CMS Price Transparency Data

X-ray, ankle

Facility: University of Iowa Health Care Medical Center Down

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $132
Cash Discount Price: $433
vs. Medicare Baseline: 1.48x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at University of Iowa Health Care Medical Center Down is $132. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $433. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.48x the Medicare baseline. Located in 500 E Market Street, Iowa City, IA.

Cash / Self-Pay

$433

Average discount available for prompt cash payment at this facility.

Insurance Median

$132

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$88.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $88.91 (100%)

Cash / Self-Pay: $433 (487%)

Insurance Median: $132 (148%)

Cash: $433 (487% of Medicare)

Ins. Median: $132 (148% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $88.91 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.

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	$14 - $155	16%
Aetna	$32 - $371	36%
Iowa Total Care	$32 - $248	36%
Medical Associates	$32 - $310	36%
Molina Healthcare	$32 - $248	36%
UnitedHealthcare	$32 - $262	36%
Blue Cross Blue Shield	$33 - $297	37%
Healthpartners	$33 - $526	37%
Wellpoint (Amerigroup)	$34 - $87	38%
Oscar Health	$35 - $390	39%
Great River Health Systems	$39 - $433	44%
Quad City Community Healthcare	$42 - $464	47%
Sedgwick	$45 - $495	51%
Global Excel	$48 - $526	54%
Sanford Health Plan	$48 - $526	54%
Employee Benefit Systems	$49 - $557	55%
Sisco	$49 - $545	55%
Healthsmart	$50 - $557	56%
Hfn	$52 - $569	58%
Multiplan	$52 - $569	58%
Aplos Health Plan	$76 - $495	85%
Midlands Choice	$86 - $402	97%

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 $433.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73610.

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 73610.
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.