Emergency visit, high (level 4) at UnityPoint Health - Grinnell Regional Medical Center. CPT 99284.
What UnityPoint Health - Grinnell Regional Medical Center publishes for this service, straight from its standard-charges file, last updated January 28, 2026.
Outpatient / ER
$44.00cash price (self-pay)
$276list price
$17.38–$1,402range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Wellmark Blue Cross and Blue Shield | HMO | $198 |
| Wellmark UPH Self-Funded | Commercial | $198 |
| Wellmark Blue Cross and Blue Shield | PPO | $198 |
| Health Partners Open Network | Commercial | $199 |
| Aetna | PPO | $231 |
| Aetna | HMO | $231 |
| Cigna/Midlands | Commercial | $233 |
| United Healthcare | HMO | $266 |
| United Healthcare | PPO | $266 |
| Medica Exchange Inspire | Commercial | $273 |
| Medica Exchange Insure | Commercial | $305 |
| Molina | Medicare Advantage | $405 |
| Aetna | Medicare Advantage | $405 |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $405 |
| Amerivantage | Medicare Advantage | $417 |
| Humana | Medicare Advantage | $417 |
| United Healthcare | Medicare Advantage | $417 |
| Iowa Total Care | Managed Medicaid | $424 |
| Amerigroup | Managed Medicaid | $424 |
Inpatient
$44.00cash price (self-pay)
$758list price
$34.32–$1,402range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna/Midlands | Commercial | $473 |
| United Healthcare | HMO | $552 |
| United Healthcare | PPO | $552 |
| Aetna | HMO | $727 |
| Aetna | PPO | $727 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.
All common services at UnityPoint Health - Grinnell Regional Medical Center