Emergency visit, moderate (level 3) at Southeast Iowa Regional Medical Center West Burlington. CPT 99283.

What Southeast Iowa Regional Medical Center West Burlington publishes for this service, straight from its standard-charges file, last updated June 11, 2026.

Outpatient / ER

—cash price (self-pay)

$271list price

$44.70–$699range insurers pay

Insurance plan	Negotiated rate
United Behavioral Health MA \| MEDICARE ADV.	$44.70
United Behavioral Health RN \| MEDICARE ADV.	$44.70
United Behavioral Health MA \| ALL PRODUCTS	$49.38
Medicaid - Nurse Practitioner \| MANAGED MEDICAID	$50.25
United Behavioral Health PHD \| MEDICARE ADV.	$50.66
Medicaid - Physician Assistant \| MANAGED MEDICAID	$51.32
American Healthplan of Iowa - Midlevel \| MEDICARE ADV.	$53.91
United Behavioral Health PHD \| ALL PRODUCTS	$55.96
United Behavioral Health RN \| ALL PRODUCTS	$55.96
United Behavioral Health MD \| MEDICARE ADV.	$59.60
United Behavioral Health MD \| ALL PRODUCTS	$65.84
Humana \| MEDICARE ADV.	$67.70
American Healthplan of Iowa - MD \| MEDICARE ADV.	$71.12
United Healthcare \| ALL PRODUCTS	$99.60
Midlands Choice \| ALL PRODUCTS	$102
Wellmark Blue Cross - Anesthesiology \| PPO	$116
Wellmark Blue Cross - Pathologist \| PPO	$116
Elap \| Primary	$131
Elap \| Specialty	$150
Aetna \| FIRST HEALTH	$153
Immergrun \| ALL PRODUCTS	$176
Plain Church \| ALL PRODUCTS	$176
Elap \| Anesthesia	$188
6 Degree \| ALL PRODUCTS	$223
Absolute Solutions \| ALL PRODUCTS	$244
First Agency \| ALL PRODUCTS	$244
Multiplan \| ALL PRODUCTS	$244
Henderson County \| ALL PRODUCTS	$257
Wellpoint (Amerigroup) \| Managed Medicaid	$421
Immugrun \| All Products	$474

Inpatient

—cash price (self-pay)

$752list price

$421–$699range insurers pay

Insurance plan	Negotiated rate
Midlands Choice \| All Products	$677

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All common services at Southeast Iowa Regional Medical Center West Burlington