Level 4 ER visit cost in Iowa
In Iowa, 37 hospitals publish a cash price for emergency room visit, level 4 of 5, moderate-complexity problem: from $164.16 to $1,318.40, with a median of $253.00. The lowest price is at Alegent Health - Mercy Hospital, Corning Iowa (Corning). The highest price is 8.0× the lowest.
Outpatient cash prices, one line per hospital — its lowest listed price for code 99284. Prices for both sides of the body and inpatient prices are not mixed in. Collected Sep 23, 2026.
Hospitals in Iowa, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Alegent Health - Mercy Hospital, Corning Iowa lowest Corning · Corning, IA PC EVALUATION MANAGEMENT 4 | $164.16 | $342.00 | Feb 28, 2026 source file |
| Alegent Health Community Memorial Hospital of Missouri Valley, Iowa Missouri Valley · Omaha, NE-IA PC EVALUATION MANAGEMENT 4 | $167.58 | $342.00 | Feb 28, 2026 source file |
| Central Community Hospital Elkader · Elkader, IA HC ED Type a Level 4 (Restricted Method II CAH) | $184.60 | $284.00 | Mar 31, 2026 source file |
| Mercy Medical Center - Dyersville Dyersville · Dubuque, IA HC ED Type a Level 4 (Restricted Method II CAH) | $184.60 | $284.00 | Mar 31, 2026 source file |
| Mercy Medical Center - New Hampton New Hampton · New Hampton, IA HC ED Type a Level 4 (Restricted Method II CAH) | $184.60 | $284.00 | Mar 31, 2026 source file |
| MercyOne Oelwein Medical Center Oelwein · Oelwein, IA HC ED Type a Level 4 (Restricted Method II CAH) | $184.60 | $284.00 | Mar 31, 2026 source file |
| Allen Hospital Waterloo · Waterloo-Cedar Falls, IA PR EMERGENCY DEPARTMENT VISIT MODERATE MDM | $220.80 | $276.00 | Jan 28, 2026 source file |
| Grinnell Regional Medical Center Grinnell · Grinnell, IA PR EMERGENCY DEPARTMENT VISIT MODERATE MDM | $220.80 | $276.00 | Jan 28, 2026 source file |
| St Luke's Methodist Hospital Cedar Rapids · Cedar Rapids, IA PR EMERGENCY DEPARTMENT VISIT MODERATE MDM | $220.80 | $276.00 | Jan 28, 2026 source file |
| St Luke'sJones Regional Medical Center Anamosa · Cedar Rapids, IA PR EMERGENCY DEPARTMENT VISIT MODERATE MDM | $220.80 | $276.00 | Jan 28, 2026 source file |
| St Lukes Regional Medical Center Sioux City · Sioux City, IA-NE-SD PR EMERGENCY DEPARTMENT VISIT MODERATE MDM | $220.80 | $276.00 | Jan 28, 2026 source file |
| The Finley Hospital Dubuque · Dubuque, IA PR EMERGENCY DEPARTMENT VISIT MODERATE MDM | $220.80 | $276.00 | Jan 28, 2026 source file |
| Trinity Medical Center Bettendorf · Davenport-Moline-Rock Island, IA-IL PR EMERGENCY DEPARTMENT VISIT MODERATE MDM | $220.80 | $276.00 | Jan 28, 2026 source file |
| Trinity Regional Medical Center Fort Dodge · Fort Dodge, IA PR EMERGENCY DEPARTMENT VISIT MODERATE MDM | $220.80 | $276.00 | Jan 28, 2026 source file |
| Unity Healthcare Muscatine · Muscatine, IA PR EMERGENCY DEPARTMENT VISIT MODERATE MDM | $220.80 | $276.00 | Jan 28, 2026 source file |
| UnityPoint Health - Des Moines Iowa Methodist Medical Des Moines · Des Moines-West Des Moines, IA PR EMERGENCY DEPARTMENT VISIT MODERATE MDM | $220.80 | $276.00 | Jan 28, 2026 source file |
| UnityPoint Health Marshalltown Marshalltown · Marshalltown, IA PR EMERGENCY DEPARTMENT VISIT MODERATE MDM | $220.80 | $276.00 | Jan 28, 2026 source file |
| Catholic Health Initiatives-Iowa West Des Moines · Des Moines-West Des Moines, IA PR Emergency Dept Visit Moderate | $253.00 | $253.00 | Mar 31, 2026 source file |
| Mercy Medical Center - Dubuque Dubuque · Dubuque, IA PR Emergency Dept Visit Moderate | $253.00 | $253.00 | Mar 31, 2026 source file |
| MercyOne Clinton Medical Center Clinton · Clinton, IA PR Emergency Dept Visit Moderate | $253.00 | $253.00 | Mar 31, 2026 source file |
| MercyOne Des Moines Medical Center Des Moines · Des Moines-West Des Moines, IA PR Emergency Dept Visit Moderate | $253.00 | $253.00 | Mar 31, 2026 source file |
| MercyOne North Iowa Medical Center Mason City · Mason City, IA PR Emergency Dept Visit Moderate | $253.00 | $253.00 | Mar 31, 2026 source file |
| MercyOne Waterloo Medical Center Waterloo · Waterloo-Cedar Falls, IA PR Emergency Dept Visit Moderate | $253.00 | $253.00 | Mar 31, 2026 source file |
| Sartori Memorial Hospital Cedar Falls · Waterloo-Cedar Falls, IA PR Emergency Dept Visit Moderate | $253.00 | $253.00 | Mar 31, 2026 source file |
| St. Joseph's Mercy Hospital, Centerville Centerville · Centerville, IA PR Emergency Dept Visit Moderate | $253.00 | $253.00 | Mar 31, 2026 source file |
| Buena Vista Regional Medical Center Storm Lake · Storm Lake, IA PR ED LEVEL 4 VISIT | $343.20 | $429.00 | — source file |
| Winneshiek Medical Center Decorah · Decorah, IA Emergency department visit with moderate level of medical decision making | $382.20 | $546.00 | Jul 17, 2026 source file |
| Jennie Edmundson Memorial Hospital Council Bluffs · Omaha, NE-IA Level 4 Detailed | $384.30 | $1,281.00 | Feb 15, 2026 source file |
| Gundersen Palmer Lutheran Hospital and Clinic West Union · West Union, IA HCHG 99284 EMERGENCY SERVICE IV | $521.53 | $878.00 | Jun 27, 2026 source file |
| MercyOne Genesis Davenport West Medical Center Davenport · Davenport-Moline-Rock Island, IA-IL GHS FAST TRACK ER LEVEL 4 | $595.20 | $992.00 | Mar 31, 2026 source file |
| Avera Holy Family Hospital Estherville · Estherville, IA | $635.35 | $655.00 | — source file |
| Avera Merrill Pioneer Rock Rapids · Rock Rapids, IA | $635.35 | $655.00 | — source file |
| MercyOne Genesis Davenport Medical Center Davenport · Davenport-Moline-Rock Island, IA-IL GHS EMERGENCY CARE LEVEL 4 | $719.40 | $1,199.00 | Mar 31, 2026 source file |
| MercyOne Genesis DeWitt Medical Center Dewitt · Clinton, IA GHS EMERGENCY CARE LEVEL 4 | $719.40 | $1,199.00 | Mar 31, 2026 source file |
| Mercy Medical Center - Newton Newton · Des Moines-West Des Moines, IA HC ED Type a Level 4 | $832.00 | $1,280.00 | Mar 31, 2026 source file |
| CHI Health Mercy Council Bluffs Council Bluffs · Omaha, NE-IA HC EMERGENCY DEPT VISIT MOD MDM | $1,038.24 | $2,472.00 | Feb 28, 2026 source file |
| Sanford Sheldon Medical Center Sheldon · Sheldon, IA ED 99284 EMER CASE LEVEL IV | $1,318.40 | $1,648.00 | Mar 4, 2026 source file |
By metro area
Each metro page compares every listing, including prices for both sides of the body.
| Metro area | Hospitals | Lowest | Median |
|---|---|---|---|
| Des Moines-West Des Moines, IA | 4 | $220.80 | $253.00 |
| Davenport-Moline-Rock Island, IA-IL | 3 | $220.80 | $595.20 |
| Dubuque, IA | 3 | $184.60 | $220.80 |
| Omaha, NE-IA | 3 | $167.58 | $384.30 |
| Waterloo-Cedar Falls, IA | 3 | $220.80 | $253.00 |
| Clinton, IA | 2 | $253.00 | $486.20 |
| Cedar Rapids, IA | 1 | $220.80 | $220.80 |
| Centerville, IA | 1 | $253.00 | $253.00 |
| Corning, IA | 1 | $164.16 | $164.16 |
| Cedar Rapids, IA | 1 | $220.80 | $220.80 |
| Decorah, IA | 1 | $382.20 | $382.20 |
| Elkader, IA | 1 | $184.60 | $184.60 |
| Estherville, IA | 1 | $635.35 | $635.35 |
| Fort Dodge, IA | 1 | $220.80 | $220.80 |
| Grinnell, IA | 1 | $220.80 | $220.80 |
| Marshalltown, IA | 1 | $220.80 | $220.80 |
| Mason City, IA | 1 | $253.00 | $253.00 |
| Muscatine, IA | 1 | $220.80 | $220.80 |
| New Hampton, IA | 1 | $184.60 | $184.60 |
| Oelwein, IA | 1 | $184.60 | $184.60 |
| Rock Rapids, IA | 1 | $635.35 | $635.35 |
| Sheldon, IA | 1 | $1,318.40 | $1,318.40 |
| Sioux City, IA-NE-SD | 1 | $220.80 | $220.80 |
| Storm Lake, IA | 1 | $343.20 | $343.20 |
| West Union, IA | 1 | $521.53 | $521.53 |
What it is
This is the fourth of five emergency department visit levels, used for a problem of moderate complexity, often one that needs several tests, imaging or medicines. The level is assigned after the visit: doctors pick it by the complexity of their medical decision making, and hospitals pick the facility level by the care and resources used, so a patient cannot choose it in advance.
What the price covers
The hospital price for this code is the facility fee for the ER visit. The emergency physician bills separately, and lab tests, imaging, medicines and procedures are added on top.
Emergency room visit, level 4 of 5, moderate-complexity problem in other states
- Alabama$3,070.00
- Alaska$845.13
- Arizona$1,172.49
- Arkansas$450.75
- California$1,968.81
- Colorado$1,913.19
- Connecticut$510.00
- Delaware$1,354.46
- Florida$2,110.35
- Georgia$875.16
- Hawaii$1,655.40
- Idaho$1,851.00
- Illinois$1,110.00
- Indiana$1,238.40
- Kansas$1,477.92
- Kentucky$1,347.19
- Louisiana$344.64
- Maine$411.00
- Maryland$482.13
- Massachusetts$1,105.00
- Michigan$938.00
- Minnesota$736.85
- Mississippi$291.20
- Missouri$412.10
- Montana$367.23
- Nebraska$467.38
- Nevada$775.85
- New Hampshire$249.56
- New Jersey$535.09
- New Mexico$639.93
- New York$473.60
- North Carolina$1,554.56
- North Dakota$808.77
- Ohio$1,334.25
- Oklahoma$512.05
- Oregon$451.13
- Pennsylvania$944.00
- Rhode Island$1,119.60
- South Carolina$1,385.50
- South Dakota$1,204.00
- Tennessee$330.00
- Texas$1,273.68
- Utah$1,784.24
- Vermont$239.61
- Virginia$909.50
- Washington$1,256.36
- West Virginia$637.00
- Wisconsin$595.00
- Wyoming$1,371.62
Median cash price across the state's hospitals.