CMS Price Transparency Data

CT scan, pelvis

Facility: University of Iowa Hospital & Clinics

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72192
Insurance Median: $972
Cash Discount Price: $2,073
vs. Medicare Baseline: 9.10x Medicare

The contracted insurance negotiated median rate for a CT scan, pelvis at University of Iowa Hospital & Clinics is $972. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,073. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 9.10x the Medicare baseline. Located in 200 Hawkins Drive, Iowa City, IA.

Cash / Self-Pay

$2,073

Average discount available for prompt cash payment at this facility.

Insurance Median

$972

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)

Cash / Self-Pay: $2,073 (1941%)

Insurance Median: $972 (910%)

Cash: $2,073 (1941% of Medicare)

Ins. Median: $972 (910% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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 910% of the Medicare baseline (a markup of 810%). 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	$85 - $740	80%
Aetna	$100 - $2,280	94%
UnitedHealthcare	$100 - $1,316	94%
Blue Cross Blue Shield	$102 - $1,421	95%
Healthpartners	$102 - $2,517	95%
Iowa Total Care	$104 - $1,184	97%
American Health Plan	$105 - $128	98%
Wellpoint (Amerigroup)	$105 - $128	98%
Medical Associates	$122 - $2,013	114%
Molina Healthcare	$122 - $1,184	114%
Oscar Health	$214 - $1,865	200%
Great River Health Systems	$238 - $2,073	223%
Quad City Community Healthcare	$255 - $2,221	239%
Sedgwick	$272 - $2,369	255%
Global Excel	$289 - $2,517	271%
Sanford Health Plan	$289 - $2,517	271%
Employee Benefit Systems	$299 - $2,665	280%
Sisco	$299 - $2,606	280%
Healthsmart	$306 - $2,665	286%
Hfn	$313 - $2,724	293%
Multiplan	$313 - $2,724	293%
Aplos Health Plan	$316 - $2,369	296%
Midlands Choice	$844 - $1,925	790%

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 $2,073.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 72192.

Insurance In-Network Protection Plan

Contact your insurance company to confirm University of Iowa Hospital & Clinics is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 72192.
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.