CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: University of Iowa Hospital & Clinics

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $298
Cash Discount Price: $773
vs. Medicare Baseline: 2.79x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at University of Iowa Hospital & Clinics is $298. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $773. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.79x the Medicare baseline. Located in 200 Hawkins Drive, Iowa City, IA.

Cash / Self-Pay

$773

Average discount available for prompt cash payment at this facility.

Insurance Median

$298

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: $773 (724%)

Insurance Median: $298 (279%)

Cash: $773 (724% of Medicare)

Ins. Median: $298 (279% 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 279% of the Medicare baseline (a markup of 179%). 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	$45 - $276	42%
Aetna	$78 - $850	73%
Iowa Total Care	$78 - $442	73%
Medical Associates	$78 - $552	73%
Molina Healthcare	$78 - $442	73%
UnitedHealthcare	$78 - $513	73%
Blue Cross Blue Shield	$79 - $530	74%
Healthpartners	$79 - $938	74%
American Health Plan	$82 - $105	77%
Wellpoint (Amerigroup)	$82 - $105	77%
Oscar Health	$114 - $696	107%
Great River Health Systems	$127 - $773	119%
Progyny	$136 - $828	127%
Quad City Community Healthcare	$136 - $828	127%
Sedgwick	$145 - $883	136%
Global Excel	$154 - $938	144%
Sanford Health Plan	$154 - $938	144%
Employee Benefit Systems	$159 - $994	149%
Sisco	$159 - $972	149%
Healthsmart	$163 - $994	153%
Hfn	$167 - $1,016	156%
Multiplan	$167 - $1,016	156%
Aplos Health Plan	$201 - $883	188%
Midlands Choice	$252 - $718	236%

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 $773.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 76705.

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 76705.
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.