CMS Price Transparency Data

Blood test, clotting time (PT/INR)

Facility: Mercyone Waterloo Medical Center

Billing Code: 85610 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$7
about 1.8× the $4 Medicare rate · typically $5–$8
modeled estimate · not a bill or quote
What this hospital charges insurers
$4
Below the fair price — a good deal
about $3 under the fair price · 1.0× Medicare
Medicare pays $4 Fair price $7 This hospital $4 Hospital's list price $9

How we calculate the fair BaseRate →

How this hospital compares to other IA hospitals

One of the lower prices — 0 of 8 other IA hospitals charge more for the same procedure.

Cheapest $4 Priciest $4

Black dot = this hospital, among the 9 IA hospitals with a price for this procedure. Full list below.

A fair price for a Blood test, clotting time (PT/INR) is about $7 (about 1.8× the $4 Medicare rate). Mercyone Waterloo Medical Center charges insurers about $4 — below the fair price — a good deal. Located in Waterloo, IA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $4 - $64 93%
Blue Cross Blue Shieldmajor $4 - $5 93%
Aetnamajor $4 - $12 93%
Cignamajor $4 - $45 93%
Humanamajor $4 - $5 93%
Kaiser Permanentemajor $4 93%
Ambetter (Centene) $4 - $7 93%
Clover Health $4 93%
GEHA $4 93%
Health Net $4 - $9 93%
HealthPartners $3 - $42 70%
Medica $45 1049%
Medical Mutual $12 280%
Meridian $4 - $5 93%
Molina $4 - $5 93%
Oscar Health $4 - $7 93%
Paramount $4 - $5 93%
Presbyterian $4 - $5 93%
Sanford Health Plan $7 163%
Tufts Health Plan $4 - $5 93%
UCare $7 163%
WellMed $4 93%
WellSense $4 - $5 93%
+ 359 smaller / regional plans $4 - $64
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 17 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 3421 West Ninth Street, Waterloo, IA 50702
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals