Emergency visit, high (level 4) at Pella Regional Health Center. CPT 99284.
What Pella Regional Health Center publishes for this service, straight from its standard-charges file, last updated March 30, 2026.
Outpatient / ER
—cash price (self-pay)
$699list price
$75.00–$3,364range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Humana | PPO/HMO | $75.00 |
| WellPoint | Medicaid | $245 |
| Iowa Total Care | Medicaid | $245 |
| Molina | Medicaid | $245 |
| WellPoint Medicare Advantage | Medicare Advantage | $266 |
| Aetna Medicare Advantage | Medicare Advantage | $266 |
| Humana Medicare Advantage | Medicare Advantage | $266 |
| Blue Cross Medicare Advantage | Medicare Advantage | $266 |
| Centivo | All Commercial | $350 |
| Health Partners | All Commercial | $384 |
| United Health | All Commercial | $419 |
| Multiplan | All Commercial | $489 |
| Midlands Choice | All Commercial | $664 |
| Aetna | All Commercial | $3,364 |
Inpatient
—cash price (self-pay)
$699list price
$75.00–$1,070range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Humana | PPO/HMO | $75.00 |
| Centivo | All Commercial | $454 |
| Multiplan | All Commercial | $489 |
| Health Partners | All Commercial | $629 |
| Midlands Choice | All Commercial | $664 |
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