Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
HC ED LEVEL 5 VISIT
Waterloo, IA
See all hospitals reporting CPT 99285 →Price type
Allen Memorial Hospital Corporation’s median price of $577 is 36% below the median hospital's median price ($897), higher than 18% of the 2,561 hospitals reporting CPT 99285. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 25 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | Aetna medicare advantage fee schedule · both | $159.07 | $159.07 | $159.07 – $159.07 |
| 2 | Molina medicare advantage fee schedule · both | $162.25 | $162.25 | $162.25 – $162.25 |
| 3 | Wellmark medicare advantage fee schedule · both | $162.25 | $162.25 | $162.25 – $162.25 |
| 4 | Humana medicare advantage fee schedule · both | $167.02 | $167.02 | $167.02 – $167.02 |
| 5 | UnitedHealthcare medicare advantage fee schedule · both | $167.02 | $167.02 | $167.02 – $167.02 |
| 6 | Wellmark commercial fee schedule · both | $287.60 | $287.60 | $287.60 – $287.60 |
| 7 | Wellmark hmo fee schedule · both | $287.60 | $287.60 | $287.60 – $287.60 |
| 8 | Wellmark ppo fee schedule · both | $287.60 | $287.60 | $287.60 – $287.60 |
| 9 | Cigna commercial fee schedule · both | $337.22 | $337.22 | $337.22 – $337.22 |
| 10 | Aetna ppo fee schedule · both | $341.78 | $341.78 | $341.78 – $341.78 |
| 11 | Aetna hmo fee schedule · both | $348.62 | $348.62 | $348.62 – $348.62 |
| 12 | UnitedHealthcare hmo fee schedule · both | $386.61 | $386.61 | $386.61 – $386.61 |
| 13 | UnitedHealthcare ppo fee schedule · both | $386.61 | $386.61 | $386.61 – $386.61 |
| 14 | Medica commercial percent of total billed charges · outpatientfrom % of charges | $428.74 | $452.60 | $25.91 – $926.99 |
| 15 | Aetna medicare advantage case rate · outpatient | $576.58 | $576.58 | $576.58 – $576.58 |
| 16 | Molina medicare advantage case rate · outpatient | $576.58 | $576.58 | $576.58 – $576.58 |
| 17 | Wellmark medicare advantage case rate · outpatient | $576.58 | $576.58 | $576.58 – $576.58 |
| 18 | Cigna commercial percent of total billed charges · inpatientfrom % of charges | $586.83 | $586.83 | $35.59 – $1,138 |
| 19 | Cigna commercial percent of total billed charges · outpatientfrom % of charges | $586.83 | $586.83 | $35.59 – $1,138 |
| 20 | Humana medicare advantage case rate · outpatient | $593.54 | $593.54 | $593.54 – $593.54 |
| 21 | UnitedHealthcare medicare advantage case rate · outpatient | $593.54 | $593.54 | $593.54 – $593.54 |
| 22 | Aetna hmo fee schedule · outpatient | $1,361 | $1,361 | $1,361 – $1,361 |
| 23 | Aetna ppo fee schedule · outpatient | $1,416 | $1,416 | $1,416 – $1,416 |
| 24 | UnitedHealthcare hmo fee schedule · outpatient | $1,671 | $1,671 | $1,671 – $1,671 |
| 25 | UnitedHealthcare ppo fee schedule · outpatient | $1,671 | $1,671 | $1,671 – $1,671 |
Last updated: Jan 28, 2026
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