▸ Hospital · IA · CCN 160001

Unitypoint Health - Marshalltown

3 SOUTH 4TH AVENUE, MARSHALLTOWN, IA, 50158

16 bedsAcute Care Hospitals2

Compliance grade

100/100

Procedures tracked

200

of 209 target codes

Payers

with negotiated rates

Rates published

47,963

last crawl 2026-05-23

▸ Compare with other hospitals All IA hospitals JSON Full cost report on HCRIS.io →

Source MRF: https://sthpiprd.blob.core.windows.net/machine-readable-files/7948/815034179_unitypoint-health-marshalltown_standardcharges.csv · CSV

Procedures & rates

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	Neg max
behavioral
Psychoses	MS-DRG	885	10	—	—	$10,228	$13,291	$20,078
Psychiatric diagnostic evaluation	CPT	90791	12	$405	$324	$112.01	$176.64	$368.89
Psychiatric eval with medical services	CPT	90792	10	$453	$362.4	$151.1	$166.72	$419.07
Psychotherapy 30 minutes	CPT	90832	12	$245.42	$196.34	$67.55	$151.1	$282.38
Psychotherapy 45 minutes	CPT	90834	12	$326.42	$261.14	$89.14	$153.32	$282.38
Psychotherapy 60 minutes	CPT	90837	12	$392	$313.6	$114.25	$174.97	$333.11
Crisis psychotherapy 60 minutes	CPT	90839	12	$409	$327.2	$115.08	$169.48	$342.39
emergency
ED visit level 1	CPT	99281	10	$196.15	$156.92	$10.3	$43.67	$156.53
ED visit level 2	CPT	99282	12	$401.24	$321	$19.25	$80.4	$320.19
ED visit level 3	CPT	99283	12	$748.94	$599.16	$19.25	$128.67	$597.65
ED visit level 4	CPT	99284	12	$1,208.35	$966.68	$19.25	$231.6	$964.26
ED visit level 5	CPT	99285	12	$1,759	$1,407.2	$19.25	$341.78	$1,403.68
Critical care, first hour	CPT	99291	12	$2,796.09	$2,236.88	$194	$815.73	$2,231.28
imaging
CT head without contrast	CPT	70450	12	$1,627.13	$1,301.71	$37.24	$103.22	$1,298.45
CT head with contrast	CPT	70460	12	$1,148.13	$918.51	$49.4	$172.79	$916.21
CT head with and without contrast	CPT	70470	12	$2,248.72	$1,798.98	$55.55	$172.79	$1,794.48
CT neck with contrast	CPT	70491	12	$1,353.71	$1,082.97	$60.29	$176.48	$1,080.26
MRI brain without contrast	CPT	70551	12	$1,850.09	$1,480.08	$64.56	$234.62	$1,476.37
MRI brain with contrast	CPT	70552	12	$1,914.33	$1,531.47	$77.96	$346.63	$1,527.64
MRI brain with and without contrast	CPT	70553	12	$2,526.36	$2,021.09	$100.21	$346.63	$2,016.04
Chest X-ray single view	CPT	71045	12	$181.37	$145.1	$8.04	$31.68	$154.74
Chest X-ray 2 views	CPT	71046	12	$181.37	$145.1	$9.63	$41.82	$154.74
Chest X-ray 3 views	CPT	71047	12	$181.37	$145.1	$12.13	$52.56	$154.74
CT chest without contrast	CPT	71250	12	$1,087.39	$869.92	$47.19	$127.85	$867.74
CT chest with contrast	CPT	71260	12	$1,513.71	$1,210.97	$50.96	$172.79	$1,207.94
CT chest with and without contrast	CPT	71270	12	$1,709.92	$1,367.94	$54.61	$191.29	$1,364.52
MRI chest without contrast	CPT	71550	12	$1,744.96	$1,395.97	$63.91	$342.59	$1,392.48
MRI chest with contrast	CPT	71551	12	$1,854.76	$1,483.81	$75.45	$665.86	$1,480.1
MRI chest with and without contrast	CPT	71552	12	$2,932.82	$2,346.26	$98.95	$486.74	$2,340.39
Lumbosacral spine X-ray	CPT	72100	12	$139	$111.2	$9.92	$50.04	$186.89
CT cervical spine without contrast	CPT	72125	12	$1,356.04	$1,084.84	$43.57	$125.45	$1,082.12
CT thoracic spine without contrast	CPT	72128	12	$1,323	$1,058.4	$43.57	$125.3	$1,055.75
CT lumbar spine without contrast	CPT	72131	12	$1,052.36	$841.89	$43.57	$124.72	$839.78
MRI cervical spine without contrast	CPT	72141	12	$1,479.85	$1,183.88	$64.86	$234.62	$1,180.92
MRI thoracic spine without contrast	CPT	72146	12	$1,850.09	$1,480.08	$64.86	$234.62	$1,476.37
MRI lumbar spine without contrast	CPT	72148	12	$1,479.85	$1,183.88	$64.86	$234.62	$1,180.92
MRI lumbar spine with and without contrast	CPT	72149	12	$2,116.39	$1,693.12	$78.25	$346.63	$1,688.88
MRI cervical spine with and without contrast	CPT	72156	12	$3,334.6	$2,667.68	$100.51	$346.63	$2,661.01
MRI lumbar spine with contrast	CPT	72158	12	$3,157.08	$2,525.67	$100.51	$346.63	$2,519.35
CT pelvis without contrast	CPT	72192	12	$1,183.17	$946.54	$47.51	$127.88	$944.17
CT pelvis with contrast	CPT	72193	12	$1,448.31	$1,158.65	$50.66	$218.23	$1,155.75
Shoulder X-ray	CPT	73030	12	$295.51	$236.41	$8.33	$49.79	$235.82
Humerus X-ray	CPT	73060	12	$122.65	$98.12	$7.1	$43.54	$154.74
Hand X-ray 3 views	CPT	73130	12	$136.65	$109.32	$7.71	$49.19	$154.74
MRI upper extremity joint without contrast	CPT	73221	12	$1,624.67	$1,299.74	$59.32	$234.62	$1,296.49
MRI upper extremity joint with and without contrast	CPT	73223	12	$3,032.08	$2,425.67	$94.35	$389.5	$2,419.6
Knee X-ray 1-2 views	CPT	73560	12	$237.12	$189.7	$7.39	$50.78	$189.22
Ankle X-ray 3 views	CPT	73610	12	$327.04	$261.64	$7.71	$54.73	$260.98
MRI lower extremity joint without contrast	CPT	73721	12	$4,140.35	$3,312.28	$59.32	$234.62	$3,304
MRI lower extremity joint with and without contrast	CPT	73723	12	$4,731.19	$3,784.96	$94.35	$388.6	$3,775.49
CT abdomen without contrast	CPT	74150	12	$1,203.02	$962.42	$51.93	$132.65	$960.01
CT abdomen with contrast	CPT	74160	12	$1,499.69	$1,199.76	$55.55	$220.2	$1,196.75
CT abdomen with and without contrast	CPT	74170	12	$1,746.14	$1,396.92	$60.94	$241.78	$1,393.42
CT abdomen and pelvis without contrast	CPT	74176	12	$2,607.56	$2,086.05	$76.07	$230.67	$2,080.83
CT abdomen and pelvis with contrast	CPT	74177	12	$3,258.04	$2,606.44	$79.84	$346.63	$2,599.92
CT abdomen and pelvis with and without contrast	CPT	74178	12	$3,909.65	$3,127.72	$87.76	$346.63	$3,119.9
MRI abdomen without contrast	CPT	74181	12	$1,637.52	$1,310.02	$63.62	$234.62	$1,306.74
MRI abdomen with and without contrast	CPT	74183	12	$4,837.64	$3,870.12	$96.27	$627.77	$3,860.44
Abdominal ultrasound complete	CPT	76700	12	$1,146.96	$917.57	$35.36	$108.76	$915.27
Abdominal ultrasound limited	CPT	76705	12	$560.62	$448.5	$25.73	$103.22	$447.37
Retroperitoneal ultrasound complete	CPT	76770	12	$899.33	$719.47	$32.21	$103.22	$717.67
Obstetric ultrasound first trimester	CPT	76801	12	$551.3	$441.04	$43.54	$110.38	$439.94
Obstetric ultrasound after first trimester	CPT	76805	12	$992.78	$794.23	$43.84	$126.65	$792.24
Obstetric ultrasound with fetal anatomy	CPT	76811	10	$527	$421.6	$77.82	$173.47	$424.81
Transvaginal ultrasound	CPT	76830	12	$807.08	$645.67	$30.44	$110.72	$644.05
Pelvic ultrasound complete	CPT	76856	12	$933.22	$746.58	$30.15	$103.22	$744.71
Scrotal ultrasound	CPT	76870	12	$749.84	$599.88	$27.94	$101.48	$598.37
Diagnostic mammography unilateral	CPT	77065	10	$283	$226.4	$35.36	$103.31	$273.3
Diagnostic mammography bilateral	CPT	77066	10	$357	$285.6	$43.57	$128.34	$344.4
Screening mammography bilateral	CPT	77067	10	$306.68	$245.35	$33.44	$112.75	$279.1
EKG complete	CPT	93000	8	$47	$37.6	$12.88	$28.7	$42.16
EKG tracing only	CPT	93005	12	$206.1	$164.88	$5.46	$57.51	$164.47
EKG interpretation only	CPT	93010	8	$24	$19.2	$7.42	$16	$21.83
Transthoracic echocardiogram complete	CPT	93306	12	$1,569	$1,255.2	$63.17	$356.5	$1,252.06
Transthoracic echocardiogram	CPT	93307	12	$383	$306.4	$39.95	$184.8	$424.81
Stress echocardiogram	CPT	93350	12	$1,151.69	$921.36	$63.17	$361.88	$963.61
inpatient
Intracranial hemorrhage/CVA w MCC	MS-DRG	064	10	—	—	$14,433	$18,756	$27,695
Intracranial hemorrhage/CVA w CC	MS-DRG	065	10	—	—	$7,378.35	$9,588.22	$14,918
Intracranial hemorrhage/CVA w/o CC/MCC	MS-DRG	066	10	—	—	$4,994.12	$6,537.34	$10,600
Respiratory infections & inflammations w MCC	MS-DRG	177	10	—	—	$11,729	$15,242	$22,797
COPD w MCC	MS-DRG	190	10	—	—	$8,148.18	$10,589	$16,312
COPD w CC	MS-DRG	191	10	—	—	$6,233.4	$8,100.36	$12,844
COPD w/o CC/MCC	MS-DRG	192	10	—	—	$4,695.91	$6,204.24	$10,060
Simple pneumonia & pleurisy w CC	MS-DRG	194	10	—	—	$5,949.7	$7,731.67	$12,331
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	10	—	—	$4,518.14	$6,005.67	$9,737.99
AMI discharged alive w MCC	MS-DRG	280	10	—	—	$11,910	$15,477	$23,124
AMI discharged alive w CC	MS-DRG	281	10	—	—	$6,688.33	$8,691.53	$13,668
AMI discharged alive w/o CC/MCC	MS-DRG	282	10	—	—	$5,261.13	$6,836.88	$11,084
Heart failure & shock w MCC	MS-DRG	291	10	—	—	$9,467.28	$12,303	$18,701
Heart failure & shock w CC	MS-DRG	292	10	—	—	$6,248.63	$8,120.15	$12,872
Heart failure & shock w/o CC/MCC	MS-DRG	293	10	—	—	$3,981.22	$5,405.92	$8,765.54
Cardiac arrhythmia w MCC	MS-DRG	308	10	—	—	$8,749.68	$11,370	$17,402
Cardiac arrhythmia w CC	MS-DRG	309	10	—	—	$5,364.16	$6,970.78	$11,270
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	10	—	—	$4,059.58	$5,493.46	$8,907.5
GI hemorrhage w CC	MS-DRG	378	10	—	—	$7,153.42	$9,295.95	$14,511
GI hemorrhage w/o CC/MCC	MS-DRG	379	10	—	—	$4,619.72	$6,119.14	$9,921.97
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	10	—	—	$5,661.65	$7,357.36	$11,809
Fractures of femur w/o MCC	MS-DRG	533	10	—	—	$11,064	$14,378	$21,593
Kidney/UTI w MCC	MS-DRG	689	10	—	—	$8,491.38	$11,035	$16,934
Kidney/UTI w/o MCC	MS-DRG	690	10	—	—	$5,823.45	$7,567.62	$12,102
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	10	—	—	$14,236	$18,500	$27,338
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	10	—	—	$7,480.66	$9,721.17	$15,103
Initial hospital care, low complexity	CPT	99221	8	$227	$181.6	$74.73	$135.5	$226.16
Initial hospital care, moderate complexity	CPT	99222	8	$308	$246.4	$118.66	$213.8	$307.11
Initial hospital care, high complexity	CPT	99223	8	$453	$362.4	$158.4	$284.9	$452.74
Hospital discharge, <30 min	CPT	99238	8	$185	$148	$73.92	$133.3	$162.91
Hospital discharge, >30 min	CPT	99239	8	$262	$209.6	$104.69	$188.4	$239.49
lab
Basic metabolic panel (BMP)	CPT	80048	10	$85.7	$68.56	$5.08	$16.08	$68.39
General health panel	CPT	80050	7	$88	$70.4	$25.73	$47.62	$68.39
Electrolyte panel	CPT	80051	10	$85.7	$68.56	$4.21	$13.39	$68.39
Comprehensive metabolic panel	CPT	80053	10	$85.7	$68.56	$6.34	$20.12	$68.39
Lipid panel	CPT	80061	10	$85.7	$68.56	$8.03	$25.47	$68.39
Renal function panel	CPT	80069	10	$85.7	$68.56	$5.21	$16.77	$68.39
Hepatic function panel	CPT	80076	10	$85.7	$68.56	$4.9	$15.43	$68.39
Urinalysis non-automated	CPT	81002	10	$32.14	$25.72	$3.48	$4.79	$25.65
Urinalysis automated	CPT	81003	10	$32.14	$25.72	$2.25	$4.03	$25.65
Glucose quantitative	CPT	82947	10	$41.96	$33.57	$3.93	$7.38	$33.48
Hemoglobin A1c	CPT	83036	10	$41.96	$33.57	$5.83	$15.11	$33.48
Thyroid stimulating hormone (TSH)	CPT	84443	10	$68.75	$55	$10.08	$24.75	$54.86
Complete blood count with automated differential	CPT	85025	10	$41.96	$33.57	$4.66	$14.72	$33.48
Complete blood count without differential	CPT	85027	10	$41.96	$33.57	$3.88	$12.73	$33.48
Urine culture bacterial	CPT	87086	10	$48.22	$38.58	$4.84	$15.43	$38.48
Urine culture identification	CPT	87088	10	$48.22	$38.58	$4.85	$15.43	$38.48
Tissue exam by pathologist level IV	CPT	88305	12	$205	$164	$28.96	$61.3	$164.83
maternity
Fetal non-stress test	CPT	59025	12	$476.55	$381.24	$17.87	$89.07	$380.29
Routine obstetric care including vaginal delivery	CPT	59400	8	$5,690	$4,552	$2,106.28	$3,033	$5,372.16
Vaginal delivery only	CPT	59409	12	$3,092.73	$2,474.19	$691.99	$2,050.52	$5,587.86
Vaginal delivery with postpartum	CPT	59410	8	$2,641	$2,112.8	$936.78	$1,353.2	$2,640.42
Routine obstetric care with C-section	CPT	59510	8	$5,924	$4,739.2	$2,322.97	$3,369.1	$5,923.56
C-section delivery only	CPT	59514	8	$2,305	$1,844	$778.91	$1,133.3	$2,304.69
C-section with postpartum	CPT	59515	8	$3,196	$2,556.8	$1,153.4	$1,678.5	$3,195.11
office
Office visit, new patient, 15-29 min	CPT	99202	8	$167	$133.6	$42.93	$66.3	$112.29
Office visit, new patient, 30-44 minutes	CPT	99203	8	$237	$189.6	$74.5	$116	$168.46
Office visit, new patient, 45-59 min	CPT	99204	8	$362	$289.6	$121.61	$188.8	$288.21
Office visit, new patient, 60-74 min	CPT	99205	8	$459	$367.2	$165.2	$257	$376.67
Office visit, established patient, 5 min	CPT	99211	8	$51	$40.8	$8.04	$12.3	$20.76
Office visit, established patient, 10-19 min	CPT	99212	8	$104	$83.2	$32.24	$49.59	$66.6
Office visit, established patient, 20-29 minutes	CPT	99213	8	$201	$160.8	$60.36	$93.2	$124.66
Office visit, established patient, 30-39 minutes	CPT	99214	8	$240	$192	$88.83	$137.3	$184.05
Office visit, established patient, 40-54 min	CPT	99215	8	$332	$265.6	$131.48	$203	$272.53
preventive
Upper GI endoscopy diagnostic	CPT	43235	12	$2,189.57	$1,751.66	$109.69	$881.72	$1,747.28
Upper GI endoscopy with biopsy	CPT	43239	10	$1,143	$914.4	$123.53	$331.06	$1,647.71
Sigmoidoscopy diagnostic	CPT	45330	10	$534	$427.2	$50.95	$140.73	$1,602.28
Sigmoidoscopy with biopsy	CPT	45331	10	$840	$672	$64.93	$170.26	$1,602.28
Colonoscopy diagnostic	CPT	45378	10	$1,017	$813.6	$82.56	$378.12	$1,602.28
Colonoscopy with biopsy	CPT	45380	10	$1,309	$1,047.2	$179.1	$572.3	$2,072.18
Colonoscopy with polyp removal	CPT	45385	10	$1,371	$1,096.8	$226.39	$678.17	$2,072.18
surgery
Total shoulder arthroplasty	CPT	23472	10	$8,950	$7,160	$1,290.01	$3,368.4	$32,320
Hip hemiarthroplasty	CPT	27125	8	$6,968	$5,574.4	$1,013.18	$2,208.3	$3,483.37
Total hip replacement	CPT	27130	10	$8,344	$6,675.2	$1,146	$3,037.63	$22,613
Total knee replacement	CPT	27447	10	$8,336	$6,668.8	$1,144.67	$3,035.65	$22,613
Knee revision arthroplasty single component	CPT	27486	8	$8,660	$6,928	$1,254.09	$2,733.9	$11,191
Knee revision arthroplasty all components	CPT	27487	8	$10,830	$8,664	$1,560.09	$3,401.3	$14,049
Shoulder arthroscopy with decompression	CPT	29826	8	$1,326	$1,060.8	$151.83	$330.5	$538.56
Shoulder arthroscopy with rotator cuff repair	CPT	29827	10	$6,590	$5,272	$958.1	$2,501.73	$12,555
Knee arthroscopy with meniscectomy	CPT	29881	10	$3,324	$2,659.2	$490.7	$1,280.58	$5,702.24
ACL reconstruction	CPT	29888	10	$6,040	$4,832	$874.13	$2,281.95	$12,555
Major small/large bowel procedures w MCC	MS-DRG	329	10	—	—	$33,318	$43,296	$61,895
Major small/large bowel procedures w CC	MS-DRG	330	10	—	—	$17,150	$22,287	$32,616
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	10	—	—	$11,979	$15,567	$23,250
CABG single arterial graft	CPT	33533	8	$5,709	$4,567.2	$1,610.12	$3,690.6	$5,708.4
CABG 2 arterial grafts	CPT	33534	8	$6,708	$5,366.4	$1,891.26	$4,335.1	$6,707.71
CABG 3 arterial grafts	CPT	33535	8	$7,481	$5,984.8	$2,102.11	$4,815.5	$7,480.06
CABG 4+ arterial grafts	CPT	33536	8	$8,063	$6,450.4	$2,263.84	$5,187.2	$8,062.01
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	10	—	—	$12,033	$15,637	$23,348
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	10	—	—	$9,560.15	$12,423	$18,869
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	10	—	—	$25,609	$33,279	$47,935
Open appendectomy	CPT	44950	10	$1,971	$1,576.8	$565.44	$1,486.78	$10,966
Laparoscopic appendectomy	CPT	44970	10	$1,841	$1,472.8	$532.67	$1,399.96	$10,254
Major joint replacement w MCC	MS-DRG	469	10	—	—	$23,717	$30,820	$44,508
Major joint replacement w/o MCC	MS-DRG	470	10	—	—	$13,681	$17,778	$26,332
Laparoscopic cholecystectomy	CPT	47562	10	$2,018	$1,614.4	$583.24	$1,533.61	$10,254
Lap cholecystectomy with cholangiography	CPT	47563	10	$2,196	$1,756.8	$633.75	$1,667.06	$10,254
Hip & femur procedures except major joint w MCC	MS-DRG	480	10	—	—	$21,339	$27,730	$40,202
Hip & femur procedures except major joint w CC	MS-DRG	481	10	—	—	$15,055	$19,564	$28,821
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	10	—	—	$11,510	$14,958	$22,402
Open umbilical hernia repair	CPT	49560	1	—	—	$1,405	$1,405	$1,652
Umbilical hernia repair age 5+	CPT	49585	1	—	—	$854	$854	$1,005
Lap inguinal hernia repair	CPT	49650	10	$2,632	$2,105.6	$384.86	$1,010.91	$10,254
Lap incisional hernia repair	CPT	49652	1	—	—	$1,356	$1,356	$1,596
Total abdominal hysterectomy	CPT	58150	8	$3,151	$2,520.8	$912.58	$1,935.5	$7,412.9
Vaginal hysterectomy	CPT	58260	10	$2,609	$2,087.2	$751.29	$1,945.85	$8,675.56
Lap-assisted vaginal hysterectomy	CPT	58550	10	$2,758	$2,206.4	$791.18	$2,046.86	$10,254
Lap-assisted vaginal hysterectomy >250g	CPT	58552	10	$3,073	$2,458.4	$879.56	$2,274.57	$18,297
Lap salpingo-oophorectomy	CPT	58661	10	$4,064	$3,251.2	$584.08	$1,511.92	$10,254
OR procedure for obesity w MCC	MS-DRG	619	10	—	—	$19,783	$25,708	$37,383
OR procedure for obesity w CC	MS-DRG	620	10	—	—	$11,587	$15,058	$22,541
OR procedure for obesity w/o CC/MCC	MS-DRG	621	10	—	—	$10,606	$13,783	$20,764
Complex cataract surgery	CPT	66982	10	$4,656	$3,724.8	$669.56	$1,767.38	$4,008.27
Cataract surgery with lens implant	CPT	66984	10	$3,394	$2,715.2	$488.93	$1,397.91	$4,008.27
Intravitreal injection	CPT	67028	10	$630	$504	$83.2	$219.84	$582.93
Vitrectomy mechanical	CPT	67042	10	$7,152	$5,721.6	$1,024.83	$2,636.11	$7,069.97
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	10	—	—	$8,697.44	$11,302	$17,307
Uterine & adnexa procedures w/o CC/MCC	MS-DRG	744	10	—	—	$14,178	$18,424	$27,232
PCI single major coronary artery	CPT	92920	12	$14,331	$11,465	$452.43	$5,361.94	$11,436
PCI with drug-eluting stent	CPT	92928	12	$18,138	$14,511	$502.96	$8,243.83	$19,930
PCI bypass graft	CPT	92937	12	$18,138	$14,511	$502.63	$8,243.83	$19,930
Left heart catheterization	CPT	93452	12	$9,904.84	$7,923.88	$203.9	$1,712.2	$7,904.06
Coronary angiography with cath	CPT	93455	12	$9,904.84	$7,923.88	$240.23	$1,925	$7,904.06
Coronary angiography with bypass cath	CPT	93458	12	$12,851	$10,281	$253.81	$1,986.4	$10,255

Rate history available after the next quarterly refresh. We re-crawl all hospital MRFs each quarter to track rate changes over time.

Payer mix (top 12)

Payer	Codes covered	Median rate
Blue Cross Blue Shield	200	$198.4
Aetna	197	$246.73
UnitedHealthcare	197	$192.22
amerivantage	196	$155.54
Molina	196	$151.1
Humana	196	$155.54
health partners open network	154	$262.29
Cigna	154	$260.48
iowa total care	147	$887.18
amerigroup	147	$887.18
medica exchange insure	140	$829.17
medica exchange inspire	140	$741.08