CMS Price Transparency Data

X-ray, pelvis

Facility: University of Iowa Hospital & Clinics

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72170
Insurance Median: $105
Cash Discount Price: $372
vs. Medicare Baseline: 0.98x Medicare

The contracted insurance negotiated median rate for a X-ray, pelvis at University of Iowa Hospital & Clinics is $105. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $372. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.98x the Medicare baseline. Located in 200 Hawkins Drive, Iowa City, IA.

Cash / Self-Pay

$372

Average discount available for prompt cash payment at this facility.

Insurance Median

$105

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: $372 (348%)

Insurance Median: $105 (98%)

Cash: $372 (348% of Medicare)

Ins. Median: $105 (98% 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.

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	$14 - $133	13%
Aetna	$25 - $410	23%
Blue Cross Blue Shield	$25 - $255	23%
Healthpartners	$25 - $452	23%
Iowa Total Care	$25 - $213	23%
Medical Associates	$25 - $266	23%
Molina Healthcare	$25 - $213	23%
UnitedHealthcare	$25 - $225	23%
American Health Plan	$26 - $105	24%
Wellpoint (Amerigroup)	$26 - $105	24%
Oscar Health	$34 - $335	32%
Great River Health Systems	$38 - $372	36%
Quad City Community Healthcare	$40 - $399	37%
Sedgwick	$43 - $426	40%
Global Excel	$46 - $452	43%
Sanford Health Plan	$46 - $452	43%
Employee Benefit Systems	$48 - $479	45%
Sisco	$48 - $468	45%
Healthsmart	$49 - $479	46%
Hfn	$50 - $489	47%
Multiplan	$50 - $489	47%
Aplos Health Plan	$58 - $426	54%
Midlands Choice	$85 - $346	80%

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 $372.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 72170.

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 72170.
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.