Emergency visit, high (level 4) at Story County Medical Center. CPT 99284.
What Story County Medical Center publishes for this service, straight from its standard-charges file, last updated March 30, 2026.
Outpatient / ER
$117cash price (self-pay)
$603list price
$89.00–$474range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross | Medicare | $110 |
| Health Partners | Medicare | $110 |
| UHC | Medicare | $110 |
| Aetna | Medicare | $110 |
| Wellpoint | Medicare | $110 |
| Health Partners | Commercial | $288 |
Inpatient
$117cash price (self-pay)
$417list price
$100–$688range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Partners | Commercial | $288 |
| UHC | Commercial | $317 |
| Blue Cross | HMO | $363 |
| Blue Cross | PPO | $363 |
| Aetna-Coventry | Commercial | $404 |
| Aetna | Medicare | $417 |
| Blue Cross | Medicare | $417 |
| Health Partners | Medicare | $417 |
| Humana | Medicare | $417 |
| IOWA Total Care | Medicaid | $417 |
| Molina Healthcare | Medicaid | $417 |
| UHC | Medicare | $417 |
| Wellpoint | Medicaid | $417 |
| Wellpoint | Medicare | $417 |
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