Emergency Department Visit with Moderate Level of Medical Decision Making Cost in Iowa
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 66 Iowa hospitals. CPT 99284. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
📊 Median $230
📉 Low $12.88
📈 High $2,453
🏥 66 hospitals
🏛️ 52 with insurance contracts
🇺🇸 Medicare $110
Hospital comparison — Iowa
Sorted by cash price (lowest first). Showing top 60 of 66 hospitals.
Billed more than $230 for this? That gap is evidence.
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| Hospital | Cash | UHC | Aetna | BCBS | Humana | Molina | Cigna | MultiPlan | Centene |
|---|---|---|---|---|---|---|---|---|---|
| GREENE COUNTY MEDICAL CENTER JEFFERSON |
$12.88 | $23.00 | $23.00 | — | $21.85 | $11.96 | — | — | $11.96 |
| HUMBOLDT COUNTY MEMORIAL HOSPITAL HUMBOLDT |
$18.00 | $19.20 | $14.20 | $15.57 | $15.57 | $15.57 | $15.00 | $15.00 | — |
| BUCHANAN COUNTY HEALTH CENTER INDEPENDENCE |
$18.32 | $19.19 | $19.40 | $10.78 | $21.56 | $21.56 | $17.89 | — | — |
| COMMUNITY MEMORIAL HOSPITAL SUMNER |
$18.88 | $23.60 | $14.87 | $18.88 | $23.60 | $23.60 | — | — | — |
| GREATER REGIONAL HEALTH W TOWNLINE ST CRESTON |
$21.00 | $17.70 | $63.00 | $64.00 | $64.00 | $59.00 | $89.00 | — | — |
| GUTTENBERG MUNICIPAL HOSPITAL GUTTENBERG |
$26.40 | $30.36 | $17.16 | — | $18.20 | $17.94 | — | — | — |
| LORING HOSPITAL SAC CITY |
$36.80 | $43.70 | $36.80 | — | $46.00 | $46.00 | $44.16 | — | — |
| MERCYONE CENTERVILLE MEDICAL CENTER CENTERVILLE |
$40.48 | — | — | — | — | — | — | — | — |
| MERCYONE DUBUQUE DUBUQUE |
$40.48 | — | — | — | — | — | — | — | — |
| MERCYONE NORTH IOWA MASON CITY |
$40.48 | — | — | — | — | — | — | — | — |
| MERCYONE CLINTON CLINTON |
$40.48 | — | — | — | — | — | — | — | — |
| MERCYONE NEW HAMPTON NEW HAMPTON |
$40.48 | — | — | — | — | — | — | — | — |
| UNITYPOINT HEALTHCARE FINLEY HOSPITAL DUBUQUE |
$44.00 | $115 | $110 | $112 | $115 | $112 | $29.04 | — | — |
| UNITYPOINT HEALTH TRINITY BETTENDORF |
$44.00 | $115 | $110 | $112 | $115 | — | $28.99 | — | $110 |
| UNITYPOINT HEALTH MARSHALLTOWN MARSHALLTOWN |
$44.00 | $40.04 | $40.70 | $19.80 | $115 | $112 | $43.89 | — | — |
| UNITYPOINT HEALTH TRINITY MUSCATINE MUSCATINE |
$44.00 | $115 | $110 | $12.65 | $115 | — | $30.09 | — | $110 |
| UNITYPOINT HEALTH BLANK CHILDREN'S HOSPITAL DES MOINES |
$44.00 | $115 | $110 | $112 | $115 | $112 | $23.82 | — | — |
| UNITYPOINT HEALTH ST. LUKE'S SIOUX CITY |
$44.00 | $115 | $110 | $112 | $115 | $112 | $34.60 | — | — |
| UNITYPOINT HEALTH ST. LUKE'S HOSPITAL CEDAR RAPIDS |
$44.00 | $115 | $110 | $112 | $115 | $112 | $30.14 | — | — |
| UNITYPOINT HEALTH IOWA LUTHERAN HOSPITAL DES MOINES |
$44.00 | $115 | $110 | $112 | $115 | $112 | $23.82 | — | — |
| UNITYPOINT HEALTH TRINITY REGIONAL MEDICAL CENTER FORT DODGE |
$44.00 | $115 | $110 | $112 | $115 | — | $35.20 | — | — |
| UNITYPOINT HEALTH ALLEN HOSPITAL WATERLOO |
$44.00 | $115 | $110 | $112 | $115 | $112 | $35.59 | — | — |
| UNITYPOINT HEALTH GRINNELL REGIONAL MEDICAL CENTER GRINNELL |
$44.00 | $40.04 | $52.80 | $112 | $115 | $112 | $34.32 | — | — |
| UNITYPOINT HEALTH JONES REGIONAL MEDICAL CENTER ANAMOSA |
$44.00 | $22.55 | $22.00 | $21.88 | $22.55 | — | $45.21 | — | — |
| CHEROKEE REGIONAL MEDICAL CENTER CHEROKEE |
$50.40 | $56.00 | $56.00 | $56.00 | $56.00 | $30.80 | $56.00 | — | — |
| STEWART MEMORIAL COMMUNITY HOSPITAL LAKE CITY |
$50.40 | $32.76 | $31.50 | — | $52.00 | $52.00 | $41.58 | $31.50 | — |
| BUENA VISTA REGIONAL MEDICAL CENTER TH ST STORM LAKE |
$56.00 | $37.10 | $53.00 | $53.00 | $53.00 | — | $63.00 | — | $37.10 |
| POCAHONTAS COMMUNITY HOSPITAL POCAHONTAS |
$96.00 | $92.16 | $57.60 | $64.00 | $91.20 | $50.00 | $97.00 | — | — |
| STORY COUNTY HOSPITAL NORTH NEVADA |
$117 | $61.00 | $61.00 | $61.00 | $61.00 | $146 | — | — | — |
| SIOUX CENTER HEALTH AVERA SIOUX CENTER |
$132 | $85.30 | — | $222 | — | — | — | — | — |
| MONTGOMERY COUNTY MEMORIAL HOSPITAL RED OAK |
$147 | — | — | — | — | — | — | — | — |
| CHI HEALTH MERCY CORNING CORNING |
$164 | $85.50 | — | $85.50 | $85.50 | $153 | — | $335 | $87.21 |
| CHI HEALTH MISSOURI VALLEY MISSOURI VALLEY |
$168 | $85.50 | — | $309 | $85.50 | $153 | — | $335 | $87.21 |
| MERCYONE DYERSVILLE MEDICAL CENTER DYERSVILLE |
$185 | — | — | — | — | — | — | — | — |
| MERCYONE ELKADER MEDICAL CENTER ELKADER |
$185 | — | — | — | — | — | — | — | — |
| MERCYONE OELWEIN MEDICAL CENTER OELWEIN |
$185 | — | — | — | — | — | — | — | — |
| REGIONAL MEDICAL CENTER MANCHESTER |
$198 | $37.70 | $34.34 | — | — | — | $88.03 | $95.00 | — |
| FLOYD VALLEY HOSPITAL LE MARS |
$226 | $85.30 | — | — | — | — | — | — | — |
| CLARKE COUNTY PUBLIC HOSPITAL OSCEOLA |
$230 | $126 | $126 | $126 | $126 | $106 | $637 | — | — |
| HEGG HEALTH CENTER ROCK VALLEY |
$243 | $85.30 | — | — | — | — | — | — | — |
| RINGGOLD COUNTY HOSPITAL MT AYR |
$249 | — | $57.00 | — | $57.00 | — | — | — | — |
| PELLA REGIONAL HEALTH CENTER PELLA |
$272 | $163 | $103 | $103 | $75.00 | $95.20 | — | $190 | — |
| MERCYONE CEDAR FALLS MEDICAL CENTER CEDAR FALLS |
$284 | — | — | — | — | — | — | — | — |
| MERCYONE WATERLOO MEDICAL CENTER WATERLOO |
$284 | — | — | — | — | — | — | — | — |
| MERCYONE DES MOINES MEDICAL CENTER DES MOINES |
$284 | — | — | — | — | — | — | — | — |
| MERCYONE WEST DES MOINES MEDICAL CENTER WEST DES MOINES |
$284 | — | — | — | — | — | — | — | — |
| DALLAS COUNTY HOSPITAL PERRY |
$316 | $126 | $124 | — | $124 | $248 | — | — | — |
| PALO ALTO COUNTY HOSPITAL EMMETSBURG |
$347 | $48.00 | — | $48.00 | $100 | $60.00 | — | — | — |
| JACKSON COUNTY REGIONAL HEALTH CENTER MAQUOKETA |
$359 | $197 | $301 | — | $123 | — | — | — | — |
| SPENCER HOSPITAL SPENCER |
$362 | — | — | — | — | $1.00 | — | — | — |
| GRUNDY COUNTY MEMORIAL HOSPITAL GRUNDY CENTER |
$374 | $54.00 | $110 | $54.00 | $54.00 | $56.00 | $95.00 | — | — |
| UNIVERSITY OF IOWA HOSPITAL & CLINICS IOWA CITY |
$421 | $110 | $110 | $112 | — | $110 | — | $553 | — |
| UI HEALTH CARE MEDICAL CENTER DOWNTOWN IOWA CITY |
$421 | $110 | $110 | $111 | — | $110 | — | $553 | — |
| HAWARDEN REGIONAL HEALTHCARE HARWARDEN |
$488 | $442 | — | $125 | — | — | — | — | — |
| BROADLAWNS MEDICAL CENTER DES MOINES |
$496 | $496 | $496 | — | — | — | $397 | — | — |
| OSCEOLA REGIONAL HEALTH CENTER SIBLEY |
$500 | $85.30 | — | $10.00 | — | — | — | — | — |
| BURGESS HEALTH CENTER ONAWA |
$564 | $100 | $100 | $100 | $100 | — | — | — | — |
| REGIONAL HEALTH SERVICES OF HOWARD COUNTY CRESCO |
$583 | $73.00 | — | — | — | — | — | — | — |
| LAKES REGIONAL HEALTHCARE SPIRIT LAKE |
$596 | $76.20 | — | $222 | — | — | — | — | — |
| AVERA MERRILL PIONEER HOSPITAL ROCK RAPIDS |
$635 | $85.30 | — | — | — | — | — | — | — |
What these prices are. Each figure is the facility’s own published self-pay (cash) price for CPT 99284, filed under the federal price transparency rule (45 CFR Part 180). Hospital facility charges may not include separate physician, anesthesia, or pathology fees. National median for this code: $834 across all reporting facilities. Dataset: Q4 2026. Always confirm the final price with the facility before booking.
Billed more than $230 for this?
That is the median of what the 66 Iowa hospitals above publish for Emergency department visit with moderate level of medical decision making — their own figures, filed under federal law. A bill well above them is evidence you can put in writing.
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Medicare reimbursement benchmark
For CPT 99284 in Iowa, Medicare reimburses about $110 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in Iowa range from $12.88 to $2,453 — that means hospital cash prices are typically 2.1x what Medicare pays. If a self-pay quote you receive is more than 2-3x the Medicare rate, ask the hospital for the cash-discount price in writing.
Frequently asked questions
- How much does emergency department visit with moderate level of medical decision making cost in Iowa?
- Cash prices for emergency department visit with moderate level of medical decision making (CPT 99284) in Iowa range from $12.88 to $2,453, with a median of $230. Prices vary widely by hospital.
- Where can I find the cheapest emergency department visit with moderate level of medical decision making in Iowa?
- The cheapest Iowa hospital published cash price for this procedure is $12.88. Use the table above sorted by cash price to find the lowest-priced facility near you.
- Are these the prices I'll pay?
- These are the rates hospitals publish. Final price depends on your insurance, deductible, and the specific services billed. Always confirm with the facility and your insurer before any procedure.
- Why do prices vary so much between hospitals?
- Hospitals set cash prices independently, and insurance contracts negotiate different rates per payer. Two facilities a few miles apart can charge 5-10x different prices for the same procedure.
- Where does this data come from?
- Federal law (45 CFR § 180) requires hospitals to publish their pricing in a machine-readable file. We aggregate these files and republish in a consumer-friendly format.
Emergency department visit with moderate level of medical decision making in nearby states
Other procedures in Iowa
Methodology. Cash prices and insurance-negotiated rates published by each Iowa facility under federal price transparency rules (45 CFR § 180). CPT code 99284 (Doctor Visits). Data refreshed regularly; verify with the facility before any procedure.