Emergency visit, high (level 4) at Pocahontas Community Hospital. CPT 99284.
What Pocahontas Community Hospital publishes for this service, straight from its standard-charges file, last updated March 29, 2026.
Outpatient / ER
$96.00cash price (self-pay)
$354list price
$53.00–$685range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| IOWA TOTAL CARE | Medicaid | $223 |
| AETNA | Commercial | $333 |
| HEALTH PARTNERS | Commercial | $334 |
| HUMANA | Medicare | $336 |
| GREAT WEST | Commercial | $343 |
| AETNA | Medicare | $354 |
| Molina | Medicare | $354 |
Inpatient
$96.00cash price (self-pay)
$402list price
$80.00–$707range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross | HMO | $337 |
| Blue Cross | PPO | $337 |
| AETNA | Commercial | $377 |
| HEALTH PARTNERS | Commercial | $381 |
| Wellpoint | Medicare | $381 |
| UHC | Commercial | $385 |
| UHC | Medicare | $385 |
| AETNA | Medicare | $402 |
| BLUE CROSS | Medicare | $402 |
| HUMANA | Medicare | $402 |
| IOWA TOTAL CARE | Medicaid | $402 |
| Molina | Medicaid | $402 |
| Wellpoint | Medicaid | $402 |
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