Emergency visit, high (level 4) at MercyOne Waterloo Medical Center. CPT 99284.
What MercyOne Waterloo Medical Center publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$253cash price (self-pay)
$253list price
$9.09–$4,074range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina Medicaid | Molina Medicaid | $202 |
| Wellpoint Medicaid | Wellpoint Medicaid | $203 |
| Aetna Medicare Advantage | Aetna Medicare Advantage | $393 |
| Iowa Total Care | Iowa Total Care Medicaid | $400 |
| Wellpoint Medicare Advantage | Wellpoint Medicare Advantage | $409 |
| Blue Distinction Transplant | Wellmark PPO | $426 |
| Blue Cross - Mn | Wellmark PPO | $426 |
| Blue Cross - Ia (Wellmark) | Wellmark HMO | $426 |
| Blue Cross - In (Anthem) | Wellmark PPO | $426 |
| Blue Cross - Mi | Wellmark PPO | $426 |
| Blue Cross - La | Wellmark PPO | $426 |
| Blue Shield - Id (Regence) | Wellmark PPO | $426 |
| Blue Cross - Id | Wellmark PPO | $426 |
| Blue Cross - Ky (Anthem) | Wellmark PPO | $426 |
| Blue Cross - Ct (Anthem) | Wellmark PPO | $426 |
| Blue Cross - Ak (Premera) | Wellmark PPO | $426 |
| Blue Cross - De (Highmark) | Wellmark PPO | $426 |
| Blue Cross - Dc (Carefirst) | Wellmark PPO | $426 |
| Blue Cross - Az | Wellmark PPO | $426 |
| Blue Cross - FL | Wellmark PPO | $426 |
| Blue Cross - Ga (Anthem) | Wellmark PPO | $426 |
| Blue Cross - Hi | Wellmark PPO | $426 |
| Blue Cross - Nd | Wellmark PPO | $426 |
| Blue Cross - Ne | Wellmark PPO | $426 |
| Blue Cross - Oh (Anthem) | Wellmark PPO | $426 |
| Blue Cross - Sd (Wellmark) | Wellmark PPO | $426 |
| Blue Cross - Al | Wellmark PPO | $426 |
| Blue Cross - Ar | Wellmark PPO | $426 |
| Blue Cross - CA (Anthem) | Wellmark PPO | $426 |
| Kaiser Domestic | Wellmark PPO | $426 |
Inpatient
$284cash price (self-pay)
$284list price
$75.40–$284range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross - Nj (Horizon) Medicaid Advantage | Medicaid Iowa | $91.03 |
| Illinicare Health Medicaid Advantage | Medicaid Iowa | $91.03 |
| Metroplus Medicaid Advantage | Medicaid Iowa | $91.03 |
| Massachusetts Behavioral Health Partnership | Medicaid Iowa | $91.03 |
| Highmark Wholecare Medicaid | Medicaid Iowa | $91.03 |
| Health New England Medicaid Advantage | Medicaid Iowa | $91.03 |
| Centene | Medicaid Iowa | $91.03 |
| Cenpatico | Medicaid Iowa | $91.03 |
| Childrens Comm Health Plan | Medicaid Iowa | $91.03 |
| Blue Cross - IL Medicaid Advantage | Medicaid Iowa | $91.03 |
| Keystone First Chip | Medicaid Iowa | $91.03 |
| Allwell Medicaid Advantage | Medicaid Iowa | $91.03 |
| United Healthcare Medicaid | Medicaid Iowa | $91.03 |
| Hennepin Health | Medicaid Iowa | $91.03 |
| Icare Medicaid | Medicaid Iowa | $91.03 |
| Lakeland Care Inc | Medicaid Iowa | $91.03 |
| Dean Health Medicaid | Medicaid Iowa | $91.03 |
| Group Health Cooperative Medicaid | Medicaid Iowa | $91.03 |
| Community Care Medicaid | Medicaid Iowa | $91.03 |
| Molina Medicaid | Molina Medicaid | $93.31 |
| Rx Allwin | Medicare | $108 |
| Medstar Medicare Advantage | Medicare | $108 |
| Carecentrix Medicare Advantage | Medicare | $108 |
| Blue Cross - Ct (Anthem) Medicare Advantage | Medicare | $108 |
| Blue Shield - Pa (Highmark) Medicare Advantage | Medicare | $108 |
| Blue Cross - NY (Excellus) Medicare Advantage | Medicare | $108 |
| Tribute Health Plans | Medicare | $108 |
| Reliance Community Care Partners Care Resources Pace | Medicare | $108 |
| Medicare Alternate Payor | Medicare | $108 |
| Upper Peninsula Health Plan (Uphp) Medicare | Medicare | $108 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.