CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: University of Iowa Health Care Medical Center Down

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $1,259
Cash Discount Price: $3,904
vs. Medicare Baseline: 5.16x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at University of Iowa Health Care Medical Center Down is $1,259. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,904. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 5.16x the Medicare baseline. Located in 500 E Market Street, Iowa City, IA.

Cash / Self-Pay

$3,904

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,259

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)

Cash / Self-Pay: $3,904 (1602%)

Insurance Median: $1,259 (516%)

Cash: $3,904 (1602% of Medicare)

Ins. Median: $1,259 (516% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $243.77 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 516% of the Medicare baseline (a markup of 416%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Aetna	$169 - $3,341	69%
Iowa Total Care	$169 - $2,231	69%
Medical Associates	$169 - $2,788	69%
Molina Healthcare	$169 - $2,231	69%
UnitedHealthcare	$169 - $2,359	69%
Blue Cross Blue Shield	$170 - $2,677	70%
Healthpartners	$172 - $4,740	71%
Immergrun	$177 - $1,394	73%
Wellpoint (Amerigroup)	$177 - $239	73%
Aplos Health Plan	$436 - $4,462	179%
Oscar Health	$447 - $3,514	183%
Great River Health Systems	$496 - $3,904	203%
Quad City Community Healthcare	$532 - $4,183	218%
Sedgwick	$567 - $4,462	233%
Global Excel	$603 - $4,740	247%
Sanford Health Plan	$603 - $4,740	247%
Employee Benefit Systems	$624 - $5,019	256%
Sisco	$624 - $4,908	256%
Healthsmart	$638 - $5,019	262%
Hfn	$652 - $5,131	267%
Multiplan	$652 - $5,131	267%
Midlands Choice	$661 - $3,625	271%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $3,904.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74176.

Insurance In-Network Protection Plan

Contact your insurance company to confirm University of Iowa Health Care Medical Center Down is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74176.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.