CMS Price Transparency Data

X-ray, shoulder

Facility: University of Iowa Hospital & Clinics

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73030
  • Insurance Median: $110
  • Cash Discount Price: $445
  • vs. Medicare Baseline: 1.24x Medicare
The contracted insurance negotiated median rate for a X-ray, shoulder at University of Iowa Hospital & Clinics is $110. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $445. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.24x the Medicare baseline. Located in 200 Hawkins Drive, Iowa City, IA.
Cash / Self-Pay
$445

Average discount available for prompt cash payment at this facility.

Insurance Median
$110

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: $445 (501%)
Insurance Median: $110 (124%)
Cash: $445 (501% of Medicare)
Ins. Median: $110 (124% 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 $16 - $159 18%
Aetna $31 - $490 35%
Iowa Total Care $31 - $254 35%
Medical Associates $31 - $318 35%
Molina Healthcare $31 - $254 35%
UnitedHealthcare $31 - $269 35%
American Health Plan $32 - $87 36%
Blue Cross Blue Shield $32 - $305 36%
Healthpartners $32 - $541 36%
Wellpoint (Amerigroup) $32 - $87 36%
Oscar Health $40 - $401 45%
Great River Health Systems $45 - $445 51%
Quad City Community Healthcare $48 - $477 54%
Sedgwick $51 - $509 57%
Global Excel $54 - $541 61%
Sanford Health Plan $54 - $541 61%
Employee Benefit Systems $56 - $572 63%
Sisco $56 - $560 63%
Healthsmart $58 - $572 65%
Hfn $59 - $585 66%
Multiplan $59 - $585 66%
Aplos Health Plan $72 - $509 81%
Midlands Choice $94 - $413 106%

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