Supplies, drugs & other prices at University of Iowa Health Care Medical Center Downtown
Iowa City, IA · every code in this section with a posted price and a Medicare benchmark.
161 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 3D contour simulaj trgt lvr les&mrgn micrwv ablt (0944T) | $994.70 | $1,421 | 4.3× |
| Abltj Perc Cryoabltj Img Gdn Nrv Plex/Trncl Nrv (0442T) | $5,003.60 | $7,148 | 0.6× |
| Adm tocilizu covid-19 1st (M0249) | $1,236.90 | $1,767 | 2.9× |
| Adm tocilizu covid-19 2nd (M0250) | $1,236.90 | $1,767 | 2.9× |
| Alveoloplasty not w/extracts (D7321) | $179.20 | $256 | 0.1× |
| Alveoloplasty w/extract 1-3 (D7311) | $149.80 | $214 | 0.1× |
| Alveoplasty w/ extraction (D7310) | $179.20 | $256 | 0.1× |
| Alveoplasty w/o extraction (D7320) | $179.20 | $256 | 0.1× |
| Annual alcohol screen 15 min (G0442) | $256.90 | $367 | 7.1× |
| Apicoectomy - anterior (D3410) | $496.30 | $709 | 0.8× |
| Arhfcmrigtbs 1st motor threshold deter 1st tx d (0890T) | $5,711.30 | $8,159 | 1.6× |
| Arhfcmrigtbs sbsq motor threshld redeter pr tx d (0892T) | $5,735.10 | $8,193 | 1.6× |
| Arhfcmrigtbs subsequent treatment day (0891T) | $5,691 | $8,130 | 1.6× |
| Behavior counsel obesity 15m (G0447) | $256.90 | $367 | 2.6× |
| Bia whole body composition assessment w/i&r (0358T) | $529.20 | $756 | 19.0× |
| Ca screen;flexi sigmoidscope (G0104) | $907.90 | $1,297 | 1.0× |
| Ca screen;pelvic/breast exam (G0101) | $120.40 | $172 | 1.2× |
| Chemo extend iv infus w/pump (G0498) | $287 | $410 | 0.9× |
| Collagen Cross-Linking Cornea&Pachymetry (0402T) | $1,418.20 | $2,026 | 0.6× |
| Colon ca scrn not hi rsk ind (G0121) | $3,101.70 | $4,431 | 3.5× |
| Colorectal scrn; hi risk ind (G0105) | $3,101.70 | $4,431 | 3.5× |
| Coronectomy (D7251) | $273.70 | $391 | 0.2× |
| Covid-19 lab test non-cdc (U0002) | $407.40 | $582 | 7.9× |
| Cyp2d6 3' gene dup/mlt (0076U) | $1,960 | $2,800 | 4.3× |
| Cyp2d6 5' gene dup/mlt (0075U) | $1,820 | $2,600 | 4.0× |
| Cyp2d6 full gene sequence (0071U) | $1,225 | $1,750 | 2.0× |
| Cyp2d6 gen cyp2d6-2d7 hybrid (0072U) | $1,662.50 | $2,375 | 3.7× |
| Cyp2d6 gen cyp2d7-2d6 hybrid (0073U) | $1,750 | $2,500 | 3.9× |
| Cyp2d6 nonduplicated gene (0074U) | $1,750 | $2,500 | 3.9× |
| Cysto impl 4 or more (C9740) unusually low: confirm this is the full procedure |
$3,796.10 | $5,423 | 0.4× |
| Cystoscopy prostatic imp 1-3 (C9739) | $4,125.80 | $5,894 | 0.8× |
| Demonstrate use home inr mon (G0248) | $653.80 | $934 | 5.1× |
| Dermal filler injection(s) (G0429) | $252 | $360 | 0.1× |
| Diab manage trn per indiv (G0108) range across 2 matching MRF lines |
$126.70–$128.80 | $181–$184 | varies |
| Diab manage trn ind/group (G0109) range across 2 matching MRF lines |
$65.80–$69.30 | $94–$99 | varies |
| Direct refer hospital observ (G0379) | — | $1.07 | — |
| Drug test def 1-7 classes (G0480) range across 132 matching MRF lines |
$52.50–$429.80 | $75–$614 | varies |
| ECG algorithmically gen 12 ld rdcd ld trcg only (0904T) | $245 | $350 | 4.3× |
| Ed svc ckd grp per session (G0421) | $132.30 | $189 | 4.8× |
| Ed svc ckd ind per session (G0420) | $258.30 | $369 | 2.3× |
| Egd flexible transnasal dx w/collj spec br/wa (0652T) | $2,382.80 | $3,404 | 1.3× |
| Egd flexible transnasal w/biopsy single/multiple (0653T) | $2,832.90 | $4,047 | 1.5× |
| Egd flexible transnasal w/insj intral tube/cath (0654T) | $2,551.50 | $3,645 | 0.7× |
| Ekg tracing for initial prev (G0404) | $191.80 | $274 | 6.9× |
| Elec Alys Cplx Prgrmg Iins Sp/Sac Nrv 4+Param (0789T) | $739.90 | $1,057 | 8.1× |
| Elec alys int nstimj sys vagus nrv w/o prgrmg (0911T) | $586.60 | $838 | 10.3× |
| Elec alys int nstimj sys vagus nrv w/smpl prgrmg (0912T) | $848.40 | $1,212 | 9.3× |
| Elec Alys Smpl Prgrmg Iins Sp/Sac Nrv 1-3 Param (0788T) | $739.90 | $1,057 | 8.1× |
| Electrophysiologic eval ccm-d leads at 1st impl (0930T) | $4,727.10 | $6,753 | 4.0× |
| Electrophysiologic eval ccm-d leads separate (0931T) | $5,944.40 | $8,492 | 5.1× |
| Endo defect closure gi tract (C9901) likely a partial charge, not the full procedure |
$2,592.10 | $3,703 | 0.3× |
| Esd endoscopy or colonoscopy (C9779) | $10,958.50 | $15,655 | 3.0× |
| Ev fempop artl revsc tcat plmt IV st grf & clsr (0505T) | $26,471.20 | $37,816 | 2.4× |
| Excision benign lesion>1.25c (D7411) | $2,391.20 | $3,416 | 1.6× |
| Exposure of unerupted tooth (D7280) | $604.80 | $864 | 1.0× |
| Extracorporeal shock wave muscskel sys nos (0101T) | $84 | $120 | 0.4× |
| Extraction coronal remnants (D7111) | $72.10 | $103 | 0.1× |
| Extraction erupted tooth/exr (D7140) | $91 | $130 | 0.1× |
| Fecal blood scrn immunoassay (G0328) | $170.80 | $244 | 9.5× |
| Fractional abl lsr fenestration first 100 sqcm (0479T) | $1,859.20 | $2,656 | 2.6× |
| Gingivectomy/plasty 1 to 3 (D4211) | $149.80 | $214 | 0.0× |
| Hbot, full body chamber, 30m (G0277) | $971.60 | $1,388 | 7.3× |
| Heart Symp Image Plnr (0331T) | $1,465.80 | $2,094 | 1.2× |
| Hepb screen high risk indiv (G0499) range across 3 matching MRF lines |
$101.50–$130.90 | $145–$187 | varies |
| High-resolution gastric electrophysiology mapg (0868T) | $1,188.60 | $1,698 | 3.3× |
| Hopd mntl hlt, 15-29 min (C7900) | $112 | $160 | 3.1× |
| Hopd mntl hlt, 30-60 min (C7901) | $224 | $320 | 2.3× |
| Hospital outpt clinic visit (G0463) range across 29 matching MRF lines |
$56–$1,207.50 | $80–$1,725 | varies |
| Impact tooth rem bony w/comp (D7241) | $294 | $420 | 0.5× |
| Impact tooth remov comp bony (D7240) | $292.60 | $418 | 0.5× |
| Impact tooth remov part bony (D7230) | $292.60 | $418 | 0.5× |
| Impact tooth remov soft tiss (D7220) | $228.90 | $327 | 0.4× |
| Initial preventive exam (G0402) | $471.80 | $674 | 3.7× |
| Insertion perm ccm-d system pulse generator only (0916T) | $16,317 | $23,310 | 0.8× |
| Insertion wrls car stimulator lv pacg compl sys (0515T) | $23,260.30 | $33,229 | 1.1× |
| Insj perm ccm-d sys 1 transvns lead only (0917T) | $5,607 | $8,010 | 0.7× |
| Insj Perm Ccm-D Sys Dual Transvns Leads Only (0918T) | $8,537.90 | $12,197 | 1.1× |
| Insj perm ccm-d sys pg&dual transvns eltrds/lds (0915T) | $16,100 | $23,000 | 0.5× |
| Insj Wcs Lv Eltrd Only (0516T) | $7,052.50 | $10,075 | 0.7× |
| Insj Wcs Lv Pg Compnt (0517T) | $6,622.70 | $9,461 | 0.7× |
| Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) | $16,100 | $23,000 | 0.5× |
| Insj/Rplc Car Modulj Sys Ventr Electrode Only (0411T) | $5,924.80 | $8,464 | 0.7× |
| Insj/Rplcmt Icds W/Substernal Electrode (0571T) | $17,011.40 | $24,302 | 0.6× |
| Instlj fecal microbiota ssp (0780T) | $1,095.50 | $1,565 | 8.6× |
| Interrog dev eval impl ccm-d system in person (0927T) | $294 | $420 | 8.2× |
| Ire Abltj 1+Tum Organ Perq (0600T) | $10,584 | $15,120 | 1.0× |
| Low intensity eswt corpus cavernosum low energy (0864T) | $581.70 | $831 | 2.4× |
| Mandible graft (D7950) likely a partial charge, not the full procedure |
$413.70 | $591 | 0.1× |
| Mra, w/dye, spinal canal (C8931) | $3,915.80 | $5,594 | 11.7× |
| Myocrd Symp Innervaj Img Plnr Qual&Quant W/Spect (0332T) | $2,909.20 | $4,156 | 2.3× |
| N-Invas Detcj Heart Failure Drv Augmnt Alys Echo (0932T) | $3,122 | $4,460 | 10.6× |
| Neuro csf prion prtn qual (0035U) | $1,050 | $1,500 | 1.9× |
| Nfct ds bact&fng org id bld cul rrna fish 6+trgt (0086U) | $410.20 | $586 | 2.1× |
| Njx platelet plasma (0232T) range across 4 matching MRF lines |
$770–$3,996.30 | $1,100–$5,709 | varies |
| Non-auto graft 1st tooth (D4275) | $497.70 | $711 | 0.3× |
| Onc Thyr Dna&Mrna 112 Genes Fna Ndul Alg Alys (0026U) | $1,750 | $2,500 | 0.5× |
| Open insertion or replacement of integrated neurostimulation system for bladder dysfunction including electrode(s) (eg,… (0817T) likely a partial charge, not the full procedure |
$4,310.60 | $6,158 | 0.2× |
| Open insj/rplcmt integrated nstimj sys ptn subq (0816T) likely a partial charge, not the full procedure |
$5,096.70 | $7,281 | 0.3× |
| Pathogen test for platelets (P9100) | $84 | $120 | 1.5× |
| Pattern erg w/i&r (0509T) | $1,365.70 | $1,951 | 6.6× |
| Perq Sacral Augmt Bilat Inj (0201T) | $3,777.90 | $5,397 | 0.5× |
| Perq Sacral Augmt Unilat Inj (0200T) | $3,867.50 | $5,525 | 0.6× |
| Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) | $13,503 | $19,290 | 1.2× |
| Perq Tcat Thrm Abltj Nerves Innervating P-Art (0793T) unusually low: confirm this is the full procedure |
$8,402.10 | $12,003 | 0.5× |
| Personalized target development arhfcmrigtbs (0889T) | $2,013.90 | $2,877 | 2.3× |
| Place device/marker, non pro (C9728) | $3,379.60 | $4,828 | 2.5× |
| Ppps, initial visit (G0438) | $272.30 | $389 | 1.6× |
| Ppps, subseq visit (G0439) | $210 | $300 | 1.5× |
| Prgrmg dev eval ldls pm single car chamber ip (0826T) | $404.60 | $578 | 11.3× |
| Prgrmg dev eval ldls pm sys 2chmbr in person (0804T) | $403.20 | $576 | 11.2× |
| Prgrmg dev eval scrms phys/qhp remote (0650T) | $382.90 | $547 | 10.7× |
| Primary closure sinus perf (D7261) | $2,686.60 | $3,838 | 4.3× |
| Programming dev eval icds w/ss eltrd in person (0575T) | $381.50 | $545 | 10.6× |
| Programming device eval impl ccm-d sys in person (0926T) | $381.50 | $545 | 10.6× |
| Prostate biopsy, any mthd (G0416) | $1,010.80 | $1,444 | 2.9× |
| Provide inr test mater/equip (G0249) | $277.20 | $396 | 2.2× |
| Psa screening (G0103) | $181.30 | $259 | 9.4× |
| Qtc interval augmnt alg alys xtrnl mobile ECG (0902T) | $245 | $350 | 1.9× |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) range across 2 matching MRF lines |
$252–$768.60 | $360–$1,098 | varies |
| Relocation pg wcs lv pacg battery component only (0862T) | $4,062.80 | $5,804 | 2.0× |
| Relocation pg wcs lv pacg transmittr compnt only (0863T) | $4,062.80 | $5,804 | 2.0× |
| Relocation skin pocket implanted ccm-d pg (0925T) | $4,062.80 | $5,804 | 2.0× |
| Rem exostosis any site (D7471) | $1,243.20 | $1,776 | 0.4× |
| Rem imp tooth w mucoper flp (D7210) | $232.40 | $332 | 0.2× |
| Remote interrog dev eval ccm-d sys <90d tech (0929T) | $4,727.10 | $6,753 | 131.7× |
| Removal of fb reaction (D7540) | $1,382.50 | $1,975 | 2.2× |
| Removal of torus palatinus (D7472) | $935.90 | $1,337 | 1.5× |
| Removal perm ccm-d system pulse generator only (0919T) | $3,321.50 | $4,745 | 0.9× |
| Removal pg wcs lv pacing both components (0861T) | $8,745.80 | $12,494 | 2.4× |
| Remove torus mandibularis (D7473) | $877.80 | $1,254 | 1.4× |
| Repositioning prev impl ccm-d transvns eltrd/ld (0924T) | $4,830 | $6,900 | 8.0× |
| Revasc intravasc lithotripsy (C9764) | $10,513.30 | $15,019 | 0.9× |
| Revision or removal of integrated neurostimulation system for bladder dysfunction, including analysis, programming, and… (0819T) | $4,310.60 | $6,158 | 1.3× |
| Revj/rmvl integrated nstimj sys ptn subcutaneous (0818T) | $4,934.30 | $7,049 | 1.5× |
| Rmvl & Rplcmt Pg Compnt Wcs (0519T) | $6,622.70 | $9,461 | 0.7× |
| Rmvl Car Modulj Tranvns Elt (0413T) | $12,161.10 | $17,373 | 3.4× |
| Rmvl perm ccm-d sys 1 transvns dfb lead only (0921T) | $12,161.10 | $17,373 | 3.4× |
| Rmvl perm ccm-d sys 1 transvns pacing lead only (0920T) | $12,161.10 | $17,373 | 3.4× |
| Rmvl perm ccm-d sys dual transvns leads only (0922T) | $9,991.80 | $14,274 | 2.8× |
| Rmvl&rplcmt permanent ccm-d pulse generator only (0923T) likely a partial charge, not the full procedure |
$3,122 | $4,460 | 0.1× |
| Rmvl&Rplcmt Pg Wcs New Eltrd (0520T) | $12,814.20 | $18,306 | 1.3× |
| Rx Metab Advrs Trgt Seq Alys (0029U) | $630 | $900 | 0.8× |
| Screen cerv/vag thin layer (G0123) | $155.40 | $222 | 7.7× |
| Screen pap by tech w md supv (P3000) | $79.10 | $113 | 4.3× |
| Soft tissue graft firsttooth (D4277) | $497.70 | $711 | 0.3× |
| Surg reduct osseoustuberosit (D7485) likely a partial charge, not the full procedure |
$1,193.50 | $1,705 | 0.2× |
| Tcat implt wrls l atr prs snr l-t l atr prs mntr (0933T) | $11,493.30 | $16,419 | 3.7× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) unusually low: confirm this is the full procedure |
$8,134.70 | $11,621 | 0.4× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) unusually low: confirm this is the full procedure |
$8,134.70 | $11,621 | 0.4× |
| Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) | $3,321.50 | $4,745 | 1.1× |
| Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T) unusually low: confirm this is the full procedure |
$8,134.70 | $11,621 | 0.4× |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) | $4,031.30 | $5,759 | 0.7× |
| Therapeutic ultrafiltration (0692T) range across 4 matching MRF lines |
$2,597.70–$7,261.10 | $3,711–$10,373 | varies |
| Tooth reimplantation (D7270) | $496.30 | $709 | 0.8× |
| Tooth root removal (D7250) | $351.40 | $502 | 0.6× |
| Trauma respons w/hosp criti (G0390) range across 2 matching MRF lines |
$3,010.70–$6,019.30 | $4,301–$8,599 | varies |
| Unsched dialysis esrd pt hos (G0257) | $1,817.90 | $2,597 | 2.8× |
| Vasc emb/occ w/prs cath (C9797) | $14,968.80 | $21,384 | 0.8× |
| Visit esketamine 56m or less (G2082) | $315 | $450 | 0.3× |
| Visit esketamine, > 56m (G2083) | $315 | $450 | 0.2× |
| Wet mounts/ w preparations (Q0111) | $68.60 | $98 | 3.7× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.