CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: University of Iowa Hospital & Clinics

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $1,156
  • Cash Discount Price: $2,657
  • vs. Medicare Baseline: 6.45x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at University of Iowa Hospital & Clinics is $1,156. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,657. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 6.45x the Medicare baseline. Located in 200 Hawkins Drive, Iowa City, IA.
Cash / Self-Pay
$2,657

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,156

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$179.2

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $179.2 (100%)
Cash / Self-Pay: $2,657 (1483%)
Insurance Median: $1,156 (645%)
Cash: $2,657 (1483% of Medicare)
Ins. Median: $1,156 (645% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $179.2 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 645% of the Medicare baseline (a markup of 545%). 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 $98 - $949 55%
Aetna $158 - $2,922 88%
Iowa Total Care $158 - $1,518 88%
Medical Associates $158 - $1,898 88%
Molina Healthcare $158 - $1,518 88%
UnitedHealthcare $158 - $1,605 88%
Blue Cross Blue Shield $161 - $1,822 90%
Healthpartners $161 - $3,226 90%
American Health Plan $166 - $176 93%
Wellpoint (Amerigroup) $166 - $176 93%
Oscar Health $248 - $2,391 138%
Great River Health Systems $276 - $2,656 154%
Quad City Community Healthcare $296 - $2,846 165%
Sedgwick $315 - $3,036 176%
Global Excel $335 - $3,226 187%
Sanford Health Plan $335 - $3,226 187%
Employee Benefit Systems $347 - $3,416 194%
Sisco $347 - $3,340 194%
Healthsmart $355 - $3,416 198%
Hfn $362 - $3,491 202%
Multiplan $362 - $3,491 202%
Aplos Health Plan $412 - $3,036 230%
Midlands Choice $1,004 - $2,467 560%

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