Emergency visit, high (level 4) at Veterans Memorial Hospital City Of Waukon Ia. CPT 99284.

What Veterans Memorial Hospital City Of Waukon Ia publishes for this service, straight from its standard-charges file, last updated May 11, 2026.

Outpatient / ER

$296cash price (self-pay)

$519list price

$65.00–$940range insurers pay

Insurance plan	Negotiated rate
Humana Mcr Adv \| Humana Mcr Adv	$167
Welmark Mcr Adv \| Welmark Mcr Adv	$167
Amerigroup Mcr Adv \| Amerigroup Mcr Adv	$167
Iowa Total Care Exchange \| Iowa Total Care Exchange	$167
Molina Mcr Adv \| Molina Mcr Adv	$167
Quartz Mcr Adv \| Quartz Mcr Adv	$167
UHC Mcr Adv Ip/Op Only \| UHC Mcr Adv Ip/Op Only	$223
Iowa Total Care Mcr Adv \| Iowa Total Care Mcr Adv	$223
Medica Mcr Adv \| Medica Mcr Adv	$223
UHC Va Ip/Op Only \| UHC Va Ip/Op Only	$223
Quartz Comm - All Other Plans \| Quartz Comm - All Other Plans	$227
Coventry/Aetna Mcr Adv \| Coventry/Aetna Mcr Adv	$228
Humana Comm - All Other \| Humana Comm - All Other	$250
Iowa Total Care Mcaid - All Other Plans \| Iowa Total Care Mcaid - All	$392
Molina Mcaid - All Other Plans \| Molina Mcaid - All Other Plans	$392
UHC Comm - All Other Plans \| UHC Comm - All Other Plans	$441
Amerigroup Mcaid - All Other Plans \| Amerigroup Mcaid - All Other Plan	$473
Medica Comm - All Other Plans \| Medica Comm - All Other Plans	$940

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