Emergency visit, high (level 4) at Mosaic Life Care at St Joseph Medical Center. CPT 99284.
What Mosaic Life Care at St Joseph Medical Center publishes for this service, straight from its standard-charges file, last updated September 26, 2025.
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 |
| United Healthcare of Kansas | Managed Medicaid | $121 |
| Sunflower 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 PCB | Commercial | $1,814 |
| Blue Cross HMO | Commercial | $1,814 |
| United Healthcare | Commercial | $1,949 |
| GEHA Shared Services | Commercial | $1,949 |
| Aetna | Commercial | $1,985 |
| Sisco | Commercial | $2,061 |
| Preferred Health Professional | Commercial | $2,061 |
| Healthlink Open Access | Commercial | $2,061 |
| Freedom Select Healthlink | Commercial | $2,061 |
| Blue Cross PC | Commercial | $2,083 |
| Cigna | Commercial | $2,112 |
| Multiplan | Commercial | $2,160 |
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All common services at Mosaic Life Care at St Joseph Medical Center