Emergency visit, highest (level 5) at MercyOne West Des Moines Medical Center. CPT 99285.
What MercyOne West Des Moines Medical Center publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$367cash price (self-pay)
$367list price
$9.09–$5,117range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Iowa Total Care | Iowa Total Care Medicaid | $562 |
| Aetna Medicare Advantage | Aetna Medicare Advantage | $564 |
| Molina Medicaid | Molina Medicaid | $568 |
| Wellpoint Medicare Advantage | Wellpoint Medicare Advantage | $587 |
| Blue Cross - Sd (Wellmark) | Wellmark PPO | $608 |
| Blue Cross - De (Highmark) | Wellmark PPO | $608 |
| Blue Cross - Ak (Premera) | Wellmark PPO | $608 |
| Blue Cross - Mo (Anthem) | Wellmark PPO | $608 |
| Blue Cross - Nd | Wellmark PPO | $608 |
| Blue Cross - Ne | Wellmark PPO | $608 |
| Blue Cross - Mi | Wellmark PPO | $608 |
| Blue Cross - In (Anthem) | Wellmark PPO | $608 |
| Blue Cross - Ks | Wellmark PPO | $608 |
| Blue Cross - Dc (Carefirst) | Wellmark PPO | $608 |
| Blue Cross - FL | Wellmark PPO | $608 |
| Blue Cross - Ga (Anthem) | Wellmark PPO | $608 |
| Blue Shield - CA | Wellmark PPO | $608 |
| Blue Cross - Co (Anthem) | Wellmark PPO | $608 |
| Blue Cross - Ct (Anthem) | Wellmark PPO | $608 |
| Blue Cross - Az | Wellmark PPO | $608 |
| Blue Cross - Ar | Wellmark PPO | $608 |
| Blue Cross - CA (Anthem) | Wellmark PPO | $608 |
| Blue Cross - Oh (Anthem) | Wellmark PPO | $608 |
| Blue Cross - Md (Carefirst) | Wellmark PPO | $608 |
| Blue Cross - MA | Wellmark PPO | $608 |
| Blue Cross - Ms | Wellmark PPO | $608 |
| Blue Cross - Mt | Wellmark PPO | $608 |
| Blue Cross - Ky (Anthem) | Wellmark PPO | $608 |
| Blue Cross - La | Wellmark PPO | $608 |
| Oscar | Oscar | $817 |
Inpatient
$412cash price (self-pay)
$412list price
$109–$412range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Rx Assistance/Rx Manufacturer Assistance 0 Copay | Medicaid Iowa | $143 |
| Can Community Health Inc | Medicaid Iowa | $143 |
| Delaware County Department Of Health | Medicaid Iowa | $143 |
| Id County Other | Medicaid Iowa | $143 |
| Id County Cat Fund | Medicaid Iowa | $143 |
| Id County Ada | Medicaid Iowa | $143 |
| Cmh North Country | Medicaid Iowa | $143 |
| Id County Payette | Medicaid Iowa | $143 |
| Broward County Dept Of Health | Medicaid Iowa | $143 |
| City Of Philadelphia | Medicaid Iowa | $143 |
| Medicaid Spenddown | Medicaid Iowa | $143 |
| Fresno County Ccs | Medicaid Iowa | $143 |
| Health Safety Net | Medicaid Iowa | $143 |
| County Funding Generic | Medicaid Iowa | $143 |
| Indiana Breast Cervical Cancer | Medicaid Iowa | $143 |
| New York Cancer Services Program | Medicaid Iowa | $143 |
| Idaho Womens Health Check | Medicaid Iowa | $143 |
| Rx Medicaid | Medicaid Iowa | $143 |
| Rx Medi-Cal | Medicaid Iowa | $143 |
| Rx Allwin | Medicare | $157 |
| Rx Retiree Rx Care | Medicare | $157 |
| Rx Grane Grnmedd | Medicare | $157 |
| Rx Carelonrx Medicare | Medicare | $157 |
| Pruitthealth Premier | Medicare | $157 |
| Rx Medicare Part B | Medicare | $157 |
| Rx Medicare | Medicare | $157 |
| Stephenson Cty Health | Stephenson Cty Health | $193 |
| Newton Correctional Facility | Newton Correctional Facility | $268 |
| Genex Wc | Genex Workers Comp | $309 |
| Wc Praxis Health Network | Praxis Health Network Workers Comp | $350 |
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All common services at MercyOne West Des Moines Medical Center