Emergency visit, high (level 4) at UnityPoint Health - Jones Regional Medical Center. CPT 99284.
What UnityPoint Health - Jones 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)
$285list price
$19.97–$723range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Humana | Medicare Advantage | $110 |
| Amerivantage | Medicare Advantage | $110 |
| Aetna | Medicare Advantage | $110 |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $112 |
| Iowa Health | Medicare Advantage | $115 |
| United Healthcare | Medicare Advantage | $115 |
| Iowa Total Care | Managed Medicaid | $190 |
| Amerigroup | Managed Medicaid | $190 |
| Wellmark Blue Cross and Blue Shield | PPO | $198 |
| Wellmark Blue Cross and Blue Shield | HMO | $198 |
| Wellmark UPH Self-Funded | Commercial | $198 |
| Health Partners Open Network | Commercial | $199 |
| Aetna | HMO | $231 |
| Aetna | PPO | $231 |
| Cigna/Midlands | Commercial | $233 |
| United Healthcare | PPO | $266 |
| United Healthcare | HMO | $266 |
| Medica Exchange Inspire | Commercial | $343 |
| Medica Exchange Insure | Commercial | $384 |
Inpatient
$44.00cash price (self-pay)
$433list price
$27.50–$811range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Partners Open Network | Commercial | $216 |
| Wellmark Blue Cross and Blue Shield | HMO | $221 |
| Wellmark UPH Self-Funded | Commercial | $221 |
| Wellmark Blue Cross and Blue Shield | PPO | $221 |
| Cigna/Midlands | Commercial | $356 |
| Aetna | HMO | $389 |
| Aetna | PPO | $389 |
| United Healthcare | HMO | $433 |
| United Healthcare | PPO | $433 |
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All common services at UnityPoint Health - Jones Regional Medical Center