Emergency visit, moderate (level 3) at UnityPoint Health - Iowa Lutheran Hospital. CPT 99283.
What UnityPoint Health - Iowa Lutheran Hospital publishes for this service, straight from its standard-charges file, last updated January 28, 2026.
Outpatient / ER
$44.00cash price (self-pay)
$162list price
$18.32–$674range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Wellmark UPH Self-Funded | Commercial | $116 |
| Wellmark Blue Cross and Blue Shield | HMO | $116 |
| Wellmark Blue Cross and Blue Shield | PPO | $116 |
| Cigna/Midlands | Commercial | $137 |
| Medica Exchange Inspire | Commercial | $263 |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $264 |
| Molina | Medicare Advantage | $264 |
| Aetna | Medicare Advantage | $264 |
| Amerigroup | Managed Medicaid | $267 |
| Iowa Total Care | Managed Medicaid | $267 |
| Humana | Medicare Advantage | $271 |
| Amerivantage | Medicare Advantage | $271 |
| United Healthcare | Medicare Advantage | $271 |
| Medica Exchange Insure | Commercial | $295 |
| Health Partners Open Network | Commercial | $427 |
| Aetna | HMO | $556 |
| Aetna | PPO | $637 |
| United Healthcare | HMO | $674 |
| United Healthcare | PPO | $674 |
Inpatient
$44.00cash price (self-pay)
$791list price
$23.82–$661range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna/Midlands | Commercial | $343 |
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All common services at UnityPoint Health - Iowa Lutheran Hospital