Emergency visit, high (level 4) at UnityPoint Health - Trinity Muscatine. CPT 99284.
What UnityPoint Health - Trinity Muscatine publishes for this service, straight from its standard-charges file, last updated January 28, 2026.
Outpatient / ER
$44.00cash price (self-pay)
$276list price
$19.20–$3,528range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Wellmark UPH Self-Funded | Commercial | $198 |
| Wellmark Blue Cross and Blue Shield | PPO | $198 |
| Wellmark Blue Cross and Blue Shield | HMO | $198 |
| Health Partners Open Network | Commercial | $199 |
| Cigna/Midlands | Commercial | $233 |
| Medica Exchange Inspire | Commercial | $247 |
| Medica Exchange Insure | Commercial | $277 |
| Amerigroup | Managed Medicaid | $368 |
| Iowa Total Care | Managed Medicaid | $368 |
| Blue Cross and Blue Shield | Medicare Advantage | $393 |
| Aetna | Medicare Advantage | $400 |
| Health Alliance | Medicare Advantage | $400 |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $400 |
| United Healthcare | Medicare Advantage | $412 |
| Humana | Medicare Advantage | $412 |
| Meridian Health Plan | Medicare Advantage | $412 |
| Ambetter | HMO | $628 |
| Aetna | HMO | $1,046 |
| Aetna | PPO | $1,103 |
| United Healthcare | PPO | $1,280 |
| United Healthcare | HMO | $1,280 |
| BC Illinois Community | Blue Choice | $3,072 |
| BC Illinois Community | PPO | $3,528 |
Inpatient
$44.00cash price (self-pay)
$676list price
$12.65–$709range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Wellmark Blue Cross and Blue Shield | PPO | $155 |
| Wellmark UPH Self-Funded | Commercial | $155 |
| Wellmark Blue Cross and Blue Shield | HMO | $155 |
| Health Partners Open Network | Commercial | $186 |
| Cigna/Midlands | Commercial | $370 |
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All common services at UnityPoint Health - Trinity Muscatine