CMS Price Transparency Data

X-ray, chest (two views)

Facility: University of Iowa Health Care Medical Center Down

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71046
Insurance Median: $196
Cash Discount Price: $365
vs. Medicare Baseline: 2.20x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (two views) at University of Iowa Health Care Medical Center Down is $196. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $365. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.20x the Medicare baseline. Located in 500 E Market Street, Iowa City, IA.

Cash / Self-Pay

$365

Average discount available for prompt cash payment at this facility.

Insurance Median

$196

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: $365 (411%)

Insurance Median: $196 (220%)

Cash: $365 (411% of Medicare)

Ins. Median: $196 (220% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 220% of the Medicare baseline (a markup of 120%). 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	$12 - $130	13%
Medical Associates	$29 - $340	33%
Aetna	$30 - $313	34%
Blue Cross Blue Shield	$30 - $251	34%
Iowa Total Care	$30 - $209	34%
Molina Healthcare	$30 - $209	34%
Oscar Health	$30 - $329	34%
UnitedHealthcare	$30 - $296	34%
Healthpartners	$31 - $444	35%
Wellpoint (Amerigroup)	$32 - $87	36%
Great River Health Systems	$33 - $365	37%
Quad City Community Healthcare	$35 - $392	39%
Sedgwick	$38 - $418	43%
Global Excel	$40 - $444	45%
Sanford Health Plan	$40 - $444	45%
Employee Benefit Systems	$41 - $470	46%
Sisco	$41 - $459	46%
Healthsmart	$42 - $470	47%
Hfn	$43 - $480	48%
Multiplan	$43 - $480	48%
Aplos Health Plan	$70 - $418	79%
Midlands Choice	$95 - $339	107%

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 $365.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 71046.

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 71046.
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.