Where is Eastern Iowa Rehabilitation Hospital LLC?

2801 Heartland Drive, Coralville, IA 52241, in Johnson County, Iowa.

What is the phone number of Eastern Iowa Rehabilitation Hospital LLC?

(319) 645-4001, as listed by Medicare (CMS).

Eastern Iowa Rehabilitation Hospital LLC

Quick answers

Where is Eastern Iowa Rehabilitation Hospital LLC?: 2801 Heartland Drive, Coralville, IA 52241, in Johnson County, Iowa.
What is the phone number of Eastern Iowa Rehabilitation Hospital LLC?: (319) 645-4001, as listed by Medicare (CMS).

Specialties and care areas^[4][14]

Inpatient rehabilitation
Neurological rehabilitation
Physical medicine and rehabilitation

Conditions treated^[4][5][7][8]

Amputation
Aphasia
Arthritis and joint conditions
Brain injury
Cardiovascular or pulmonary issues
Diabetes
Gait disorders
Hip fracture and other traumatic fractures
Neurological disorders
Orthopedic conditions
Spinal cord injury
Stroke
Trauma
Orthopedic injury
Neurological conditions
Parkinson's disease
Multiple sclerosis
Cerebral palsy
Muscular dystrophy
Neuromuscular disorders
Guillain-Barre syndrome
Myopathy

Treatments^{[9][10][11][14]}

Physical therapy
Occupational therapy
Speech therapy
Pre- and post-prosthetic rehabilitation

Procedures^[5]

Joint replacement recovery

Programs and centers^[4][12]

Neurological rehabilitation
Spinal cord injury rehabilitation
Brain injury rehabilitation
Stroke rehabilitation
Amputation rehabilitation
Comprehensive Integrated Inpatient Rehabilitation Program

Visiting and practical information

Visiting	Regular visiting hours generally 8 a.m. to 8 p.m. daily; children under 12 must be accompanied by an adult^[13]
Parking	Free parking for patients and visitors in hospital campus lots^[13]

Recognition^[4][6][12]

CARF accreditation: Comprehensive Integrated Inpatient Rehabilitation Program and Stroke Specialty program
CARF accreditation for Comprehensive Integrated Inpatient Rehabilitation Program
CARF accreditation for Stroke Specialty Program

Nearest emergency rooms

Hospitals that list emergency services, by straight-line distance (not driving distance).

Iowa City VA Medical Center3.7 mi · Iowa City, IA · Federal/VA Acute Care Hospital
University of Iowa Hospital & Clinics4.2 mi · Iowa City, IA · Acute Care Hospital
University of Iowa Health Care Medical Center Down…5.0 mi · Iowa City, IA · Acute Care Hospital
Mercy Medical Center - Cedar Rapids19 mi · Cedar Rapids, IA · Acute Care Hospital
St Lukes Hospital20 mi · Cedar Rapids, IA · Acute Care Hospital

Other hospitals nearby

Iowa Health Network Rehabilitation Hospital0.8 mi · Coralville, IA · Inpatient Rehabilitation Hospital

Nursing homes, hospice, home health and dialysis nearby

Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.

Nursing homes

Windmill Manor0.5 mi · Coralville, IA · 1 of 5 stars
Lantern Park Specialty Care0.9 mi · Coralville, IA · 2 of 5 stars
Oaknoll Retirement Residence4.5 mi · Iowa City, IA · 5 of 5 stars

All nursing homes in the state →

Hospice providers

Iowa City Hospice7.5 mi · Iowa City, IA · 3 of 5 stars
Care Initiatives Hospice - Cedar Rapids16 mi · Cedar Rapids, IA
Hospice Compassus - Northeast Iowa16 mi · Cedar Rapids, IA · 4 of 5 stars

All hospice providers in the state →

Home health agencies

University of Iowa Health Care Medical Center Downtown Home Health0.8 mi · Coralville, IA
Johnson County Visiting Nurse Association7.5 mi · Iowa City, IA · 3 of 5 stars
Comfort Care Medicare Inc22 mi · Cedar Rapids, IA

All home health agencies in the state →

Dialysis facilities

University of Iowa Hospital & Clinics Dialysis4.4 mi · Iowa City, IA · 3 of 5 stars
University of Iowa Hospital & Clinics - North Liberty4.8 mi · North Liberty, IA · 2 of 5 stars
DaVita Five Seasons Dialysis19 mi · Cedar Rapids, IA · 3 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

Medicare-certified ambulatory surgery centers within 25 miles, by straight-line distance.

Corridor Surgery Center0.8 mi · Coralville, IA
Steindler Surgery Center4.8 mi · North Liberty, IA
Iowa City Ambulatory Surgical Center LLC5.5 mi · Iowa City, IA

All outpatient surgery centers in the state →

Community care nearby

Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.

Community health centers

Proteus, Inc. - Iowa City Site5.6 mi · Iowa City, IA · Community health center
Eastern Iowa Health Center Pharmacy & Walk-in Care20 mi · Cedar Rapids, IA · Community health center
Eastern Iowa Health Center - Dental20 mi · Cedar Rapids, IA · Community health center

Clinics and urgent care

State University of Iowa0.8 mi · Coralville, IA · Urgent care center
Colonies Family Medical Clinic16 mi · Amana, IA · Rural health clinic
State University of Iowa19 mi · Cedar Rapids, IA · Urgent care center

Pharmacies

Costco Wholesale Corporation0.8 mi · Coralville, IA · Community/retail pharmacy
GRX Holdings LLC0.8 mi · Coralville, IA · Community/retail pharmacy
Hy-Vee Inc0.8 mi · Coralville, IA · Community/retail pharmacy

Assisted living nearby

Licensed homes from the official state licence list, by straight-line distance.

Brown Deer Place0.8 mi · Coralville, IA
Emerson Point3.7 mi · Iowa City, IA
Melrose Meadows Retirement Community3.7 mi · Iowa City, IA
Oaknoll AL3.7 mi · Iowa City, IA

ER wait times and Medicare ratings nearby

How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.

ER wait times in Iowa Best hospitals in Iowa

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 41 common services exactly as Eastern Iowa Rehabilitation Hospital LLC lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

Hospital charge: The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
Cash price: The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
Insurance rates: The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
Hospital and doctor fees: A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.

How to use hospital prices: estimates, financial assistance and your rights →

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) In the file: OP VISIT NEW PT LEVEL IV	$1,849.05	$1,849.05	$1,849.05
New patient office visit (about 45–59 minutes): 10 of 21 insurance plan rates Aetna - Medicare Managed — Aetna - Medicare Managed: $1,849.05 Aetna Commercial Plans — Aetna Commercial Plans: $1,849.05 Anthem Blue Cross Blue Shield - Medicare Advantage — Anthem Blue Cross Blue Shield - Medicare Advantage: $1,849.05 Blue Cross Blue Shield of Iowa - Federal Employee Plan — Blue Cross Blue Shield of Iowa - Federal Employee Plan: $1,849.05 Blue Cross Blue Shield of Iowa - Medicare Advantage — Blue Cross Blue Shield of Iowa - Medicare Advantage: $1,849.05 Blue Cross Blue Shield of Iowa- Wellmark — Blue Cross Blue Shield of Iowa- Wellmark: $1,849.05 Health Choice - Preferred — Health Choice - Preferred: $1,849.05 Health Partners — Health Partners: $1,849.05 Health Partners - MCR MGG PPO — Health Partners - MCR MGG PPO: $1,849.05 Humana Commercial Plans — Humana Commercial Plans: $1,849.05
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) In the file: OP VISIT NEW PT LEVEL V	$1,814.01	$1,814.01	$1,814.01
New patient office visit (about 60–74 minutes): 10 of 21 insurance plan rates Aetna - Medicare Managed — Aetna - Medicare Managed: $1,814.01 Aetna Commercial Plans — Aetna Commercial Plans: $1,814.01 Anthem Blue Cross Blue Shield - Medicare Advantage — Anthem Blue Cross Blue Shield - Medicare Advantage: $1,814.01 Blue Cross Blue Shield of Iowa - Federal Employee Plan — Blue Cross Blue Shield of Iowa - Federal Employee Plan: $1,814.01 Blue Cross Blue Shield of Iowa - Medicare Advantage — Blue Cross Blue Shield of Iowa - Medicare Advantage: $1,814.01 Blue Cross Blue Shield of Iowa- Wellmark — Blue Cross Blue Shield of Iowa- Wellmark: $1,814.01 Health Choice - Preferred — Health Choice - Preferred: $1,814.01 Health Partners — Health Partners: $1,814.01 Health Partners - MCR MGG PPO — Health Partners - MCR MGG PPO: $1,814.01 Humana Commercial Plans — Humana Commercial Plans: $1,814.01
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) In the file: OP VISIT EST PT LEVEL III	$115	$115	$115
Established patient office visit (about 20–29 minutes): 10 of 21 insurance plan rates Aetna - Medicare Managed — Aetna - Medicare Managed: $115 Aetna Commercial Plans — Aetna Commercial Plans: $115 Anthem Blue Cross Blue Shield - Medicare Advantage — Anthem Blue Cross Blue Shield - Medicare Advantage: $115 Blue Cross Blue Shield of Iowa - Federal Employee Plan — Blue Cross Blue Shield of Iowa - Federal Employee Plan: $115 Blue Cross Blue Shield of Iowa - Medicare Advantage — Blue Cross Blue Shield of Iowa - Medicare Advantage: $115 Blue Cross Blue Shield of Iowa- Wellmark — Blue Cross Blue Shield of Iowa- Wellmark: $115 Health Choice - Preferred — Health Choice - Preferred: $115 Health Partners — Health Partners: $115 Health Partners - MCR MGG PPO — Health Partners - MCR MGG PPO: $115 Humana Commercial Plans — Humana Commercial Plans: $115
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) In the file: OP VISIT EST PT LEVEL IV	$730.66	$730.66	$730.66
Established patient office visit (about 30–39 minutes): 10 of 21 insurance plan rates Aetna - Medicare Managed — Aetna - Medicare Managed: $730.66 Aetna Commercial Plans — Aetna Commercial Plans: $730.66 Anthem Blue Cross Blue Shield - Medicare Advantage — Anthem Blue Cross Blue Shield - Medicare Advantage: $730.66 Blue Cross Blue Shield of Iowa - Federal Employee Plan — Blue Cross Blue Shield of Iowa - Federal Employee Plan: $730.66 Blue Cross Blue Shield of Iowa - Medicare Advantage — Blue Cross Blue Shield of Iowa - Medicare Advantage: $730.66 Blue Cross Blue Shield of Iowa- Wellmark — Blue Cross Blue Shield of Iowa- Wellmark: $730.66 Health Choice - Preferred — Health Choice - Preferred: $730.66 Health Partners — Health Partners: $730.66 Health Partners - MCR MGG PPO — Health Partners - MCR MGG PPO: $730.66 Humana Commercial Plans — Humana Commercial Plans: $730.66

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) In the file: BASIC METABOLIC PANEL	$46.35	$46.35	$46.35
Basic metabolic panel (blood test): 10 of 21 insurance plan rates Aetna - Medicare Managed — Aetna - Medicare Managed: $46.35 Aetna Commercial Plans — Aetna Commercial Plans: $46.35 Anthem Blue Cross Blue Shield - Medicare Advantage — Anthem Blue Cross Blue Shield - Medicare Advantage: $46.35 Blue Cross Blue Shield of Iowa - Federal Employee Plan — Blue Cross Blue Shield of Iowa - Federal Employee Plan: $46.35 Blue Cross Blue Shield of Iowa - Medicare Advantage — Blue Cross Blue Shield of Iowa - Medicare Advantage: $46.35 Blue Cross Blue Shield of Iowa- Wellmark — Blue Cross Blue Shield of Iowa- Wellmark: $46.35 Health Choice - Preferred — Health Choice - Preferred: $46.35 Health Partners — Health Partners: $46.35 Health Partners - MCR MGG PPO — Health Partners - MCR MGG PPO: $46.35 Humana Commercial Plans — Humana Commercial Plans: $46.35
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) In the file: METABOLIC PANEL TOTAL CA	$238.57	$238.57	$238.57
Basic metabolic panel (blood test): 10 of 21 insurance plan rates Aetna - Medicare Managed — Aetna - Medicare Managed: $238.57 Aetna Commercial Plans — Aetna Commercial Plans: $238.57 Anthem Blue Cross Blue Shield - Medicare Advantage — Anthem Blue Cross Blue Shield - Medicare Advantage: $238.57 Blue Cross Blue Shield of Iowa - Federal Employee Plan — Blue Cross Blue Shield of Iowa - Federal Employee Plan: $238.57 Blue Cross Blue Shield of Iowa - Medicare Advantage — Blue Cross Blue Shield of Iowa - Medicare Advantage: $238.57 Blue Cross Blue Shield of Iowa- Wellmark — Blue Cross Blue Shield of Iowa- Wellmark: $238.57 Health Choice - Preferred — Health Choice - Preferred: $238.57 Health Partners — Health Partners: $238.57 Health Partners - MCR MGG PPO — Health Partners - MCR MGG PPO: $238.57 Humana Commercial Plans — Humana Commercial Plans: $238.57
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · modifier QW In the file: MET PANEL TTL CA CHEM 8+	$257	$257	$257
Basic metabolic panel (blood test): 10 of 21 insurance plan rates Aetna - Medicare Managed — Aetna - Medicare Managed: $257 Aetna Commercial Plans — Aetna Commercial Plans: $257 Anthem Blue Cross Blue Shield - Medicare Advantage — Anthem Blue Cross Blue Shield - Medicare Advantage: $257 Blue Cross Blue Shield of Iowa - Federal Employee Plan — Blue Cross Blue Shield of Iowa - Federal Employee Plan: $257 Blue Cross Blue Shield of Iowa - Medicare Advantage — Blue Cross Blue Shield of Iowa - Medicare Advantage: $257 Blue Cross Blue Shield of Iowa- Wellmark — Blue Cross Blue Shield of Iowa- Wellmark: $257 Health Choice - Preferred — Health Choice - Preferred: $257 Health Partners — Health Partners: $257 Health Partners - MCR MGG PPO — Health Partners - MCR MGG PPO: $257 Humana Commercial Plans — Humana Commercial Plans: $257
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) In the file: COMP METABOLIC PANEL	$56.39	$56.39	$56.39
Comprehensive metabolic panel (blood test): 10 of 21 insurance plan rates Aetna - Medicare Managed — Aetna - Medicare Managed: $56.39 Aetna Commercial Plans — Aetna Commercial Plans: $56.39 Anthem Blue Cross Blue Shield - Medicare Advantage — Anthem Blue Cross Blue Shield - Medicare Advantage: $56.39 Blue Cross Blue Shield of Iowa - Federal Employee Plan — Blue Cross Blue Shield of Iowa - Federal Employee Plan: $56.39 Blue Cross Blue Shield of Iowa - Medicare Advantage — Blue Cross Blue Shield of Iowa - Medicare Advantage: $56.39 Blue Cross Blue Shield of Iowa- Wellmark — Blue Cross Blue Shield of Iowa- Wellmark: $56.39 Health Choice - Preferred — Health Choice - Preferred: $56.39 Health Partners — Health Partners: $56.39 Health Partners - MCR MGG PPO — Health Partners - MCR MGG PPO: $56.39 Humana Commercial Plans — Humana Commercial Plans: $56.39
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) In the file: COMPREHEN METABOLIC PANEL	$54.75	$54.75	$54.75
Comprehensive metabolic panel (blood test): 10 of 21 insurance plan rates Aetna - Medicare Managed — Aetna - Medicare Managed: $54.75 Aetna Commercial Plans — Aetna Commercial Plans: $54.75 Anthem Blue Cross Blue Shield - Medicare Advantage — Anthem Blue Cross Blue Shield - Medicare Advantage: $54.75 Blue Cross Blue Shield of Iowa - Federal Employee Plan — Blue Cross Blue Shield of Iowa - Federal Employee Plan: $54.75 Blue Cross Blue Shield of Iowa - Medicare Advantage — Blue Cross Blue Shield of Iowa - Medicare Advantage: $54.75 Blue Cross Blue Shield of Iowa- Wellmark — Blue Cross Blue Shield of Iowa- Wellmark: $54.75 Health Choice - Preferred — Health Choice - Preferred: $54.75 Health Partners — Health Partners: $54.75 Health Partners - MCR MGG PPO — Health Partners - MCR MGG PPO: $54.75 Humana Commercial Plans — Humana Commercial Plans: $54.75
Obstetric blood test panel CPT 80055 · Inpatient (hospital stay) In the file: OBSTETRIC PANEL	$63	$63	$63
Obstetric blood test panel: 10 of 21 insurance plan rates Aetna - Medicare Managed — Aetna - Medicare Managed: $63 Aetna Commercial Plans — Aetna Commercial Plans: $63 Anthem Blue Cross Blue Shield - Medicare Advantage — Anthem Blue Cross Blue Shield - Medicare Advantage: $63 Blue Cross Blue Shield of Iowa - Federal Employee Plan — Blue Cross Blue Shield of Iowa - Federal Employee Plan: $63 Blue Cross Blue Shield of Iowa - Medicare Advantage — Blue Cross Blue Shield of Iowa - Medicare Advantage: $63 Blue Cross Blue Shield of Iowa- Wellmark — Blue Cross Blue Shield of Iowa- Wellmark: $63 Health Choice - Preferred — Health Choice - Preferred: $63 Health Partners — Health Partners: $63 Health Partners - MCR MGG PPO — Health Partners - MCR MGG PPO: $63 Humana Commercial Plans — Humana Commercial Plans: $63
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) In the file: LIPID PANEL	$163.96	$163.96	$163.96
Cholesterol panel (lipid panel): 10 of 21 insurance plan rates Aetna - Medicare Managed — Aetna - Medicare Managed: $163.96 Aetna Commercial Plans — Aetna Commercial Plans: $163.96 Anthem Blue Cross Blue Shield - Medicare Advantage — Anthem Blue Cross Blue Shield - Medicare Advantage: $163.96 Blue Cross Blue Shield of Iowa - Federal Employee Plan — Blue Cross Blue Shield of Iowa - Federal Employee Plan: $163.96 Blue Cross Blue Shield of Iowa - Medicare Advantage — Blue Cross Blue Shield of Iowa - Medicare Advantage: $163.96 Blue Cross Blue Shield of Iowa- Wellmark — Blue Cross Blue Shield of Iowa- Wellmark: $163.96 Health Choice - Preferred — Health Choice - Preferred: $163.96 Health Partners — Health Partners: $163.96 Health Partners - MCR MGG PPO — Health Partners - MCR MGG PPO: $163.96 Humana Commercial Plans — Humana Commercial Plans: $163.96
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) In the file: S/O LIPOPROFILE NMR	$56.76	$56.76	$56.76
Cholesterol panel (lipid panel): 10 of 21 insurance plan rates Aetna - Medicare Managed — Aetna - Medicare Managed: $56.76 Aetna Commercial Plans — Aetna Commercial Plans: $56.76 Anthem Blue Cross Blue Shield - Medicare Advantage — Anthem Blue Cross Blue Shield - Medicare Advantage: $56.76 Blue Cross Blue Shield of Iowa - Federal Employee Plan — Blue Cross Blue Shield of Iowa - Federal Employee Plan: $56.76 Blue Cross Blue Shield of Iowa - Medicare Advantage — Blue Cross Blue Shield of Iowa - Medicare Advantage: $56.76 Blue Cross Blue Shield of Iowa- Wellmark — Blue Cross Blue Shield of Iowa- Wellmark: $56.76 Health Choice - Preferred — Health Choice - Preferred: $56.76 Health Partners — Health Partners: $56.76 Health Partners - MCR MGG PPO — Health Partners - MCR MGG PPO: $56.76 Humana Commercial Plans — Humana Commercial Plans: $56.76
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) In the file: LIPID PROFILE	$70.50	$70.50	$70.50
Cholesterol panel (lipid panel): 10 of 21 insurance plan rates Aetna - Medicare Managed — Aetna - Medicare Managed: $70.50 Aetna Commercial Plans — Aetna Commercial Plans: $70.50 Anthem Blue Cross Blue Shield - Medicare Advantage — Anthem Blue Cross Blue Shield - Medicare Advantage: $70.50 Blue Cross Blue Shield of Iowa - Federal Employee Plan — Blue Cross Blue Shield of Iowa - Federal Employee Plan: $70.50 Blue Cross Blue Shield of Iowa - Medicare Advantage — Blue Cross Blue Shield of Iowa - Medicare Advantage: $70.50 Blue Cross Blue Shield of Iowa- Wellmark — Blue Cross Blue Shield of Iowa- Wellmark: $70.50 Health Choice - Preferred — Health Choice - Preferred: $70.50 Health Partners — Health Partners: $70.50 Health Partners - MCR MGG PPO — Health Partners - MCR MGG PPO: $70.50 Humana Commercial Plans — Humana Commercial Plans: $70.50
Kidney function panel CPT 80069 · Inpatient (hospital stay) In the file: RENAL PANEL	$35.73	$35.73	$35.73
Kidney function panel: 10 of 21 insurance plan rates Aetna - Medicare Managed — Aetna - Medicare Managed: $35.73 Aetna Commercial Plans — Aetna Commercial Plans: $35.73 Anthem Blue Cross Blue Shield - Medicare Advantage — Anthem Blue Cross Blue Shield - Medicare Advantage: $35.73 Blue Cross Blue Shield of Iowa - Federal Employee Plan — Blue Cross Blue Shield of Iowa - Federal Employee Plan: $35.73 Blue Cross Blue Shield of Iowa - Medicare Advantage — Blue Cross Blue Shield of Iowa - Medicare Advantage: $35.73 Blue Cross Blue Shield of Iowa- Wellmark — Blue Cross Blue Shield of Iowa- Wellmark: $35.73 Health Choice - Preferred — Health Choice - Preferred: $35.73 Health Partners — Health Partners: $35.73 Health Partners - MCR MGG PPO — Health Partners - MCR MGG PPO: $35.73 Humana Commercial Plans — Humana Commercial Plans: $35.73
Kidney function panel CPT 80069 · Inpatient (hospital stay) In the file: RENAL FUNCTION PANEL	$200	$200	$200
Kidney function panel: 10 of 21 insurance plan rates Aetna - Medicare Managed — Aetna - Medicare Managed: $200 Aetna Commercial Plans — Aetna Commercial Plans: $200 Anthem Blue Cross Blue Shield - Medicare Advantage — Anthem Blue Cross Blue Shield - Medicare Advantage: $200 Blue Cross Blue Shield of Iowa - Federal Employee Plan — Blue Cross Blue Shield of Iowa - Federal Employee Plan: $200 Blue Cross Blue Shield of Iowa - Medicare Advantage — Blue Cross Blue Shield of Iowa - Medicare Advantage: $200 Blue Cross Blue Shield of Iowa- Wellmark — Blue Cross Blue Shield of Iowa- Wellmark: $200 Health Choice - Preferred — Health Choice - Preferred: $200 Health Partners — Health Partners: $200 Health Partners - MCR MGG PPO — Health Partners - MCR MGG PPO: $200 Humana Commercial Plans — Humana Commercial Plans: $200
Liver function panel CPT 80076 · Inpatient (hospital stay) In the file: HEPATIC FUNCTION PANEL	$156.96	$156.96	$156.96
Liver function panel: 10 of 21 insurance plan rates Aetna - Medicare Managed — Aetna - Medicare Managed: $156.96 Aetna Commercial Plans — Aetna Commercial Plans: $156.96 Anthem Blue Cross Blue Shield - Medicare Advantage — Anthem Blue Cross Blue Shield - Medicare Advantage: $156.96 Blue Cross Blue Shield of Iowa - Federal Employee Plan — Blue Cross Blue Shield of Iowa - Federal Employee Plan: $156.96 Blue Cross Blue Shield of Iowa - Medicare Advantage — Blue Cross Blue Shield of Iowa - Medicare Advantage: $156.96 Blue Cross Blue Shield of Iowa- Wellmark — Blue Cross Blue Shield of Iowa- Wellmark: $156.96 Health Choice - Preferred — Health Choice - Preferred: $156.96 Health Partners — Health Partners: $156.96 Health Partners - MCR MGG PPO — Health Partners - MCR MGG PPO: $156.96 Humana Commercial Plans — Humana Commercial Plans: $156.96
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) In the file: URINALYSIS AUTO W/MICROSCOPIC	$17.33	$17.33	$17.33
Urine test (automated, with microscope): 10 of 21 insurance plan rates Aetna - Medicare Managed — Aetna - Medicare Managed: $17.33 Aetna Commercial Plans — Aetna Commercial Plans: $17.33 Anthem Blue Cross Blue Shield - Medicare Advantage — Anthem Blue Cross Blue Shield - Medicare Advantage: $17.33 Blue Cross Blue Shield of Iowa - Federal Employee Plan — Blue Cross Blue Shield of Iowa - Federal Employee Plan: $17.33 Blue Cross Blue Shield of Iowa - Medicare Advantage — Blue Cross Blue Shield of Iowa - Medicare Advantage: $17.33 Blue Cross Blue Shield of Iowa- Wellmark — Blue Cross Blue Shield of Iowa- Wellmark: $17.33 Health Choice - Preferred — Health Choice - Preferred: $17.33 Health Partners — Health Partners: $17.33 Health Partners - MCR MGG PPO — Health Partners - MCR MGG PPO: $17.33 Humana Commercial Plans — Humana Commercial Plans: $17.33
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) In the file: URINALYSIS AND MICROSCOPI	$17	$17	$17
Urine test (automated, with microscope): 10 of 21 insurance plan rates Aetna - Medicare Managed — Aetna - Medicare Managed: $17 Aetna Commercial Plans — Aetna Commercial Plans: $17 Anthem Blue Cross Blue Shield - Medicare Advantage — Anthem Blue Cross Blue Shield - Medicare Advantage: $17 Blue Cross Blue Shield of Iowa - Federal Employee Plan — Blue Cross Blue Shield of Iowa - Federal Employee Plan: $17 Blue Cross Blue Shield of Iowa - Medicare Advantage — Blue Cross Blue Shield of Iowa - Medicare Advantage: $17 Blue Cross Blue Shield of Iowa- Wellmark — Blue Cross Blue Shield of Iowa- Wellmark: $17 Health Choice - Preferred — Health Choice - Preferred: $17 Health Partners — Health Partners: $17 Health Partners - MCR MGG PPO — Health Partners - MCR MGG PPO: $17 Humana Commercial Plans — Humana Commercial Plans: $17
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) In the file: URINALYSIS NONAUTO W/O MICROSC	$92.11	$92.11	$92.11
Urine test (manual, without microscope): 10 of 21 insurance plan rates Aetna - Medicare Managed — Aetna - Medicare Managed: $92.11 Aetna Commercial Plans — Aetna Commercial Plans: $92.11 Anthem Blue Cross Blue Shield - Medicare Advantage — Anthem Blue Cross Blue Shield - Medicare Advantage: $92.11 Blue Cross Blue Shield of Iowa - Federal Employee Plan — Blue Cross Blue Shield of Iowa - Federal Employee Plan: $92.11 Blue Cross Blue Shield of Iowa - Medicare Advantage — Blue Cross Blue Shield of Iowa - Medicare Advantage: $92.11 Blue Cross Blue Shield of Iowa- Wellmark — Blue Cross Blue Shield of Iowa- Wellmark: $92.11 Health Choice - Preferred — Health Choice - Preferred: $92.11 Health Partners — Health Partners: $92.11 Health Partners - MCR MGG PPO — Health Partners - MCR MGG PPO: $92.11 Humana Commercial Plans — Humana Commercial Plans: $92.11
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) In the file: URINALYSIS AUTO W/O MICRO	$15.75	$15.75	$15.75
Urine test (automated, without microscope): 10 of 21 insurance plan rates Aetna - Medicare Managed — Aetna - Medicare Managed: $15.75 Aetna Commercial Plans — Aetna Commercial Plans: $15.75 Anthem Blue Cross Blue Shield - Medicare Advantage — Anthem Blue Cross Blue Shield - Medicare Advantage: $15.75 Blue Cross Blue Shield of Iowa - Federal Employee Plan — Blue Cross Blue Shield of Iowa - Federal Employee Plan: $15.75 Blue Cross Blue Shield of Iowa - Medicare Advantage — Blue Cross Blue Shield of Iowa - Medicare Advantage: $15.75 Blue Cross Blue Shield of Iowa- Wellmark — Blue Cross Blue Shield of Iowa- Wellmark: $15.75 Health Choice - Preferred — Health Choice - Preferred: $15.75 Health Partners — Health Partners: $15.75 Health Partners - MCR MGG PPO — Health Partners - MCR MGG PPO: $15.75 Humana Commercial Plans — Humana Commercial Plans: $15.75
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) In the file: UA AUTO W/O MICRO	$15.75	$15.75	$15.75
Urine test (automated, without microscope): 10 of 21 insurance plan rates Aetna - Medicare Managed — Aetna - Medicare Managed: $15.75 Aetna Commercial Plans — Aetna Commercial Plans: $15.75 Anthem Blue Cross Blue Shield - Medicare Advantage — Anthem Blue Cross Blue Shield - Medicare Advantage: $15.75 Blue Cross Blue Shield of Iowa - Federal Employee Plan — Blue Cross Blue Shield of Iowa - Federal Employee Plan: $15.75 Blue Cross Blue Shield of Iowa - Medicare Advantage — Blue Cross Blue Shield of Iowa - Medicare Advantage: $15.75 Blue Cross Blue Shield of Iowa- Wellmark — Blue Cross Blue Shield of Iowa- Wellmark: $15.75 Health Choice - Preferred — Health Choice - Preferred: $15.75 Health Partners — Health Partners: $15.75 Health Partners - MCR MGG PPO — Health Partners - MCR MGG PPO: $15.75 Humana Commercial Plans — Humana Commercial Plans: $15.75
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) In the file: URINALYSIS MACRO ONLY	$12.36	$12.36	$12.36
Urine test (automated, without microscope): 10 of 21 insurance plan rates Aetna - Medicare Managed — Aetna - Medicare Managed: $12.36 Aetna Commercial Plans — Aetna Commercial Plans: $12.36 Anthem Blue Cross Blue Shield - Medicare Advantage — Anthem Blue Cross Blue Shield - Medicare Advantage: $12.36 Blue Cross Blue Shield of Iowa - Federal Employee Plan — Blue Cross Blue Shield of Iowa - Federal Employee Plan: $12.36 Blue Cross Blue Shield of Iowa - Medicare Advantage — Blue Cross Blue Shield of Iowa - Medicare Advantage: $12.36 Blue Cross Blue Shield of Iowa- Wellmark — Blue Cross Blue Shield of Iowa- Wellmark: $12.36 Health Choice - Preferred — Health Choice - Preferred: $12.36 Health Partners — Health Partners: $12.36 Health Partners - MCR MGG PPO — Health Partners - MCR MGG PPO: $12.36 Humana Commercial Plans — Humana Commercial Plans: $12.36
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) In the file: PROSTATE SPECIFIC ATG (TOTAL)	$145.28	$145.28	$145.28
PSA (prostate specific antigen) blood test: 10 of 21 insurance plan rates Aetna - Medicare Managed — Aetna - Medicare Managed: $145.28 Aetna Commercial Plans — Aetna Commercial Plans: $145.28 Anthem Blue Cross Blue Shield - Medicare Advantage — Anthem Blue Cross Blue Shield - Medicare Advantage: $145.28 Blue Cross Blue Shield of Iowa - Federal Employee Plan — Blue Cross Blue Shield of Iowa - Federal Employee Plan: $145.28 Blue Cross Blue Shield of Iowa - Medicare Advantage — Blue Cross Blue Shield of Iowa - Medicare Advantage: $145.28 Blue Cross Blue Shield of Iowa- Wellmark — Blue Cross Blue Shield of Iowa- Wellmark: $145.28 Health Choice - Preferred — Health Choice - Preferred: $145.28 Health Partners — Health Partners: $145.28 Health Partners - MCR MGG PPO — Health Partners - MCR MGG PPO: $145.28 Humana Commercial Plans — Humana Commercial Plans: $145.28
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) In the file: S/O PSA FREE/TOTAL	$78.18	$78.18	$78.18
PSA (prostate specific antigen) blood test: 10 of 21 insurance plan rates Aetna - Medicare Managed — Aetna - Medicare Managed: $78.18 Aetna Commercial Plans — Aetna Commercial Plans: $78.18 Anthem Blue Cross Blue Shield - Medicare Advantage — Anthem Blue Cross Blue Shield - Medicare Advantage: $78.18 Blue Cross Blue Shield of Iowa - Federal Employee Plan — Blue Cross Blue Shield of Iowa - Federal Employee Plan: $78.18 Blue Cross Blue Shield of Iowa - Medicare Advantage — Blue Cross Blue Shield of Iowa - Medicare Advantage: $78.18 Blue Cross Blue Shield of Iowa- Wellmark — Blue Cross Blue Shield of Iowa- Wellmark: $78.18 Health Choice - Preferred — Health Choice - Preferred: $78.18 Health Partners — Health Partners: $78.18 Health Partners - MCR MGG PPO — Health Partners - MCR MGG PPO: $78.18 Humana Commercial Plans — Humana Commercial Plans: $78.18
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) In the file: PSA SCRN	$138.16	$138.16	$138.16
PSA (prostate specific antigen) blood test: 10 of 21 insurance plan rates Aetna - Medicare Managed — Aetna - Medicare Managed: $138.16 Aetna Commercial Plans — Aetna Commercial Plans: $138.16 Anthem Blue Cross Blue Shield - Medicare Advantage — Anthem Blue Cross Blue Shield - Medicare Advantage: $138.16 Blue Cross Blue Shield of Iowa - Federal Employee Plan — Blue Cross Blue Shield of Iowa - Federal Employee Plan: $138.16 Blue Cross Blue Shield of Iowa - Medicare Advantage — Blue Cross Blue Shield of Iowa - Medicare Advantage: $138.16 Blue Cross Blue Shield of Iowa- Wellmark — Blue Cross Blue Shield of Iowa- Wellmark: $138.16 Health Choice - Preferred — Health Choice - Preferred: $138.16 Health Partners — Health Partners: $138.16 Health Partners - MCR MGG PPO — Health Partners - MCR MGG PPO: $138.16 Humana Commercial Plans — Humana Commercial Plans: $138.16
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) In the file: TSH	$92.93	$92.93	$92.93
Thyroid stimulating hormone (TSH) test: 10 of 21 insurance plan rates Aetna - Medicare Managed — Aetna - Medicare Managed: $92.93 Aetna Commercial Plans — Aetna Commercial Plans: $92.93 Anthem Blue Cross Blue Shield - Medicare Advantage — Anthem Blue Cross Blue Shield - Medicare Advantage: $92.93 Blue Cross Blue Shield of Iowa - Federal Employee Plan — Blue Cross Blue Shield of Iowa - Federal Employee Plan: $92.93 Blue Cross Blue Shield of Iowa - Medicare Advantage — Blue Cross Blue Shield of Iowa - Medicare Advantage: $92.93 Blue Cross Blue Shield of Iowa- Wellmark — Blue Cross Blue Shield of Iowa- Wellmark: $92.93 Health Choice - Preferred — Health Choice - Preferred: $92.93 Health Partners — Health Partners: $92.93 Health Partners - MCR MGG PPO — Health Partners - MCR MGG PPO: $92.93 Humana Commercial Plans — Humana Commercial Plans: $92.93
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) In the file: THYROID CASCADE	$142.99	$142.99	$142.99
Thyroid stimulating hormone (TSH) test: 10 of 21 insurance plan rates Aetna - Medicare Managed — Aetna - Medicare Managed: $142.99 Aetna Commercial Plans — Aetna Commercial Plans: $142.99 Anthem Blue Cross Blue Shield - Medicare Advantage — Anthem Blue Cross Blue Shield - Medicare Advantage: $142.99 Blue Cross Blue Shield of Iowa - Federal Employee Plan — Blue Cross Blue Shield of Iowa - Federal Employee Plan: $142.99 Blue Cross Blue Shield of Iowa - Medicare Advantage — Blue Cross Blue Shield of Iowa - Medicare Advantage: $142.99 Blue Cross Blue Shield of Iowa- Wellmark — Blue Cross Blue Shield of Iowa- Wellmark: $142.99 Health Choice - Preferred — Health Choice - Preferred: $142.99 Health Partners — Health Partners: $142.99 Health Partners - MCR MGG PPO — Health Partners - MCR MGG PPO: $142.99 Humana Commercial Plans — Humana Commercial Plans: $142.99
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) In the file: TSH ULTRA SENSITIVE	$201	$201	$201
Thyroid stimulating hormone (TSH) test: 10 of 21 insurance plan rates Aetna - Medicare Managed — Aetna - Medicare Managed: $201 Aetna Commercial Plans — Aetna Commercial Plans: $201 Anthem Blue Cross Blue Shield - Medicare Advantage — Anthem Blue Cross Blue Shield - Medicare Advantage: $201 Blue Cross Blue Shield of Iowa - Federal Employee Plan — Blue Cross Blue Shield of Iowa - Federal Employee Plan: $201 Blue Cross Blue Shield of Iowa - Medicare Advantage — Blue Cross Blue Shield of Iowa - Medicare Advantage: $201 Blue Cross Blue Shield of Iowa- Wellmark — Blue Cross Blue Shield of Iowa- Wellmark: $201 Health Choice - Preferred — Health Choice - Preferred: $201 Health Partners — Health Partners: $201 Health Partners - MCR MGG PPO — Health Partners - MCR MGG PPO: $201 Humana Commercial Plans — Humana Commercial Plans: $201
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) In the file: CBC, W/ AUTO DIFF	$42.53	$42.53	$42.53
Complete blood count (CBC) with differential: 10 of 21 insurance plan rates Aetna - Medicare Managed — Aetna - Medicare Managed: $42.53 Aetna Commercial Plans — Aetna Commercial Plans: $42.53 Anthem Blue Cross Blue Shield - Medicare Advantage — Anthem Blue Cross Blue Shield - Medicare Advantage: $42.53 Blue Cross Blue Shield of Iowa - Federal Employee Plan — Blue Cross Blue Shield of Iowa - Federal Employee Plan: $42.53 Blue Cross Blue Shield of Iowa - Medicare Advantage — Blue Cross Blue Shield of Iowa - Medicare Advantage: $42.53 Blue Cross Blue Shield of Iowa- Wellmark — Blue Cross Blue Shield of Iowa- Wellmark: $42.53 Health Choice - Preferred — Health Choice - Preferred: $42.53 Health Partners — Health Partners: $42.53 Health Partners - MCR MGG PPO — Health Partners - MCR MGG PPO: $42.53 Humana Commercial Plans — Humana Commercial Plans: $42.53
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) In the file: CBC W/AUTO DIFF	$41.72	$41.72	$41.72
Complete blood count (CBC) with differential: 10 of 21 insurance plan rates Aetna - Medicare Managed — Aetna - Medicare Managed: $41.72 Aetna Commercial Plans — Aetna Commercial Plans: $41.72 Anthem Blue Cross Blue Shield - Medicare Advantage — Anthem Blue Cross Blue Shield - Medicare Advantage: $41.72 Blue Cross Blue Shield of Iowa - Federal Employee Plan — Blue Cross Blue Shield of Iowa - Federal Employee Plan: $41.72 Blue Cross Blue Shield of Iowa - Medicare Advantage — Blue Cross Blue Shield of Iowa - Medicare Advantage: $41.72 Blue Cross Blue Shield of Iowa- Wellmark — Blue Cross Blue Shield of Iowa- Wellmark: $41.72 Health Choice - Preferred — Health Choice - Preferred: $41.72 Health Partners — Health Partners: $41.72 Health Partners - MCR MGG PPO — Health Partners - MCR MGG PPO: $41.72 Humana Commercial Plans — Humana Commercial Plans: $41.72
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) In the file: CBC, AUTO W/O DIFF	$36.23	$36.23	$36.23
Complete blood count (CBC), automated: 10 of 21 insurance plan rates Aetna - Medicare Managed — Aetna - Medicare Managed: $36.23 Aetna Commercial Plans — Aetna Commercial Plans: $36.23 Anthem Blue Cross Blue Shield - Medicare Advantage — Anthem Blue Cross Blue Shield - Medicare Advantage: $36.23 Blue Cross Blue Shield of Iowa - Federal Employee Plan — Blue Cross Blue Shield of Iowa - Federal Employee Plan: $36.23 Blue Cross Blue Shield of Iowa - Medicare Advantage — Blue Cross Blue Shield of Iowa - Medicare Advantage: $36.23 Blue Cross Blue Shield of Iowa- Wellmark — Blue Cross Blue Shield of Iowa- Wellmark: $36.23 Health Choice - Preferred — Health Choice - Preferred: $36.23 Health Partners — Health Partners: $36.23 Health Partners - MCR MGG PPO — Health Partners - MCR MGG PPO: $36.23 Humana Commercial Plans — Humana Commercial Plans: $36.23
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) In the file: AUTOMATED CBC	$35.54	$35.54	$35.54
Complete blood count (CBC), automated: 10 of 21 insurance plan rates Aetna - Medicare Managed — Aetna - Medicare Managed: $35.54 Aetna Commercial Plans — Aetna Commercial Plans: $35.54 Anthem Blue Cross Blue Shield - Medicare Advantage — Anthem Blue Cross Blue Shield - Medicare Advantage: $35.54 Blue Cross Blue Shield of Iowa - Federal Employee Plan — Blue Cross Blue Shield of Iowa - Federal Employee Plan: $35.54 Blue Cross Blue Shield of Iowa - Medicare Advantage — Blue Cross Blue Shield of Iowa - Medicare Advantage: $35.54 Blue Cross Blue Shield of Iowa- Wellmark — Blue Cross Blue Shield of Iowa- Wellmark: $35.54 Health Choice - Preferred — Health Choice - Preferred: $35.54 Health Partners — Health Partners: $35.54 Health Partners - MCR MGG PPO — Health Partners - MCR MGG PPO: $35.54 Humana Commercial Plans — Humana Commercial Plans: $35.54
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) In the file: PROTHROMBIN TIME	$18.90	$18.90	$18.90
Blood clotting time test (prothrombin time, PT): 10 of 21 insurance plan rates Aetna - Medicare Managed — Aetna - Medicare Managed: $18.90 Aetna Commercial Plans — Aetna Commercial Plans: $18.90 Anthem Blue Cross Blue Shield - Medicare Advantage — Anthem Blue Cross Blue Shield - Medicare Advantage: $18.90 Blue Cross Blue Shield of Iowa - Federal Employee Plan — Blue Cross Blue Shield of Iowa - Federal Employee Plan: $18.90 Blue Cross Blue Shield of Iowa - Medicare Advantage — Blue Cross Blue Shield of Iowa - Medicare Advantage: $18.90 Blue Cross Blue Shield of Iowa- Wellmark — Blue Cross Blue Shield of Iowa- Wellmark: $18.90 Health Choice - Preferred — Health Choice - Preferred: $18.90 Health Partners — Health Partners: $18.90 Health Partners - MCR MGG PPO — Health Partners - MCR MGG PPO: $18.90 Humana Commercial Plans — Humana Commercial Plans: $18.90
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) In the file: DIC SCREEN	$59.85	$59.85	$59.85
Blood clotting time test (prothrombin time, PT): 10 of 21 insurance plan rates Aetna - Medicare Managed — Aetna - Medicare Managed: $59.85 Aetna Commercial Plans — Aetna Commercial Plans: $59.85 Anthem Blue Cross Blue Shield - Medicare Advantage — Anthem Blue Cross Blue Shield - Medicare Advantage: $59.85 Blue Cross Blue Shield of Iowa - Federal Employee Plan — Blue Cross Blue Shield of Iowa - Federal Employee Plan: $59.85 Blue Cross Blue Shield of Iowa - Medicare Advantage — Blue Cross Blue Shield of Iowa - Medicare Advantage: $59.85 Blue Cross Blue Shield of Iowa- Wellmark — Blue Cross Blue Shield of Iowa- Wellmark: $59.85 Health Choice - Preferred — Health Choice - Preferred: $59.85 Health Partners — Health Partners: $59.85 Health Partners - MCR MGG PPO — Health Partners - MCR MGG PPO: $59.85 Humana Commercial Plans — Humana Commercial Plans: $59.85
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) In the file: PT/PTT	$77.70	$77.70	$77.70
Blood clotting time test (prothrombin time, PT): 10 of 21 insurance plan rates Aetna - Medicare Managed — Aetna - Medicare Managed: $77.70 Aetna Commercial Plans — Aetna Commercial Plans: $77.70 Anthem Blue Cross Blue Shield - Medicare Advantage — Anthem Blue Cross Blue Shield - Medicare Advantage: $77.70 Blue Cross Blue Shield of Iowa - Federal Employee Plan — Blue Cross Blue Shield of Iowa - Federal Employee Plan: $77.70 Blue Cross Blue Shield of Iowa - Medicare Advantage — Blue Cross Blue Shield of Iowa - Medicare Advantage: $77.70 Blue Cross Blue Shield of Iowa- Wellmark — Blue Cross Blue Shield of Iowa- Wellmark: $77.70 Health Choice - Preferred — Health Choice - Preferred: $77.70 Health Partners — Health Partners: $77.70 Health Partners - MCR MGG PPO — Health Partners - MCR MGG PPO: $77.70 Humana Commercial Plans — Humana Commercial Plans: $77.70
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) In the file: PTT	$24.15	$24.15	$24.15
Blood clotting test (partial thromboplastin time, PTT): 10 of 21 insurance plan rates Aetna - Medicare Managed — Aetna - Medicare Managed: $24.15 Aetna Commercial Plans — Aetna Commercial Plans: $24.15 Anthem Blue Cross Blue Shield - Medicare Advantage — Anthem Blue Cross Blue Shield - Medicare Advantage: $24.15 Blue Cross Blue Shield of Iowa - Federal Employee Plan — Blue Cross Blue Shield of Iowa - Federal Employee Plan: $24.15 Blue Cross Blue Shield of Iowa - Medicare Advantage — Blue Cross Blue Shield of Iowa - Medicare Advantage: $24.15 Blue Cross Blue Shield of Iowa- Wellmark — Blue Cross Blue Shield of Iowa- Wellmark: $24.15 Health Choice - Preferred — Health Choice - Preferred: $24.15 Health Partners — Health Partners: $24.15 Health Partners - MCR MGG PPO — Health Partners - MCR MGG PPO: $24.15 Humana Commercial Plans — Humana Commercial Plans: $24.15
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) In the file: S/O LUPUS ANTICOAGULANT	$25.70	$25.70	$25.70
Blood clotting test (partial thromboplastin time, PTT): 10 of 21 insurance plan rates Aetna - Medicare Managed — Aetna - Medicare Managed: $25.70 Aetna Commercial Plans — Aetna Commercial Plans: $25.70 Anthem Blue Cross Blue Shield - Medicare Advantage — Anthem Blue Cross Blue Shield - Medicare Advantage: $25.70 Blue Cross Blue Shield of Iowa - Federal Employee Plan — Blue Cross Blue Shield of Iowa - Federal Employee Plan: $25.70 Blue Cross Blue Shield of Iowa - Medicare Advantage — Blue Cross Blue Shield of Iowa - Medicare Advantage: $25.70 Blue Cross Blue Shield of Iowa- Wellmark — Blue Cross Blue Shield of Iowa- Wellmark: $25.70 Health Choice - Preferred — Health Choice - Preferred: $25.70 Health Partners — Health Partners: $25.70 Health Partners - MCR MGG PPO — Health Partners - MCR MGG PPO: $25.70 Humana Commercial Plans — Humana Commercial Plans: $25.70
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) In the file: S/O PTT-D HEPARIN RFLX	$21.42	$21.42	$21.42
Blood clotting test (partial thromboplastin time, PTT): 10 of 21 insurance plan rates Aetna - Medicare Managed — Aetna - Medicare Managed: $21.42 Aetna Commercial Plans — Aetna Commercial Plans: $21.42 Anthem Blue Cross Blue Shield - Medicare Advantage — Anthem Blue Cross Blue Shield - Medicare Advantage: $21.42 Blue Cross Blue Shield of Iowa - Federal Employee Plan — Blue Cross Blue Shield of Iowa - Federal Employee Plan: $21.42 Blue Cross Blue Shield of Iowa - Medicare Advantage — Blue Cross Blue Shield of Iowa - Medicare Advantage: $21.42 Blue Cross Blue Shield of Iowa- Wellmark — Blue Cross Blue Shield of Iowa- Wellmark: $21.42 Health Choice - Preferred — Health Choice - Preferred: $21.42 Health Partners — Health Partners: $21.42 Health Partners - MCR MGG PPO — Health Partners - MCR MGG PPO: $21.42 Humana Commercial Plans — Humana Commercial Plans: $21.42

Imaging (X-ray, CT, MRI, ultrasound, mammogram)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) In the file: CT BRAIN/HEAD WO CONTRAST	$365	$365	$365
CT scan of the head or brain, without contrast: 10 of 21 insurance plan rates Aetna - Medicare Managed — Aetna - Medicare Managed: $365 Aetna Commercial Plans — Aetna Commercial Plans: $365 Anthem Blue Cross Blue Shield - Medicare Advantage — Anthem Blue Cross Blue Shield - Medicare Advantage: $365 Blue Cross Blue Shield of Iowa - Federal Employee Plan — Blue Cross Blue Shield of Iowa - Federal Employee Plan: $365 Blue Cross Blue Shield of Iowa - Medicare Advantage — Blue Cross Blue Shield of Iowa - Medicare Advantage: $365 Blue Cross Blue Shield of Iowa- Wellmark — Blue Cross Blue Shield of Iowa- Wellmark: $365 Health Choice - Preferred — Health Choice - Preferred: $365 Health Partners — Health Partners: $365 Health Partners - MCR MGG PPO — Health Partners - MCR MGG PPO: $365 Humana Commercial Plans — Humana Commercial Plans: $365
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) In the file: MRI BRAIN W/WO CONTRAST	$11,845	$11,845	$11,845
MRI of the brain, before and after contrast: 10 of 21 insurance plan rates Aetna - Medicare Managed — Aetna - Medicare Managed: $11,845 Aetna Commercial Plans — Aetna Commercial Plans: $11,845 Anthem Blue Cross Blue Shield - Medicare Advantage — Anthem Blue Cross Blue Shield - Medicare Advantage: $11,845 Blue Cross Blue Shield of Iowa - Federal Employee Plan — Blue Cross Blue Shield of Iowa - Federal Employee Plan: $11,845 Blue Cross Blue Shield of Iowa - Medicare Advantage — Blue Cross Blue Shield of Iowa - Medicare Advantage: $11,845 Blue Cross Blue Shield of Iowa- Wellmark — Blue Cross Blue Shield of Iowa- Wellmark: $11,845 Health Choice - Preferred — Health Choice - Preferred: $11,845 Health Partners — Health Partners: $11,845 Health Partners - MCR MGG PPO — Health Partners - MCR MGG PPO: $11,845 Humana Commercial Plans — Humana Commercial Plans: $11,845
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) In the file: CHEST 2 VIEWS FRONTAL & LAT	$300	$300	$300
Chest X-ray, 2 views: 10 of 21 insurance plan rates Aetna - Medicare Managed — Aetna - Medicare Managed: $300 Aetna Commercial Plans — Aetna Commercial Plans: $300 Anthem Blue Cross Blue Shield - Medicare Advantage — Anthem Blue Cross Blue Shield - Medicare Advantage: $300 Blue Cross Blue Shield of Iowa - Federal Employee Plan — Blue Cross Blue Shield of Iowa - Federal Employee Plan: $300 Blue Cross Blue Shield of Iowa - Medicare Advantage — Blue Cross Blue Shield of Iowa - Medicare Advantage: $300 Blue Cross Blue Shield of Iowa- Wellmark — Blue Cross Blue Shield of Iowa- Wellmark: $300 Health Choice - Preferred — Health Choice - Preferred: $300 Health Partners — Health Partners: $300 Health Partners - MCR MGG PPO — Health Partners - MCR MGG PPO: $300 Humana Commercial Plans — Humana Commercial Plans: $300
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) In the file: CHEST 2 VIEWS	$241.02	$241.02	$241.02
Chest X-ray, 2 views: 10 of 21 insurance plan rates Aetna - Medicare Managed — Aetna - Medicare Managed: $241.02 Aetna Commercial Plans — Aetna Commercial Plans: $241.02 Anthem Blue Cross Blue Shield - Medicare Advantage — Anthem Blue Cross Blue Shield - Medicare Advantage: $241.02 Blue Cross Blue Shield of Iowa - Federal Employee Plan — Blue Cross Blue Shield of Iowa - Federal Employee Plan: $241.02 Blue Cross Blue Shield of Iowa - Medicare Advantage — Blue Cross Blue Shield of Iowa - Medicare Advantage: $241.02 Blue Cross Blue Shield of Iowa- Wellmark — Blue Cross Blue Shield of Iowa- Wellmark: $241.02 Health Choice - Preferred — Health Choice - Preferred: $241.02 Health Partners — Health Partners: $241.02 Health Partners - MCR MGG PPO — Health Partners - MCR MGG PPO: $241.02 Humana Commercial Plans — Humana Commercial Plans: $241.02
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) In the file: LUMBOSACRAL SP 4+ VIEWS	$541.48	$541.48	$541.48
X-ray of the lower spine, at least 4 views: 10 of 21 insurance plan rates Aetna - Medicare Managed — Aetna - Medicare Managed: $541.48 Aetna Commercial Plans — Aetna Commercial Plans: $541.48 Anthem Blue Cross Blue Shield - Medicare Advantage — Anthem Blue Cross Blue Shield - Medicare Advantage: $541.48 Blue Cross Blue Shield of Iowa - Federal Employee Plan — Blue Cross Blue Shield of Iowa - Federal Employee Plan: $541.48 Blue Cross Blue Shield of Iowa - Medicare Advantage — Blue Cross Blue Shield of Iowa - Medicare Advantage: $541.48 Blue Cross Blue Shield of Iowa- Wellmark — Blue Cross Blue Shield of Iowa- Wellmark: $541.48 Health Choice - Preferred — Health Choice - Preferred: $541.48 Health Partners — Health Partners: $541.48 Health Partners - MCR MGG PPO — Health Partners - MCR MGG PPO: $541.48 Humana Commercial Plans — Humana Commercial Plans: $541.48
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) In the file: MRI LUMBAR SPINE WO CONTRAST	$2,536	$2,536	$2,536
MRI of the lower back (lumbar spine), without contrast: 10 of 21 insurance plan rates Aetna - Medicare Managed — Aetna - Medicare Managed: $2,536 Aetna Commercial Plans — Aetna Commercial Plans: $2,536 Anthem Blue Cross Blue Shield - Medicare Advantage — Anthem Blue Cross Blue Shield - Medicare Advantage: $2,536 Blue Cross Blue Shield of Iowa - Federal Employee Plan — Blue Cross Blue Shield of Iowa - Federal Employee Plan: $2,536 Blue Cross Blue Shield of Iowa - Medicare Advantage — Blue Cross Blue Shield of Iowa - Medicare Advantage: $2,536 Blue Cross Blue Shield of Iowa- Wellmark — Blue Cross Blue Shield of Iowa- Wellmark: $2,536 Health Choice - Preferred — Health Choice - Preferred: $2,536 Health Partners — Health Partners: $2,536 Health Partners - MCR MGG PPO — Health Partners - MCR MGG PPO: $2,536 Humana Commercial Plans — Humana Commercial Plans: $2,536
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) In the file: CT PELVIS W/CONTRAST	$722.28	$722.28	$722.28
CT scan of the pelvis, with contrast: 10 of 21 insurance plan rates Aetna - Medicare Managed — Aetna - Medicare Managed: $722.28 Aetna Commercial Plans — Aetna Commercial Plans: $722.28 Anthem Blue Cross Blue Shield - Medicare Advantage — Anthem Blue Cross Blue Shield - Medicare Advantage: $722.28 Blue Cross Blue Shield of Iowa - Federal Employee Plan — Blue Cross Blue Shield of Iowa - Federal Employee Plan: $722.28 Blue Cross Blue Shield of Iowa - Medicare Advantage — Blue Cross Blue Shield of Iowa - Medicare Advantage: $722.28 Blue Cross Blue Shield of Iowa- Wellmark — Blue Cross Blue Shield of Iowa- Wellmark: $722.28 Health Choice - Preferred — Health Choice - Preferred: $722.28 Health Partners — Health Partners: $722.28 Health Partners - MCR MGG PPO — Health Partners - MCR MGG PPO: $722.28 Humana Commercial Plans — Humana Commercial Plans: $722.28
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · modifier 50 In the file: MRI LOW EXT JOINT W/O CONT BIL	$2,087.68	$2,087.68	$2,087.68
MRI of a leg joint (such as the knee), without contrast: 10 of 21 insurance plan rates Aetna - Medicare Managed — Aetna - Medicare Managed: $2,087.68 Aetna Commercial Plans — Aetna Commercial Plans: $2,087.68 Anthem Blue Cross Blue Shield - Medicare Advantage — Anthem Blue Cross Blue Shield - Medicare Advantage: $2,087.68 Blue Cross Blue Shield of Iowa - Federal Employee Plan — Blue Cross Blue Shield of Iowa - Federal Employee Plan: $2,087.68 Blue Cross Blue Shield of Iowa - Medicare Advantage — Blue Cross Blue Shield of Iowa - Medicare Advantage: $2,087.68 Blue Cross Blue Shield of Iowa- Wellmark — Blue Cross Blue Shield of Iowa- Wellmark: $2,087.68 Health Choice - Preferred — Health Choice - Preferred: $2,087.68 Health Partners — Health Partners: $2,087.68 Health Partners - MCR MGG PPO — Health Partners - MCR MGG PPO: $2,087.68 Humana Commercial Plans — Humana Commercial Plans: $2,087.68
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · modifier RT In the file: MRI LOW EXT JOINT W/O CONT RT	$3,240.30	$3,240.30	$3,240.30
MRI of a leg joint (such as the knee), without contrast: 10 of 21 insurance plan rates Aetna - Medicare Managed — Aetna - Medicare Managed: $3,240.30 Aetna Commercial Plans — Aetna Commercial Plans: $3,240.30 Anthem Blue Cross Blue Shield - Medicare Advantage — Anthem Blue Cross Blue Shield - Medicare Advantage: $3,240.30 Blue Cross Blue Shield of Iowa - Federal Employee Plan — Blue Cross Blue Shield of Iowa - Federal Employee Plan: $3,240.30 Blue Cross Blue Shield of Iowa - Medicare Advantage — Blue Cross Blue Shield of Iowa - Medicare Advantage: $3,240.30 Blue Cross Blue Shield of Iowa- Wellmark — Blue Cross Blue Shield of Iowa- Wellmark: $3,240.30 Health Choice - Preferred — Health Choice - Preferred: $3,240.30 Health Partners — Health Partners: $3,240.30 Health Partners - MCR MGG PPO — Health Partners - MCR MGG PPO: $3,240.30 Humana Commercial Plans — Humana Commercial Plans: $3,240.30
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · modifier LT In the file: MRI LOW EXT JOINT W/O CONT LT	$2,621.50	$2,621.50	$2,621.50
MRI of a leg joint (such as the knee), without contrast: 10 of 21 insurance plan rates Aetna - Medicare Managed — Aetna - Medicare Managed: $2,621.50 Aetna Commercial Plans — Aetna Commercial Plans: $2,621.50 Anthem Blue Cross Blue Shield - Medicare Advantage — Anthem Blue Cross Blue Shield - Medicare Advantage: $2,621.50 Blue Cross Blue Shield of Iowa - Federal Employee Plan — Blue Cross Blue Shield of Iowa - Federal Employee Plan: $2,621.50 Blue Cross Blue Shield of Iowa - Medicare Advantage — Blue Cross Blue Shield of Iowa - Medicare Advantage: $2,621.50 Blue Cross Blue Shield of Iowa- Wellmark — Blue Cross Blue Shield of Iowa- Wellmark: $2,621.50 Health Choice - Preferred — Health Choice - Preferred: $2,621.50 Health Partners — Health Partners: $2,621.50 Health Partners - MCR MGG PPO — Health Partners - MCR MGG PPO: $2,621.50 Humana Commercial Plans — Humana Commercial Plans: $2,621.50
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) In the file: CT ABD & PELVIS W/CONTRAST	$1,267.32	$1,267.32	$1,267.32
CT scan of the abdomen and pelvis, with contrast: 10 of 21 insurance plan rates Aetna - Medicare Managed — Aetna - Medicare Managed: $1,267.32 Aetna Commercial Plans — Aetna Commercial Plans: $1,267.32 Anthem Blue Cross Blue Shield - Medicare Advantage — Anthem Blue Cross Blue Shield - Medicare Advantage: $1,267.32 Blue Cross Blue Shield of Iowa - Federal Employee Plan — Blue Cross Blue Shield of Iowa - Federal Employee Plan: $1,267.32 Blue Cross Blue Shield of Iowa - Medicare Advantage — Blue Cross Blue Shield of Iowa - Medicare Advantage: $1,267.32 Blue Cross Blue Shield of Iowa- Wellmark — Blue Cross Blue Shield of Iowa- Wellmark: $1,267.32 Health Choice - Preferred — Health Choice - Preferred: $1,267.32 Health Partners — Health Partners: $1,267.32 Health Partners - MCR MGG PPO — Health Partners - MCR MGG PPO: $1,267.32 Humana Commercial Plans — Humana Commercial Plans: $1,267.32
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) In the file: US ABDOMEN COMPLETE	$369.51	$369.51	$369.51
Ultrasound of the abdomen, complete: 10 of 21 insurance plan rates Aetna - Medicare Managed — Aetna - Medicare Managed: $369.51 Aetna Commercial Plans — Aetna Commercial Plans: $369.51 Anthem Blue Cross Blue Shield - Medicare Advantage — Anthem Blue Cross Blue Shield - Medicare Advantage: $369.51 Blue Cross Blue Shield of Iowa - Federal Employee Plan — Blue Cross Blue Shield of Iowa - Federal Employee Plan: $369.51 Blue Cross Blue Shield of Iowa - Medicare Advantage — Blue Cross Blue Shield of Iowa - Medicare Advantage: $369.51 Blue Cross Blue Shield of Iowa- Wellmark — Blue Cross Blue Shield of Iowa- Wellmark: $369.51 Health Choice - Preferred — Health Choice - Preferred: $369.51 Health Partners — Health Partners: $369.51 Health Partners - MCR MGG PPO — Health Partners - MCR MGG PPO: $369.51 Humana Commercial Plans — Humana Commercial Plans: $369.51
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) In the file: US PREG UTERUS >14 WEEKS	$860.88	$860.88	$860.88
Pregnancy ultrasound (after the first trimester): 10 of 21 insurance plan rates Aetna - Medicare Managed — Aetna - Medicare Managed: $860.88 Aetna Commercial Plans — Aetna Commercial Plans: $860.88 Anthem Blue Cross Blue Shield - Medicare Advantage — Anthem Blue Cross Blue Shield - Medicare Advantage: $860.88 Blue Cross Blue Shield of Iowa - Federal Employee Plan — Blue Cross Blue Shield of Iowa - Federal Employee Plan: $860.88 Blue Cross Blue Shield of Iowa - Medicare Advantage — Blue Cross Blue Shield of Iowa - Medicare Advantage: $860.88 Blue Cross Blue Shield of Iowa- Wellmark — Blue Cross Blue Shield of Iowa- Wellmark: $860.88 Health Choice - Preferred — Health Choice - Preferred: $860.88 Health Partners — Health Partners: $860.88 Health Partners - MCR MGG PPO — Health Partners - MCR MGG PPO: $860.88 Humana Commercial Plans — Humana Commercial Plans: $860.88
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) In the file: US TRANSVAGINAL	$917.50	$917.50	$917.50
Transvaginal ultrasound: 10 of 21 insurance plan rates Aetna - Medicare Managed — Aetna - Medicare Managed: $917.50 Aetna Commercial Plans — Aetna Commercial Plans: $917.50 Anthem Blue Cross Blue Shield - Medicare Advantage — Anthem Blue Cross Blue Shield - Medicare Advantage: $917.50 Blue Cross Blue Shield of Iowa - Federal Employee Plan — Blue Cross Blue Shield of Iowa - Federal Employee Plan: $917.50 Blue Cross Blue Shield of Iowa - Medicare Advantage — Blue Cross Blue Shield of Iowa - Medicare Advantage: $917.50 Blue Cross Blue Shield of Iowa- Wellmark — Blue Cross Blue Shield of Iowa- Wellmark: $917.50 Health Choice - Preferred — Health Choice - Preferred: $917.50 Health Partners — Health Partners: $917.50 Health Partners - MCR MGG PPO — Health Partners - MCR MGG PPO: $917.50 Humana Commercial Plans — Humana Commercial Plans: $917.50
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · modifier RTRT In the file: MAMMOGRAM DIAG UNIL RT	$259	$259	$259
Diagnostic mammogram, one breast: 10 of 21 insurance plan rates Aetna - Medicare Managed — Aetna - Medicare Managed: $259 Aetna Commercial Plans — Aetna Commercial Plans: $259 Anthem Blue Cross Blue Shield - Medicare Advantage — Anthem Blue Cross Blue Shield - Medicare Advantage: $259 Blue Cross Blue Shield of Iowa - Federal Employee Plan — Blue Cross Blue Shield of Iowa - Federal Employee Plan: $259 Blue Cross Blue Shield of Iowa - Medicare Advantage — Blue Cross Blue Shield of Iowa - Medicare Advantage: $259 Blue Cross Blue Shield of Iowa- Wellmark — Blue Cross Blue Shield of Iowa- Wellmark: $259 Health Choice - Preferred — Health Choice - Preferred: $259 Health Partners — Health Partners: $259 Health Partners - MCR MGG PPO — Health Partners - MCR MGG PPO: $259 Humana Commercial Plans — Humana Commercial Plans: $259
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · modifier LTLT In the file: MAMMOGRAM DIAG UNIL LT	$259	$259	$259
Diagnostic mammogram, one breast: 10 of 21 insurance plan rates Aetna - Medicare Managed — Aetna - Medicare Managed: $259 Aetna Commercial Plans — Aetna Commercial Plans: $259 Anthem Blue Cross Blue Shield - Medicare Advantage — Anthem Blue Cross Blue Shield - Medicare Advantage: $259 Blue Cross Blue Shield of Iowa - Federal Employee Plan — Blue Cross Blue Shield of Iowa - Federal Employee Plan: $259 Blue Cross Blue Shield of Iowa - Medicare Advantage — Blue Cross Blue Shield of Iowa - Medicare Advantage: $259 Blue Cross Blue Shield of Iowa- Wellmark — Blue Cross Blue Shield of Iowa- Wellmark: $259 Health Choice - Preferred — Health Choice - Preferred: $259 Health Partners — Health Partners: $259 Health Partners - MCR MGG PPO — Health Partners - MCR MGG PPO: $259 Humana Commercial Plans — Humana Commercial Plans: $259
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) In the file: MAMMOGRAM SCREEN BILATERAL	$200.94	$200.94	$200.94
Screening mammogram, both breasts: 10 of 21 insurance plan rates Aetna - Medicare Managed — Aetna - Medicare Managed: $200.94 Aetna Commercial Plans — Aetna Commercial Plans: $200.94 Anthem Blue Cross Blue Shield - Medicare Advantage — Anthem Blue Cross Blue Shield - Medicare Advantage: $200.94 Blue Cross Blue Shield of Iowa - Federal Employee Plan — Blue Cross Blue Shield of Iowa - Federal Employee Plan: $200.94 Blue Cross Blue Shield of Iowa - Medicare Advantage — Blue Cross Blue Shield of Iowa - Medicare Advantage: $200.94 Blue Cross Blue Shield of Iowa- Wellmark — Blue Cross Blue Shield of Iowa- Wellmark: $200.94 Health Choice - Preferred — Health Choice - Preferred: $200.94 Health Partners — Health Partners: $200.94 Health Partners - MCR MGG PPO — Health Partners - MCR MGG PPO: $200.94 Humana Commercial Plans — Humana Commercial Plans: $200.94

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient (hospital stay) In the file: EKG	$489.80	$489.80	$489.80
Electrocardiogram (ECG/EKG) with reading: 10 of 21 insurance plan rates Aetna - Medicare Managed — Aetna - Medicare Managed: $489.80 Aetna Commercial Plans — Aetna Commercial Plans: $489.80 Anthem Blue Cross Blue Shield - Medicare Advantage — Anthem Blue Cross Blue Shield - Medicare Advantage: $489.80 Blue Cross Blue Shield of Iowa - Federal Employee Plan — Blue Cross Blue Shield of Iowa - Federal Employee Plan: $489.80 Blue Cross Blue Shield of Iowa - Medicare Advantage — Blue Cross Blue Shield of Iowa - Medicare Advantage: $489.80 Blue Cross Blue Shield of Iowa- Wellmark — Blue Cross Blue Shield of Iowa- Wellmark: $489.80 Health Choice - Preferred — Health Choice - Preferred: $489.80 Health Partners — Health Partners: $489.80 Health Partners - MCR MGG PPO — Health Partners - MCR MGG PPO: $489.80 Humana Commercial Plans — Humana Commercial Plans: $489.80
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) In the file: PSS W 4/> PAR W TECH>=6YR	$3,942.30	$3,942.30	$3,942.30
Sleep study (overnight, in a sleep lab): 10 of 21 insurance plan rates Aetna - Medicare Managed — Aetna - Medicare Managed: $3,942.30 Aetna Commercial Plans — Aetna Commercial Plans: $3,942.30 Anthem Blue Cross Blue Shield - Medicare Advantage — Anthem Blue Cross Blue Shield - Medicare Advantage: $3,942.30 Blue Cross Blue Shield of Iowa - Federal Employee Plan — Blue Cross Blue Shield of Iowa - Federal Employee Plan: $3,942.30 Blue Cross Blue Shield of Iowa - Medicare Advantage — Blue Cross Blue Shield of Iowa - Medicare Advantage: $3,942.30 Blue Cross Blue Shield of Iowa- Wellmark — Blue Cross Blue Shield of Iowa- Wellmark: $3,942.30 Health Choice - Preferred — Health Choice - Preferred: $3,942.30 Health Partners — Health Partners: $3,942.30 Health Partners - MCR MGG PPO — Health Partners - MCR MGG PPO: $3,942.30 Humana Commercial Plans — Humana Commercial Plans: $3,942.30

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) In the file: THERAPEUTIC EXERCISES	$106.27	$106.27	$106.27
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 21 insurance plan rates Aetna - Medicare Managed — Aetna - Medicare Managed: $106.27 Aetna Commercial Plans — Aetna Commercial Plans: $106.27 Anthem Blue Cross Blue Shield - Medicare Advantage — Anthem Blue Cross Blue Shield - Medicare Advantage: $106.27 Blue Cross Blue Shield of Iowa - Federal Employee Plan — Blue Cross Blue Shield of Iowa - Federal Employee Plan: $106.27 Blue Cross Blue Shield of Iowa - Medicare Advantage — Blue Cross Blue Shield of Iowa - Medicare Advantage: $106.27 Blue Cross Blue Shield of Iowa- Wellmark — Blue Cross Blue Shield of Iowa- Wellmark: $106.27 Health Choice - Preferred — Health Choice - Preferred: $106.27 Health Partners — Health Partners: $106.27 Health Partners - MCR MGG PPO — Health Partners - MCR MGG PPO: $106.27 Humana Commercial Plans — Humana Commercial Plans: $106.27
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · modifier GP In the file: THERAPEUTIC EXERCISE 15 MIN	$236.85	$236.85	$236.85
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 21 insurance plan rates Aetna - Medicare Managed — Aetna - Medicare Managed: $236.85 Aetna Commercial Plans — Aetna Commercial Plans: $236.85 Anthem Blue Cross Blue Shield - Medicare Advantage — Anthem Blue Cross Blue Shield - Medicare Advantage: $236.85 Blue Cross Blue Shield of Iowa - Federal Employee Plan — Blue Cross Blue Shield of Iowa - Federal Employee Plan: $236.85 Blue Cross Blue Shield of Iowa - Medicare Advantage — Blue Cross Blue Shield of Iowa - Medicare Advantage: $236.85 Blue Cross Blue Shield of Iowa- Wellmark — Blue Cross Blue Shield of Iowa- Wellmark: $236.85 Health Choice - Preferred — Health Choice - Preferred: $236.85 Health Partners — Health Partners: $236.85 Health Partners - MCR MGG PPO — Health Partners - MCR MGG PPO: $236.85 Humana Commercial Plans — Humana Commercial Plans: $236.85
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · modifier GO In the file: THERAPEUTIC EXERCISE 15 MIN	$236.85	$236.85	$236.85
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 21 insurance plan rates Aetna - Medicare Managed — Aetna - Medicare Managed: $236.85 Aetna Commercial Plans — Aetna Commercial Plans: $236.85 Anthem Blue Cross Blue Shield - Medicare Advantage — Anthem Blue Cross Blue Shield - Medicare Advantage: $236.85 Blue Cross Blue Shield of Iowa - Federal Employee Plan — Blue Cross Blue Shield of Iowa - Federal Employee Plan: $236.85 Blue Cross Blue Shield of Iowa - Medicare Advantage — Blue Cross Blue Shield of Iowa - Medicare Advantage: $236.85 Blue Cross Blue Shield of Iowa- Wellmark — Blue Cross Blue Shield of Iowa- Wellmark: $236.85 Health Choice - Preferred — Health Choice - Preferred: $236.85 Health Partners — Health Partners: $236.85 Health Partners - MCR MGG PPO — Health Partners - MCR MGG PPO: $236.85 Humana Commercial Plans — Humana Commercial Plans: $236.85
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) In the file: PT EVALUATION LOW COMPLEXITY	$639.17	$639.17	$639.17
Physical therapy evaluation (low complexity): 10 of 21 insurance plan rates Aetna - Medicare Managed — Aetna - Medicare Managed: $639.17 Aetna Commercial Plans — Aetna Commercial Plans: $639.17 Anthem Blue Cross Blue Shield - Medicare Advantage — Anthem Blue Cross Blue Shield - Medicare Advantage: $639.17 Blue Cross Blue Shield of Iowa - Federal Employee Plan — Blue Cross Blue Shield of Iowa - Federal Employee Plan: $639.17 Blue Cross Blue Shield of Iowa - Medicare Advantage — Blue Cross Blue Shield of Iowa - Medicare Advantage: $639.17 Blue Cross Blue Shield of Iowa- Wellmark — Blue Cross Blue Shield of Iowa- Wellmark: $639.17 Health Choice - Preferred — Health Choice - Preferred: $639.17 Health Partners — Health Partners: $639.17 Health Partners - MCR MGG PPO — Health Partners - MCR MGG PPO: $639.17 Humana Commercial Plans — Humana Commercial Plans: $639.17
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) In the file: PT EVALUATION MOD COMPLEXITY	$639.17	$639.17	$639.17
Physical therapy evaluation (moderate complexity): 10 of 21 insurance plan rates Aetna - Medicare Managed — Aetna - Medicare Managed: $639.17 Aetna Commercial Plans — Aetna Commercial Plans: $639.17 Anthem Blue Cross Blue Shield - Medicare Advantage — Anthem Blue Cross Blue Shield - Medicare Advantage: $639.17 Blue Cross Blue Shield of Iowa - Federal Employee Plan — Blue Cross Blue Shield of Iowa - Federal Employee Plan: $639.17 Blue Cross Blue Shield of Iowa - Medicare Advantage — Blue Cross Blue Shield of Iowa - Medicare Advantage: $639.17 Blue Cross Blue Shield of Iowa- Wellmark — Blue Cross Blue Shield of Iowa- Wellmark: $639.17 Health Choice - Preferred — Health Choice - Preferred: $639.17 Health Partners — Health Partners: $639.17 Health Partners - MCR MGG PPO — Health Partners - MCR MGG PPO: $639.17 Humana Commercial Plans — Humana Commercial Plans: $639.17
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) In the file: PT EVAL HIGH COMPLEXITY 45 MIN	$639.17	$639.17	$639.17
Physical therapy evaluation (high complexity): 10 of 21 insurance plan rates Aetna - Medicare Managed — Aetna - Medicare Managed: $639.17 Aetna Commercial Plans — Aetna Commercial Plans: $639.17 Anthem Blue Cross Blue Shield - Medicare Advantage — Anthem Blue Cross Blue Shield - Medicare Advantage: $639.17 Blue Cross Blue Shield of Iowa - Federal Employee Plan — Blue Cross Blue Shield of Iowa - Federal Employee Plan: $639.17 Blue Cross Blue Shield of Iowa - Medicare Advantage — Blue Cross Blue Shield of Iowa - Medicare Advantage: $639.17 Blue Cross Blue Shield of Iowa- Wellmark — Blue Cross Blue Shield of Iowa- Wellmark: $639.17 Health Choice - Preferred — Health Choice - Preferred: $639.17 Health Partners — Health Partners: $639.17 Health Partners - MCR MGG PPO — Health Partners - MCR MGG PPO: $639.17 Humana Commercial Plans — Humana Commercial Plans: $639.17
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) In the file: PT EVAL HIGH COMPLEXITY 60 MIN	$200.63	$200.63	$200.63
Physical therapy evaluation (high complexity): 10 of 21 insurance plan rates Aetna - Medicare Managed — Aetna - Medicare Managed: $200.63 Aetna Commercial Plans — Aetna Commercial Plans: $200.63 Anthem Blue Cross Blue Shield - Medicare Advantage — Anthem Blue Cross Blue Shield - Medicare Advantage: $200.63 Blue Cross Blue Shield of Iowa - Federal Employee Plan — Blue Cross Blue Shield of Iowa - Federal Employee Plan: $200.63 Blue Cross Blue Shield of Iowa - Medicare Advantage — Blue Cross Blue Shield of Iowa - Medicare Advantage: $200.63 Blue Cross Blue Shield of Iowa- Wellmark — Blue Cross Blue Shield of Iowa- Wellmark: $200.63 Health Choice - Preferred — Health Choice - Preferred: $200.63 Health Partners — Health Partners: $200.63 Health Partners - MCR MGG PPO — Health Partners - MCR MGG PPO: $200.63 Humana Commercial Plans — Humana Commercial Plans: $200.63
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · modifier GP In the file: PT EVAL - HIGH COMPLEX - 90 MI	$300	$300	$300
Physical therapy evaluation (high complexity): 10 of 21 insurance plan rates Aetna - Medicare Managed — Aetna - Medicare Managed: $300 Aetna Commercial Plans — Aetna Commercial Plans: $300 Anthem Blue Cross Blue Shield - Medicare Advantage — Anthem Blue Cross Blue Shield - Medicare Advantage: $300 Blue Cross Blue Shield of Iowa - Federal Employee Plan — Blue Cross Blue Shield of Iowa - Federal Employee Plan: $300 Blue Cross Blue Shield of Iowa - Medicare Advantage — Blue Cross Blue Shield of Iowa - Medicare Advantage: $300 Blue Cross Blue Shield of Iowa- Wellmark — Blue Cross Blue Shield of Iowa- Wellmark: $300 Health Choice - Preferred — Health Choice - Preferred: $300 Health Partners — Health Partners: $300 Health Partners - MCR MGG PPO — Health Partners - MCR MGG PPO: $300 Humana Commercial Plans — Humana Commercial Plans: $300

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) In the file: EGD W/BIOPSY(S)	$2,660	$2,660	$2,660
Upper GI endoscopy with biopsy: 10 of 21 insurance plan rates Aetna - Medicare Managed — Aetna - Medicare Managed: $2,660 Aetna Commercial Plans — Aetna Commercial Plans: $2,660 Anthem Blue Cross Blue Shield - Medicare Advantage — Anthem Blue Cross Blue Shield - Medicare Advantage: $2,660 Blue Cross Blue Shield of Iowa - Federal Employee Plan — Blue Cross Blue Shield of Iowa - Federal Employee Plan: $2,660 Blue Cross Blue Shield of Iowa - Medicare Advantage — Blue Cross Blue Shield of Iowa - Medicare Advantage: $2,660 Blue Cross Blue Shield of Iowa- Wellmark — Blue Cross Blue Shield of Iowa- Wellmark: $2,660 Health Choice - Preferred — Health Choice - Preferred: $2,660 Health Partners — Health Partners: $2,660 Health Partners - MCR MGG PPO — Health Partners - MCR MGG PPO: $2,660 Humana Commercial Plans — Humana Commercial Plans: $2,660
Prostate biopsy CPT 55700 · Inpatient (hospital stay) In the file: BIOPSY PROSTATE NDL/PUNCH	$2,186.88	$2,186.88	$2,186.88
Prostate biopsy: 10 of 21 insurance plan rates Aetna - Medicare Managed — Aetna - Medicare Managed: $2,186.88 Aetna Commercial Plans — Aetna Commercial Plans: $2,186.88 Anthem Blue Cross Blue Shield - Medicare Advantage — Anthem Blue Cross Blue Shield - Medicare Advantage: $2,186.88 Blue Cross Blue Shield of Iowa - Federal Employee Plan — Blue Cross Blue Shield of Iowa - Federal Employee Plan: $2,186.88 Blue Cross Blue Shield of Iowa - Medicare Advantage — Blue Cross Blue Shield of Iowa - Medicare Advantage: $2,186.88 Blue Cross Blue Shield of Iowa- Wellmark — Blue Cross Blue Shield of Iowa- Wellmark: $2,186.88 Health Choice - Preferred — Health Choice - Preferred: $2,186.88 Health Partners — Health Partners: $2,186.88 Health Partners - MCR MGG PPO — Health Partners - MCR MGG PPO: $2,186.88 Humana Commercial Plans — Humana Commercial Plans: $2,186.88
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) In the file: ANES/STE EPI L/S SNGL INJ	$4,091.22	$4,091.22	$4,091.22
Nerve root injection, lower back, with imaging guidance: 10 of 21 insurance plan rates Aetna - Medicare Managed — Aetna - Medicare Managed: $4,091.22 Aetna Commercial Plans — Aetna Commercial Plans: $4,091.22 Anthem Blue Cross Blue Shield - Medicare Advantage — Anthem Blue Cross Blue Shield - Medicare Advantage: $4,091.22 Blue Cross Blue Shield of Iowa - Federal Employee Plan — Blue Cross Blue Shield of Iowa - Federal Employee Plan: $4,091.22 Blue Cross Blue Shield of Iowa - Medicare Advantage — Blue Cross Blue Shield of Iowa - Medicare Advantage: $4,091.22 Blue Cross Blue Shield of Iowa- Wellmark — Blue Cross Blue Shield of Iowa- Wellmark: $4,091.22 Health Choice - Preferred — Health Choice - Preferred: $4,091.22 Health Partners — Health Partners: $4,091.22 Health Partners - MCR MGG PPO — Health Partners - MCR MGG PPO: $4,091.22 Humana Commercial Plans — Humana Commercial Plans: $4,091.22

Source: Eastern Iowa Rehabilitation Hospital LLC’s standard charges file (easterniowarehabhospital.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on March 16, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

Found through the hospital’s cms-hpt.txt file, as required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.

Hospital information

Hospital type	Inpatient Rehabilitation Hospital
Address	2801 Heartland Drive, Coralville, IA 52241
County	Johnson County
State	Iowa
Phone	(319) 645‑4001
Ownership	Proprietary
CMS Certification Number	163026
Name in Medicare records	EASTERN IOWA REHABILITATION HOSPITAL LLC
Profile level	Medicare data + hospital website
Name on the hospital’s website	Eastern Iowa Rehabilitation Hospital
Official website	easterniowarehabhospital.com
Corrections	Report an error or suggest an update →

Sources

Inpatient Rehabilitation Facility - General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-08-12, retrieved 2026-10-29
Medicare Care Compare — official Medicare tool to look up and compare this type of hospital
U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

Numbers match the citations above. Checked 2026-10-30.

Eastern Iowa Rehabilitation Hospital | Coralville, IA — easterniowarehabhospital.com
Conditions We Treat — easterniowarehabhospital.com
Stroke Rehabilitation Program | Coralville, IA — easterniowarehabhospital.com
Neurological Rehabilitation Services | Coralville, IA — easterniowarehabhospital.com
Our Rehab Programs | Eastern Iowa Rehabilitation Hospital — easterniowarehabhospital.com
Brain Injury Rehabilitation Program | Coralville, IA — easterniowarehabhospital.com
Spinal Cord Injury Rehabilitation | Coralville, IA — easterniowarehabhospital.com
Amputation Rehabilitation Program | Coralville, IA — easterniowarehabhospital.com
Recognized for Excellence | Eastern Iowa Rehab Hospital — easterniowarehabhospital.com
Patients & Caregivers | Eastern Iowa Rehabilitation Hospital — easterniowarehabhospital.com
Rehabilitation Team | Eastern Iowa Rehabilitation Hospital — easterniowarehabhospital.com

Eastern Iowa Rehabilitation Hospital LLC

Summary

Profile from official sources

At a glance

Quick answers

Specialties and care areas^[4][14]

Conditions treated^[4][5][7][8]

Treatments^{[9][10][11][14]}

Procedures^[5]

Programs and centers^[4][12]

Visiting and practical information

Recognition^[4][6][12]

Nearest emergency rooms

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

Nursing homes

Hospice providers

Home health agencies

Dialysis facilities

Outpatient surgery centers nearby

Community care nearby

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

ER wait times and Medicare ratings nearby

Prices

Office and emergency visits

Lab tests

Imaging (X-ray, CT, MRI, ultrasound, mammogram)

Heart tests and sleep study

Physical therapy and mental health

Procedures and surgery

Hospital information

Sources

From the hospital’s website

Eastern Iowa Rehabilitation Hospital LLC

Summary

Profile from official sources

At a glance

Quick answers

Specialties and care areas[4][14]

Conditions treated[4][5][7][8]

Treatments[9][10][11][14]

Procedures[5]

Programs and centers[4][12]

Visiting and practical information

Recognition[4][6][12]

Nearest emergency rooms

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

Nursing homes

Hospice providers

Home health agencies

Dialysis facilities

Outpatient surgery centers nearby

Community care nearby

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

ER wait times and Medicare ratings nearby

Prices

Office and emergency visits

Lab tests

Imaging (X-ray, CT, MRI, ultrasound, mammogram)

Heart tests and sleep study

Physical therapy and mental health

Procedures and surgery

Hospital information

Sources

From the hospital’s website

Specialties and care areas^[4][14]

Conditions treated^[4][5][7][8]

Treatments^{[9][10][11][14]}

Procedures^[5]

Programs and centers^[4][12]

Recognition^[4][6][12]