CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: University of Iowa Health Care Medical Center Down

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72040
  • Insurance Median: $139
  • Cash Discount Price: $439
  • vs. Medicare Baseline: 1.56x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at University of Iowa Health Care Medical Center Down is $139. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $439. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.56x the Medicare baseline. Located in 500 E Market Street, Iowa City, IA.
Cash / Self-Pay
$439

Average discount available for prompt cash payment at this facility.

Insurance Median
$139

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: $439 (494%)
Insurance Median: $139 (156%)
Cash: $439 (494% of Medicare)
Ins. Median: $139 (156% 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.

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 $16 - $157 18%
Aetna $35 - $376 39%
Iowa Total Care $35 - $251 39%
Medical Associates $35 - $314 39%
Molina Healthcare $35 - $251 39%
UnitedHealthcare $35 - $265 39%
Blue Cross Blue Shield $36 - $301 40%
Healthpartners $36 - $533 40%
Wellpoint (Amerigroup) $37 - $87 42%
Oscar Health $42 - $395 47%
Great River Health Systems $46 - $439 52%
Quad City Community Healthcare $50 - $470 56%
Sedgwick $53 - $502 60%
Global Excel $56 - $533 63%
Sanford Health Plan $56 - $533 63%
Employee Benefit Systems $58 - $564 65%
Sisco $58 - $552 65%
Healthsmart $59 - $564 66%
Hfn $61 - $577 69%
Multiplan $61 - $577 69%
Aplos Health Plan $82 - $502 92%
Midlands Choice $103 - $408 116%

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