CMS Price Transparency Data
Diagnostic procedure preparation
Facility: Madison County Health Care System
Billing Code: G0279 (HCPCS)
The BaseRate · fair price medium confidence
A fair price for this
$53
about 1.3× the $40 Medicare rate · typically $20–$149
modeled estimate · not a bill or quote
Medicare pays $40 Fair price $53 Cash price $40 Hospital's list price $50
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
3 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser Permanente
Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.
| Insurance company | Price range | vs. Medicare |
|---|---|---|
| UnitedHealthcaremajor | $22 - $45 | 54% |
| Blue Cross Blue Shieldmajor | $221 - $243 | 547% |
| Aetnamajor | $22 - $32 | 54% |
| Amerigroup | $25 | 62% |
| Molina | $24 | 59% |
| Oscar Health | $32 | 79% |
| + 14 smaller / regional plans | $22 - $50 |
Government programs also on file: Military & VA.
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Madison County Health Care System
Compare: Diagnostic procedure preparation at other IA hospitals
- Mercyone Newton Medical Center · Newton $12
- Mahaska Health Partnership · Oskaloosa $27
- Trinity - Bettendorf · Bettendorf $29
- Winnmed · Decorah $29
- Trinity Muscatine · Muscatine $30
- St Lukes Hospital · Cedar Rapids $30
- Allen Hospital · Waterloo $30
- Finley Hospital · Dubuque $30
Insurance negotiated median for the same procedure, sorted lowest first.