Emergency visit, high (level 4) at Mosaic Medical Center - Maryville. CPT 99284.
What Mosaic Medical Center - Maryville publishes for this service, straight from its standard-charges file, last updated September 26, 2025.
Outpatient / ER
$294cash price (self-pay)
$1,073list price
$72.10–$2,232range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina of Iowa | Managed Medicaid | $90.13 |
| Iowa Total Care | Managed Medicaid | $90.13 |
| Amerigroup of Iowa | Managed Medicaid | $90.13 |
| Blue Cross Blue Shield | Medicare Advantage | $263 |
| Ambetter | Commercial | $263 |
| United Healthcare | Medicare Advantage | $263 |
| Aetna | Medicare Advantage | $263 |
| United Healthcare | Commercial | $733 |
| Sisco | Commercial | $741 |
| Cigna | Commercial | $743 |
| Centurion | Commercial | $751 |
| GEHA Shared Services | Commercial | $805 |
| Blue Cross PCB | Commercial | $820 |
| Blue Cross PC | Commercial | $860 |
| Aetna | Commercial | $877 |
| Multiplan | Commercial | $886 |
| Preferred Health Professional | Commercial | $905 |
| Freedom Select Healthlink | Commercial | $912 |
| Healthlink Open Access | Commercial | $912 |
| United Healthcare of Missouri | Managed Medicaid | $1,897 |
| Home State of Missouri | Managed Medicaid | $1,980 |
| Healthy Blue of Missouri | Managed Medicaid | $2,232 |
Inpatient
$1,530cash price (self-pay)
$1,800list price
$720–$1,620range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Centurion | Commercial | $720 |
| Cigna | Commercial | $1,244 |
| Sisco | Commercial | $1,244 |
| United Healthcare | Commercial | $1,350 |
| GEHA Shared Services | Commercial | $1,350 |
| Healthlink Open Access | Commercial | $1,530 |
| Blue Cross PC | Commercial | $1,530 |
| Preferred Health Professional | Commercial | $1,530 |
| Freedom Select Healthlink | Commercial | $1,530 |
| Blue Cross PCB | Commercial | $1,530 |
| Aetna | Commercial | $1,530 |
| Multiplan | Commercial | $1,620 |
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