CMS Price Transparency Data

Family therapy session

Facility: University of Iowa Health Care Medical Center Down

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90847
  • Insurance Median: $219
  • Cash Discount Price: $243
  • vs. Medicare Baseline: 1.21x Medicare
The contracted insurance negotiated median rate for a Family therapy session at University of Iowa Health Care Medical Center Down is $219. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $243. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.21x the Medicare baseline. Located in 500 E Market Street, Iowa City, IA.
Cash / Self-Pay
$243

Average discount available for prompt cash payment at this facility.

Insurance Median
$219

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$181.34

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $181.34 (100%)
Cash / Self-Pay: $243 (134%)
Insurance Median: $219 (121%)
Cash: $243 (134% of Medicare)
Ins. Median: $219 (121% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $181.34 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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 $75 - $87 41%
Aetna $100 - $213 55%
Iowa Total Care $100 - $157 55%
Medical Associates $100 - $439 55%
Molina Healthcare $100 - $139 55%
UnitedHealthcare $100 - $605 55%
Blue Cross Blue Shield $101 - $167 56%
Healthpartners $102 - $382 56%
Wellpoint (Amerigroup) $105 - $159 58%
Quad City Community Healthcare $150 - $260 83%
Midlands Choice $158 - $395 87%
Oscar Health $189 - $219 104%
Great River Health Systems $210 - $243 116%
Aplos Health Plan $225 - $278 124%
Sedgwick $240 - $278 132%
Global Excel $255 - $295 141%
Sanford Health Plan $255 - $295 141%
Sisco $264 - $305 146%
Employee Benefit Systems $270 - $312 149%
Healthsmart $270 - $312 149%
Hfn $276 - $319 152%
Multiplan $276 - $319 152%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 500 E Market Street, Iowa City, IA 52245
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals