CMS Price Transparency Data

X-ray, hip

Facility: University of Iowa Hospital & Clinics

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $194
Cash Discount Price: $606
vs. Medicare Baseline: 2.18x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at University of Iowa Hospital & Clinics is $194. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $606. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.18x the Medicare baseline. Located in 200 Hawkins Drive, Iowa City, IA.

Cash / Self-Pay

$606

Average discount available for prompt cash payment at this facility.

Insurance Median

$194

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: $606 (682%)

Insurance Median: $194 (218%)

Cash: $606 (682% of Medicare)

Ins. Median: $194 (218% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 218% of the Medicare baseline (a markup of 118%). 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	$12 - $216	13%
Oscar Health	$30 - $545	34%
Great River Health Systems	$34 - $606	38%
Healthpartners	$36 - $735	40%
Quad City Community Healthcare	$36 - $649	40%
Aetna	$38 - $666	43%
Sedgwick	$38 - $692	43%
Global Excel	$41 - $735	46%
Medical Associates	$41 - $564	46%
Sanford Health Plan	$41 - $735	46%
Employee Benefit Systems	$42 - $778	47%
Sisco	$42 - $761	47%
Blue Cross Blue Shield	$43 - $415	48%
Healthsmart	$43 - $778	48%
Iowa Total Care	$43 - $346	48%
Molina Healthcare	$43 - $346	48%
UnitedHealthcare	$43 - $490	48%
Hfn	$44 - $796	49%
Multiplan	$44 - $796	49%
American Health Plan	$45 - $87	51%
Wellpoint (Amerigroup)	$45 - $87	51%
Aplos Health Plan	$99 - $692	111%
Midlands Choice	$123 - $562	138%

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 $606.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73502.

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 73502.
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.