Emergency visit, high (level 4) at Spencer Municipal Hospital. CPT 99284.
What Spencer Municipal Hospital publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$362cash price (self-pay)
$648list price
$386–$771range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Wellpoint | Medicare Advantage | $401 |
| Aetna | Medicare Advantage (HMO & PPO) | $401 |
| Wellmark | Medicare Advantage | $405 |
| Humana | Medicare Advantage (ALL) | $405 |
| Wellpoint | Medicaid | $407 |
| Iowa Total Care | Medicaid | $407 |
| Molina | Medicaid | $407 |
| Health Partners | ALL | $518 |
| UHC | Medicare Advantage | $521 |
| Aetna | Commercial HMO | $583 |
| UHC Commercial | ALL | $583 |
| Aetna | Commercial PPO | $615 |
| Humana | Commercial | $615 |
| Midlands Choice | All | $615 |
Inpatient
$609cash price (self-pay)
$812list price
$361–$771range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UHC | Medicare Advantage | $361 |
| Wellpoint | Medicare Advantage | $401 |
| Aetna | Medicare Advantage (HMO & PPO) | $401 |
| Wellmark | Medicare Advantage | $405 |
| Humana | Medicare Advantage (ALL) | $405 |
| Wellpoint | Medicaid | $407 |
| Iowa Total Care | Medicaid | $407 |
| Molina | Medicaid | $407 |
| Health Partners | ALL | $650 |
| Aetna | Commercial HMO | $731 |
| UHC Commercial | ALL | $731 |
| Aetna | Commercial PPO | $771 |
| Humana | Commercial | $771 |
| Midlands Choice | All | $771 |
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