CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: University of Iowa Health Care Medical Center Down

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $531
Cash Discount Price: $1,175
vs. Medicare Baseline: 4.97x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at University of Iowa Health Care Medical Center Down is $531. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,175. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 4.97x the Medicare baseline. Located in 500 E Market Street, Iowa City, IA.

Cash / Self-Pay

$1,175

Average discount available for prompt cash payment at this facility.

Insurance Median

$531

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: $1,175 (1100%)

Insurance Median: $531 (497%)

Cash: $1,175 (1100% of Medicare)

Ins. Median: $531 (497% 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 497% of the Medicare baseline (a markup of 397%). 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	$66 - $420	62%
Aetna	$100 - $1,006	94%
UnitedHealthcare	$100 - $710	94%
Blue Cross Blue Shield	$101 - $806	95%
Healthpartners	$102 - $1,427	95%
Iowa Total Care	$104 - $672	97%
Medical Associates	$104 - $840	97%
Molina Healthcare	$104 - $672	97%
Wellpoint (Amerigroup)	$105 - $109	98%
Oscar Health	$165 - $1,058	154%
Great River Health Systems	$183 - $1,175	171%
Quad City Community Healthcare	$196 - $1,259	184%
Sedgwick	$210 - $1,343	197%
Global Excel	$223 - $1,427	209%
Sanford Health Plan	$223 - $1,427	209%
Employee Benefit Systems	$231 - $1,511	216%
Sisco	$231 - $1,478	216%
Healthsmart	$236 - $1,511	221%
Hfn	$241 - $1,545	226%
Multiplan	$241 - $1,545	226%
Aplos Health Plan	$269 - $1,343	252%
Midlands Choice	$350 - $1,091	328%

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 $1,175.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 76700.

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 76700.
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.