Emergency visit, high (level 4) at Heartland Long Term Acute Hospital. CPT 99284.
What Heartland Long Term Acute Hospital publishes for this service, straight from its standard-charges file, last updated June 23, 2026.
Outpatient / ER
$294cash price (self-pay)
$1,373list price
$72.10–$4,272range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerigroup of Iowa | Managed Medicaid | $90.13 |
| Iowa Total Care | Managed Medicaid | $90.13 |
| Molina of Iowa | Managed Medicaid | $90.13 |
| Aetna of Kansas | Managed Medicaid | $121 |
| Sunflower of Kansas | Managed Medicaid | $121 |
| United Healthcare of Kansas | Managed Medicaid | $121 |
| Aetna | Medicare Advantage | $271 |
| Blue Cross Blue Shield | Medicare Advantage | $271 |
| United Healthcare | Medicare Advantage | $271 |
| Ambetter | Commercial | $516 |
| Centurion | Commercial | $961 |
| Blue Cross HMO | Commercial | $1,029 |
| Blue Cross PCB | Commercial | $1,029 |
| United Healthcare | Commercial | $1,032 |
| Aetna | Commercial | $1,104 |
| GEHA Shared Services | Commercial | $1,115 |
| Blue Cross PC | Commercial | $1,145 |
| Freedom Select Healthlink | Commercial | $1,179 |
| Healthlink Open Access | Commercial | $1,179 |
| Preferred Health Professional | Commercial | $1,179 |
| Sisco | Commercial | $1,179 |
| Cigna | Commercial | $1,208 |
| Multiplan | Commercial | $1,238 |
| United Healthcare of Missouri | Managed Medicaid | $3,384 |
| Home State of Missouri | Managed Medicaid | $3,480 |
| Healthy Blue of Missouri | Managed Medicaid | $4,272 |
Inpatient
$2,040cash price (self-pay)
$2,400list price
$960–$2,160range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Centurion | Commercial | $960 |
| Blue Cross HMO | Commercial | $1,814 |
| Blue Cross PCB | Commercial | $1,814 |
| GEHA Shared Services | Commercial | $1,949 |
| United Healthcare | Commercial | $1,949 |
| Aetna | Commercial | $1,985 |
| Freedom Select Healthlink | Commercial | $2,061 |
| Healthlink Open Access | Commercial | $2,061 |
| Preferred Health Professional | Commercial | $2,061 |
| Sisco | Commercial | $2,061 |
| Blue Cross PC | Commercial | $2,083 |
| Cigna | Commercial | $2,112 |
| Multiplan | Commercial | $2,160 |
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