Wellmark BCBS | $198 |
| Health Smart | Healthsmart | $203 |
| Quiktrip | Quiktrip | $214 |
| Midlands | Midlands Choice | $226 |
| Claimdoc | Claimdoc | $230 |
| Centivo | Centivo | $245 |
| Wc Nca Comp | Workers Comp | $284 |
| Wc Broward County | Workers Comp | $284 |
| Wc Novanet | Workers Comp | $284 |
| Wc Mac Risk Management | Workers Comp | $284 |
| Wc Medical Administrators | Workers Comp | $284 |
| Wc Hireright | Workers Comp | $284 |
| Wc Health Management | Workers Comp | $284 |
| Wc Genex Care For Ohio | Workers Comp | $284 |
| Wc Fed Ex | Workers Comp | $284 |
| Wc Compone Admin | Workers Comp | $284 |
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