CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: University of Iowa Health Care Medical Center Down

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71250
Insurance Median: $1,083
Cash Discount Price: $2,132
vs. Medicare Baseline: 10.14x Medicare

The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at University of Iowa Health Care Medical Center Down is $1,083. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,132. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 10.14x the Medicare baseline. Located in 500 E Market Street, Iowa City, IA.

Cash / Self-Pay

$2,132

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,083

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)

Cash / Self-Pay: $2,132 (1996%)

Insurance Median: $1,083 (1014%)

Cash: $2,132 (1996% of Medicare)

Ins. Median: $1,083 (1014% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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 1014% of the Medicare baseline (a markup of 914%). 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
Immergrun	$93 - $762	87%
Aetna	$100 - $1,825	94%
UnitedHealthcare	$100 - $1,348	94%
Blue Cross Blue Shield	$101 - $1,462	95%
Healthpartners	$102 - $2,589	95%
Iowa Total Care	$104 - $1,218	97%
Wellpoint (Amerigroup)	$105 - $128	98%
Medical Associates	$122 - $1,523	114%
Molina Healthcare	$122 - $1,218	114%
Oscar Health	$234 - $1,919	219%
Great River Health Systems	$260 - $2,132	243%
Quad City Community Healthcare	$279 - $2,284	261%
Sedgwick	$298 - $2,437	279%
Aplos Health Plan	$316 - $2,437	296%
Global Excel	$316 - $2,589	296%
Sanford Health Plan	$316 - $2,589	296%
Employee Benefit Systems	$327 - $2,741	306%
Sisco	$327 - $2,680	306%
Healthsmart	$335 - $2,741	314%
Hfn	$342 - $2,802	320%
Multiplan	$342 - $2,802	320%
Midlands Choice	$854 - $1,980	800%

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 $2,132.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 71250.

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 71250.
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.