Medical Procedure Costs in Iowa

Iowa Medicare physician rates are generally below the national average (-7.5%). One statewide locality — the ZIP tool still maps you onto that locality.

Look up any CPT in Iowa

Featured table below is 59 procedures. Search covers 7,500+ fee-schedule codes.

Try
vs national (featured set)
-7.5%
Medicare localities
1
PE GPCI 0.915
On this page
59
featured procedures · rest via search

What these numbers are

Every figure on this page is a 2026 Medicare allowed amount: the physician line comes from the Physician Fee Schedule adjusted by geographic practice-cost indices, and the facility totals come from the CMS hospital outpatient (OPPS) and ambulatory surgery centre rates. None of them is a hospital chargemaster price, your insurer's contracted rate, or a quote. Anesthesia, pathology, imaging reads and follow-up care are billed under their own codes when they apply, and an inpatient stay is paid a different way again. These Iowa averages are unweighted means of the state’s localities, not population-weighted.

How Medicare prices Iowa

Iowa is priced as one statewide locality, and its low geographic indices have long placed Medicare-approved amounts here among the lowest in the nation, a point the state's medical community has repeatedly raised with Washington. Des Moines and the smallest farm towns share the same fee schedule adjustments. The single locality means the university medical center in Iowa City bills against the same geographic factors as a rural clinic. Consumers comparing across state lines will often find Iowa procedure prices lower than in Illinois or Minnesota metros.

Care in Iowa is organized around Des Moines, the university hospital in Iowa City, and regional hubs like Cedar Rapids, Davenport, and Sioux City, each serving broad rural catchments. Many small counties have hospitals with limited procedure offerings, so referrals up the chain are routine. Residents on the state's edges commonly cross into Omaha, the Quad Cities, or Rochester, Minnesota for specialty care.

Try your ZIP code to see local context, whether you are in Des Moines, Iowa City, Cedar Rapids, the Quad Cities, Sioux City, or one of Iowa's many rural counties.

Featured physician rates in Iowa

ProcedureIowa
Incision & Drainage of Abscess10060$119
Skin Biopsy (Tangential)11102$88
Skin Biopsy (Punch)11104$112
Destruction of Skin Lesion17000$61
Partial Mastectomy19301$563
Total Hip Replacement27130$1,047
Total Knee Replacement27447$1,046
Knee Arthroscopy29881$467
Upper Endoscopy (EGD)43235$297
Upper Endoscopy (EGD) With Biopsy43239$385
Colonoscopy (Diagnostic)45378$348
Colonoscopy With Biopsy45380$442
Colonoscopy With Polyp Removal45385$461
Laparoscopic Cholecystectomy47562$561
Laparoscopic Inguinal Hernia Repair49650$378
Laparoscopic Removal of Ovarian Cyst58661$531
Vaginal Delivery (Global)59400$1,949
Cesarean Delivery (Global)59510$2,155
Lumbar Discectomy63030$789
Cataract Surgery66984$434
MRI Brain Without Contrast70551$181
MRI Brain With Contrast70552$249
MRI Brain70553$294
Chest X-Ray71046$31
CT Chest Without Contrast71250$123
CT Chest With Contrast71260$154
MRI Cervical Spine72141$177
MRI Lumbar Spine72148$178
Shoulder X-Ray73030$33
MRI Shoulder73221$190
Knee X-Ray73560$32
MRI Knee73721$189
CT Abdomen & Pelvis Without Contrast74176$170
CT Abdomen & Pelvis With Contrast74177$278
Ultrasound Abdomen76700$106
Ultrasound Transvaginal76830$108
Ultrasound Pelvis76856$97
Diagnostic Mammogram77066$145
Screening Mammogram77067$117
Nuclear Stress Test78452$394
Psychiatric Evaluation90791$169
Psychiatric Evaluation With Medical Services90792$194
Psychotherapy (45 min)90834$111
Psychotherapy (60 min)90837$163
ECG/EKG93000$14
Echocardiogram93306$183
Stress Echocardiogram93350$172
Carotid Ultrasound93880$173
Laser Treatment for Skin96920$128
Physical Therapy (Therapeutic Exercise)97110$28
Physical Therapy (Manual Therapy)97140$26
PT Evaluation (Low Complexity)97161$94
PT Evaluation (Moderate Complexity)97162$94
Office Visit (New, Low)99203$109
Office Visit (New, Moderate-High)99204$166
Office Visit (New, High)99205$220
Office Visit (Established, Moderate)99213$89
Office Visit (Established, Moderate-High)99214$127
Office Visit (Established, High)99215$180

Office (non-facility) physician rates. Open a row for the locality table and ZIP tool.

Medical costs in Iowa: questions

Across the 59 featured procedures on this page, Iowa sits below the national average by about 7%. Examples: incision & drainage of abscess $119, skin biopsy (tangential) $88, skin biopsy (punch) $112. Search any other CPT in the box above — those codes are in the tool, not as extra Iowa articles.

Iowa is one Medicare locality, so the physician fee schedule is statewide. Site of service (office vs hospital) and hospital facility fees still change what a patient is billed.

Medicare physician allowed amounts only — the professional fee after GPCI. They do not include hospital facility charges, anesthesia, or your plan’s contracted rate. Medicare patients typically owe 20% of the allowed amount after the Part B deductible, before Medigap.

Yes. The table is the featured set (59 procedures). The search box looks up 7,500+ payable codes from the 2026 fee schedule and applies Iowa’s locality when you enter a ZIP.

Data source: 2026 Medicare Physician Fee Schedule (CMS PPRRVU26B, released March 2026). Conversion factor: $33.4009. Prices shown are Medicare allowed amounts for the physician service and may not match what you are billed. Private insurance and self-pay ranges, when shown, are labeled estimates (typical multiples of Medicare), not quotes. This site is an independent cost tool, not medical advice.