Medical Procedure Costs in Iowa

Iowa medical procedure costs are generally below the national average. Iowa has a single Medicare pricing locality.

Cost vs National Avg
-7.5%
Lower than average
Pricing Localities
1
Medicare pricing regions
Procedures Covered
7,500+
CPT codes with pricing

Procedure Costs in Iowa

ProcedureIowa
Incision & Drainage of Abscess$119
Skin Biopsy (Tangential)$88
Skin Biopsy (Punch)$112
Destruction of Skin Lesion$61
Partial Mastectomy$563
Total Hip Replacement$1,047
Total Knee Replacement$1,046
Knee Arthroscopy$467
Upper Endoscopy (EGD)$297
Upper Endoscopy (EGD) With Biopsy$385
Colonoscopy (Diagnostic)$348
Colonoscopy With Biopsy$442
Colonoscopy With Polyp Removal$461
Laparoscopic Cholecystectomy$561
Laparoscopic Inguinal Hernia Repair$378
Laparoscopic Removal of Ovarian Cyst$531
Vaginal Delivery (Global)$1,949
Cesarean Delivery (Global)$2,155
Lumbar Discectomy$789
Cataract Surgery$434
MRI Brain Without Contrast$181
MRI Brain With Contrast$249
MRI Brain$294
Chest X-Ray$31
CT Chest Without Contrast$123
CT Chest With Contrast$154
MRI Cervical Spine$177
MRI Lumbar Spine$178
Shoulder X-Ray$33
MRI Shoulder$190
Knee X-Ray$32
MRI Knee$189
CT Abdomen & Pelvis Without Contrast$170
CT Abdomen & Pelvis With Contrast$278
Ultrasound Abdomen$106
Ultrasound Transvaginal$108
Ultrasound Pelvis$97
Diagnostic Mammogram$145
Screening Mammogram$117
Nuclear Stress Test$394
Psychiatric Evaluation$169
Psychiatric Evaluation With Medical Services$194
Psychotherapy (45 min)$111
Psychotherapy (60 min)$163
ECG/EKG$14
Echocardiogram$183
Stress Echocardiogram$172
Carotid Ultrasound$173
Laser Treatment for Skin$128
Physical Therapy (Therapeutic Exercise)$28
Physical Therapy (Manual Therapy)$26
PT Evaluation (Low Complexity)$94
PT Evaluation (Moderate Complexity)$94
Office Visit (New, Low)$109
Office Visit (New, Moderate-High)$166
Office Visit (New, High)$220
Office Visit (Established, Moderate)$89
Office Visit (Established, Moderate-High)$127
Office Visit (Established, High)$180

Prices shown are Medicare office (non-facility) rates. Click any procedure for full details including hospital rates and savings tips.

Understanding Medical Costs in Iowa

Medical procedure costs in Iowa are determined by Medicare's Geographic Practice Cost Indices (GPCIs), which account for differences in physician work, practice expenses, and malpractice insurance across regions.

The prices listed above represent Medicare reimbursement rates, which serve as a baseline for what healthcare costs in Iowa. Private insurance companies typically negotiate rates between 130% and 200% of these Medicare amounts. If you are paying out of pocket, many providers in Iowa offer cash discounts of 20% to 40% off their standard charges.

For the most accurate pricing, enter your ZIP code on any procedure page to see costs adjusted for your specific locality within Iowa.

Ways to Save on Medical Costs in Iowa

Compare Insurance Plans

Comparing marketplace plans in Iowa could save you thousands on procedures.

Compare plans on eHealth

Try Telehealth First

Many consultations can be done virtually for $50-100, saving hundreds vs an in-person visit.

Book on Sesame Care

Save on Prescriptions

If a procedure leads to a prescription, discount cards can save up to 80% at pharmacies.

Check prices on GoodRx

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Medical Costs in Iowa: Frequently Asked Questions

How much do medical procedures cost in Iowa?

Medicare procedure costs in Iowa are generally below the national average by about 7%. For example: incision & drainage of abscess around $119, skin biopsy (tangential) around $88, skin biopsy (punch) around $112. Private insurance typically pays 130-200% of these Medicare rates and self-pay cash prices vary by provider.

Why do procedure costs vary within Iowa?

Iowa has a single Medicare pricing locality, so Medicare rates are consistent statewide. Actual charges still vary by provider and setting (office vs hospital).

What do Medicare patients pay for procedures in Iowa?

Medicare patients in Iowa typically pay 20% of the Medicare-approved amount after meeting their Part B deductible, with Medicare covering the other 80%. Supplemental (Medigap) plans can cover most of that 20% coinsurance.

How can I save on medical procedures in Iowa?

Ask each provider for a self-pay or cash price before scheduling, as many in Iowa discount 20-40% for upfront payment. If you are uninsured, compare marketplace insurance plans, use telehealth for consultations, and check prescription discount cards.

Data source: 2026 Medicare Physician Fee Schedule (CMS PPRRVU26B, released March 2026). Conversion factor: $33.4009. Prices shown are Medicare allowed amounts and may not reflect actual charges. Private insurance and self-pay estimates are approximations.