CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: University of Iowa Hospital & Clinics

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $1,444
  • Cash Discount Price: $5,236
  • vs. Medicare Baseline: 4.05x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at University of Iowa Hospital & Clinics is $1,444. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,236. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 4.05x the Medicare baseline. Located in 200 Hawkins Drive, Iowa City, IA.
Cash / Self-Pay
$5,236

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,444

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$356.43

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $356.43 (100%)
Cash / Self-Pay: $5,236 (1469%)
Insurance Median: $1,444 (405%)
Cash: $5,236 (1469% of Medicare)
Ins. Median: $1,444 (405% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $356.43 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 405% of the Medicare baseline (a markup of 305%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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 $182 - $1,870 51%
Aetna $275 - $5,760 77%
Iowa Total Care $275 - $2,992 77%
Medical Associates $275 - $3,740 77%
Molina Healthcare $275 - $2,992 77%
UnitedHealthcare $275 - $3,164 77%
Blue Cross Blue Shield $280 - $3,590 79%
Healthpartners $280 - $6,358 79%
American Health Plan $288 - $353 81%
Wellpoint (Amerigroup) $288 - $353 81%
Oscar Health $459 - $4,712 129%
Great River Health Systems $510 - $5,236 143%
Quad City Community Healthcare $547 - $5,610 153%
Sedgwick $583 - $5,984 164%
Global Excel $620 - $6,358 174%
Sanford Health Plan $620 - $6,358 174%
Employee Benefit Systems $642 - $6,732 180%
Sisco $642 - $6,582 180%
Healthsmart $656 - $6,732 184%
Hfn $671 - $6,882 188%
Multiplan $671 - $6,882 188%
Aplos Health Plan $719 - $5,984 202%
Midlands Choice $981 - $4,862 275%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 200 Hawkins Drive, Iowa City, IA 52242
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals