Emergency visit, high (level 4) at UnityPoint Health - Allen Hospital. CPT 99284.
What UnityPoint Health - Allen Hospital publishes for this service, straight from its standard-charges file, last updated January 28, 2026.
Outpatient / ER
$44.00cash price (self-pay)
$276list price
$25.91–$1,160range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Wellmark Blue Cross and Blue Shield | HMO | $198 |
| Wellmark Blue Cross and Blue Shield | PPO | $198 |
| Wellmark UPH Self-Funded | Commercial | $198 |
| Cigna/Midlands | Commercial | $233 |
| Medica Exchange Inspire | Commercial | $298 |
| Medica Exchange Insure | Commercial | $333 |
| Amerigroup | Managed Medicaid | $353 |
| Iowa Total Care | Managed Medicaid | $353 |
| Aetna | Medicare Advantage | $400 |
| Molina | Medicare Advantage | $400 |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $400 |
| Amerivantage | Medicare Advantage | $412 |
| Humana | Medicare Advantage | $412 |
| United Healthcare | Medicare Advantage | $412 |
| Health Partners Open Network | Commercial | $609 |
| Aetna | HMO | $946 |
| Aetna | PPO | $984 |
| United Healthcare | HMO | $1,160 |
| United Healthcare | PPO | $1,160 |
Inpatient
$44.00cash price (self-pay)
$632list price
$35.59–$782range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna/Midlands | Commercial | $409 |
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