CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: University of Iowa Hospital & Clinics

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 392
  • Insurance Median: $8,223
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.45x Medicare
The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at University of Iowa Hospital & Clinics is $8,223. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $5,675.87, this hospital’s rate is 1.45x the Medicare baseline. Located in 200 Hawkins Drive, Iowa City, IA.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$8,223

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$5,675.87

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $5,675.87 (100%)
Insurance Median: $8,223 (145%)
Ins. Median: $8,223 (145% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $5,675.87 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
Iowa Total Care $4,555 - $8,223 80%
Molina Healthcare $4,555 80%
Wellpoint (Amerigroup) $4,555 - $8,302 80%
UnitedHealthcare $7,907 - $17,896 139%
Aetna $7,947 140%
Blue Cross Blue Shield $8,065 142%
Healthpartners $8,065 142%
American Health Plan $8,302 146%
Medical Associates $10,462 184%

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