Emergency visit, high (level 4) at Mosaic Medical Center Albany. CPT 99284.
What Mosaic Medical Center Albany publishes for this service, straight from its standard-charges file, last updated September 26, 2025.
Outpatient / ER
$294cash price (self-pay)
$1,100list price
$72.10–$1,482range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerigroup of Iowa | Managed Medicaid | $90.58 |
| Molina of Iowa | Managed Medicaid | $90.58 |
| Iowa Total Care | Managed Medicaid | $90.58 |
| Blue Cross Blue Shield | Medicare Advantage | $114 |
| Aetna | Medicare Advantage | $114 |
| United Healthcare | Medicare Advantage | $114 |
| Generic | Medicare Advantage | $114 |
| Blue Cross PC | Commercial | $119 |
| Blue Cross PCB | Commercial | $119 |
| Freedom Select Healthlink | Commercial | $119 |
| Sisco | Commercial | $119 |
| Ambetter | Commercial | $170 |
| Aetna | Commercial | $224 |
| Preferred Health Professional | Commercial | $316 |
| Centurion | Commercial | $770 |
| Cigna | Commercial | $825 |
| Healthlink Open Access | Commercial | $935 |
| Multiplan | Commercial | $935 |
| GEHA Shared Services | Commercial | $953 |
| United Healthcare | Commercial | $953 |
| Humana | Medicare Advantage | $988 |
| Coventry | Commercial | $1,105 |
| United Healthcare of Missouri | Managed Medicaid | $1,430 |
| Home State of Missouri | Commercial | $1,430 |
| Healthy Blue of Missouri | Managed Medicaid | $1,430 |
Inpatient
$1,105cash price (self-pay)
$1,300list price
$520–$1,170range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Centurion | Commercial | $520 |
| Cigna | Commercial | $963 |
| Sisco | Commercial | $963 |
| Blue Cross PCB | Commercial | $1,004 |
| Healthlink Open Access | Commercial | $1,105 |
| Multiplan | Commercial | $1,105 |
| Blue Cross PC | Commercial | $1,105 |
| Freedom Select Healthlink | Commercial | $1,105 |
| Preferred Health Professional | Commercial | $1,105 |
| Aetna | Commercial | $1,106 |
| GEHA Shared Services | Commercial | $1,126 |
| United Healthcare | Commercial | $1,126 |
| Coventry | Commercial | $1,170 |
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