CMS Price Transparency Data

X-ray, ankle

Facility: University of Iowa Hospital & Clinics

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73610
  • Insurance Median: $106
  • Cash Discount Price: $433
  • vs. Medicare Baseline: 1.19x Medicare
The contracted insurance negotiated median rate for a X-ray, ankle at University of Iowa Hospital & Clinics is $106. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $433. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.19x the Medicare baseline. Located in 200 Hawkins Drive, Iowa City, IA.
Cash / Self-Pay
$433

Average discount available for prompt cash payment at this facility.

Insurance Median
$106

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$88.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $88.91 (100%)
Cash / Self-Pay: $433 (487%)
Insurance Median: $106 (119%)
Cash: $433 (487% of Medicare)
Ins. Median: $106 (119% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $88.91 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
Immergrun $14 - $155 16%
Aetna $32 - $477 36%
Iowa Total Care $32 - $248 36%
Medical Associates $32 - $310 36%
Molina Healthcare $32 - $248 36%
UnitedHealthcare $32 - $262 36%
Blue Cross Blue Shield $33 - $297 37%
Healthpartners $33 - $526 37%
American Health Plan $34 - $87 38%
Wellpoint (Amerigroup) $34 - $87 38%
Oscar Health $35 - $390 39%
Great River Health Systems $39 - $433 44%
Quad City Community Healthcare $42 - $464 47%
Sedgwick $45 - $495 51%
Global Excel $48 - $526 54%
Sanford Health Plan $48 - $526 54%
Employee Benefit Systems $49 - $557 55%
Sisco $49 - $545 55%
Healthsmart $50 - $557 56%
Hfn $52 - $569 58%
Multiplan $52 - $569 58%
Aplos Health Plan $76 - $495 85%
Midlands Choice $86 - $402 97%

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