CMS Price Transparency Data

Blood test, complete blood count (CBC)

Facility: Mercyone Waterloo Medical Center

Billing Code: 85025 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85025
  • Insurance Median: $11
  • Cash Discount Price: $69
  • vs. Medicare Baseline: 1.42x Medicare
The contracted insurance negotiated median rate for a Blood test, complete blood count (CBC) at Mercyone Waterloo Medical Center is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $69. Compared to the federal Medicare reimbursement reference rate of $7.77, this hospital’s rate is 1.42x the Medicare baseline. Located in 3421 West Ninth Street, Waterloo, IA.
Cash / Self-Pay
$69

Average discount available for prompt cash payment at this facility.

Insurance Median
$11

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$7.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $7.77 (100%)
Cash / Self-Pay: $69 (888%)
Insurance Median: $11 (142%)
Cash: $69 (888% of Medicare)
Ins. Median: $11 (142% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $7.77 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Health Partners $6 - $70 77%
Medicaid / KanCare $6 - $129 77%
Oscar $6 - $12 77%
American Health Plan $7 - $8 90%
Champva $7 90%
Geha $7 - $41 90%
Humana $7 - $11 90%
Tricare $7 90%
Triwest Health Alliance $7 90%
UnitedHealthcare $7 - $106 90%
Us Family Health Plan $7 90%
Veterans Eval Services $7 90%
Wc Corvel $7 90%
Aetna $8 - $101 103%
Align Senior Care $8 103%
Ally Align Care Adv $8 103%
American Health Advantage Of Idaho $8 103%
Aurora Special Needs $8 103%
Bcn Domestic $8 103%
Blue Benefit Administrators Of Massachusetts $8 103%
Blue Care Network $8 103%
Blue Care Network Advantage $8 103%
Blue Cross Blue Shield $8 - $14 103%
Blue Distinction Transplant $8 103%
Blue Shield - Ca $8 103%
Blue Shield - De (Highmark) Medciare Advantage $8 103%
Blue Shield - Id (Regence) $8 103%
Blue Shield - Ny Highmark Northeastern $8 103%
Blue Shield - Ny Highmark Western $8 103%
Blue Shield - Pa (Highmark) $8 103%
Blue Shield - Wa (Regence) $8 103%
Care Dimensions $8 103%
Care Improvement Plus $8 103%
Care Resources Pace $8 103%
Careplus Health Plans $8 103%
Cca - Zing Health $8 103%
Cca Senior Care Options $8 103%
Centivo $8 - $13 103%
Central Valley Medical Services Corp Pace $8 103%
Champion Health Plan Mcr Advantage $8 103%
Cigna $8 - $75 103%
Clear Spring Health $8 103%
Clover Health $8 103%
Commonwealth Care Alliance $8 103%
Community Pace At Home $8 103%
Eddy Senior Care-Pace $8 103%
Eddy Seniorcare Pace $8 103%
Elementcare $8 103%
Evercare $8 103%
Everence $8 103%
Gateway Health Plan $8 103%
Genesys Pace Of Genesee County $8 103%
Georgia Health Advantage $8 103%
Gold Advantage $8 103%
Gpa Croell Redi Mix $8 103%
Health America Advantra $8 103%
Health Choices $8 - $25 103%
Highmark Health Options Dual Plan $8 103%
Hope Select Pace $8 103%
Horizon Nj Total Care $8 103%
Hudson Headwaters Pace $8 103%
Huron Valley Pace $8 103%
Innovative Integrated Health Community Plans $8 103%
Iowa Health Advantage $8 103%
Iowa Total Care $8 - $52 103%
Johns Hopkins Advantage Md $8 103%
Kaiser Domestic $8 103%
Lasso Healthcare Msa $8 103%
Life St Marys Pace $8 103%
Lifecircles Pace $8 103%
Longevity Health Plan $8 103%
Longevity Ipa Of Michigan Llc Health Plan Isnp $8 103%
Martins Point Generations Advantage $8 103%
Mass General Brigham Mcr Adv $8 103%
Medicare (plans) $8 - $14 103%
Medipak Advantage $8 103%
Mercy Life $8 103%
Mercyone Cedar Valley $8 103%
Meridian Complete $8 103%
Michigan Complete Health $8 103%
Nascentia Health Plus $8 103%
New Centry Health Careplus $8 103%
Osu Prime Care Advantage $8 103%
Pace Cny $8 103%
Pace Iowa Immanuel Pathways $8 103%
Pace Of Southwest Michigan $8 - $11 103%
Pace Southeast $8 103%
Pace-Trinity Health $8 103%
Peak Pace Solutions $8 103%
Perennial Advantage $8 103%
Pre-Employment $8 103%
Preferred Care Partners $8 103%
Presbyterian Senior Plan $8 103%
Provider Partners Health Plan Of Illinois $8 103%
Provider Partners Health Plan Of Indiana $8 103%
Pruitthealth Premier $8 103%
Reliance Community Care Partners Care Resources Pace $8 103%
Rx Allwin $8 103%
Rx Grane Grnmedd $8 103%
Rx Retiree Rx Care $8 103%
Scan Health Plan Mcr Ipa Meritage Oon $8 103%
Secure Horizons Ma Pffs $8 103%
Serenity Pace $8 103%
Siouxland Pace $8 103%
Solis Health Plans $8 103%
Stephenson Cty Health $8 103%
Sunnyview-Pace Finance Dept $8 103%
Texan Plus $8 103%
The Health Plan $8 103%
Thome Pace $8 103%
Todays Options $8 103%
Tribute Health Plans $8 103%
Um Health Advantage $8 103%
Union Health Service $8 103%
Veterans Administration $8 103%
Wc Domestic $8 103%
Welbe Health $8 103%
Wellmed $8 103%
Albany County Correctional Facility $9 - $11 116%
Allied Benefit Systems $9 - $101 116%
Ambetter / Centene $9 - $22 116%
Amish Mennonite $9 - $11 116%
Ascension St. Vincent Public Safety Medical $9 - $11 116%
Auxiant $9 - $75 116%
Bcccp-Michigan $9 - $11 116%
Bccp $9 - $11 116%
Bmc Healthnet $9 - $11 116%
Breast Grant-Connecticut $9 - $11 116%
Broward County Dept Of Health $9 - $11 116%
California Health And Wellness $9 - $11 116%
Can Community Health Inc $9 - $11 116%
Cardinal Innovations Lme $9 - $11 116%
Care Connections Of Northern Iowa $9 - $11 116%
Care Oregon Ohp $9 - $11 116%
Cencal Health Plan $9 - $11 116%
Cenpatico $9 - $11 116%
Chhuny $9 - $11 116%
Childrens Comm Health Plan $9 - $11 116%
Childrens Medical Services Title 19 $9 - $11 116%
City Of Philadelphia $9 - $11 116%
Cmh Allegan County $9 - $11 116%
Cmh Ausable Valley $9 - $11 116%
Cmh Barry County $9 - $11 116%
Cmh Bay-Arenac County $9 - $11 116%
Cmh Berrien County $9 - $11 116%
Cmh Cass County $9 - $11 116%
Cmh Central Mi County $9 - $11 116%
Cmh Clinton-Eaton-Ingham County $9 - $11 116%
Cmh Detroit Wayne Integrated Health Network $9 - $11 116%
Cmh Genesee County $9 - $11 116%
Cmh Ionia County $9 - $11 116%
Cmh Jackson County/Lifeways $9 - $11 116%
Cmh Kalamazoo $9 - $11 116%
Cmh Kent County $9 - $11 116%
Cmh Lenawee County $9 - $11 116%
Cmh Livingston County $9 - $11 116%
Cmh Macomb $9 - $11 116%
Cmh Misc $9 - $11 116%
Cmh Monroe County $9 - $11 116%
Cmh Montcalm County $9 - $11 116%
Cmh Muskegon County $9 - $11 116%
Cmh Newaygo County $9 - $11 116%
Cmh North Country $9 - $11 116%
Cmh Northern Lakes County $9 - $11 116%
Cmh Oakland County $9 - $11 116%
Cmh Ottawa County $9 - $11 116%
Cmh Van Buren County $9 - $11 116%
Cmh Washtenaw County $9 - $11 116%
Cmh Wayne County/Carelink $9 - $11 116%
Cmh Wayne Cty/Com Liv Svcs $9 - $11 116%
Cmh West Mi County $9 - $11 116%
Community Benefit Health $9 - $11 116%
Community Care Behavorial Health $9 - $11 116%
Community Care Partners $9 - $11 116%
Community Health Choice $9 - $11 116%
Connections Csp $9 - $11 116%
County Coroner $9 - $11 116%
County Funding Generic $9 - $11 116%
Covid19 Hrsa Uninsured Testing And Treatment Fund $9 - $11 116%
Dean Wi Badgercare $9 - $11 116%
Delaware County Department Of Health $9 - $11 116%
Delaware First Health $9 - $11 116%
Delta Dental Nj $9 - $11 116%
Dph Tb Program $9 - $11 116%
Dscc $9 - $11 116%
Eastpointe Lme $9 - $11 116%
Family Health Network $9 - $11 116%
First Choice Health $9 116%
Freedom First Healthcare $9 - $11 116%
Fresno County Ccs $9 - $11 116%
Ghc Scw Wi Badgercare $9 - $11 116%
Group Administrators $9 116%
Harbor Health $9 - $11 116%
Health Safety Net $9 - $11 116%
Healthy Blue Ne $9 - $11 116%
Hennepin Health $9 - $11 116%
Id County Ada $9 - $11 116%
Id County Canyon $9 - $11 116%
Id County Cat Fund $9 - $11 116%
Id County Other $9 - $11 116%
Id County Payette $9 - $11 116%
Idaho Dept Health And Wellfare $9 - $11 116%
Idaho Womens Health Check $9 - $11 116%
Indiana Breast Cervical Cancer $9 - $11 116%
Inland Empire Health Plan $9 - $11 116%
Intercommunity Health Ohp $9 - $11 116%
Iowa Dept Of Public Health $9 - $106 116%
Jai Medical System $9 - $11 116%
Kern Family Health Plan $9 - $11 116%
Keystone First $9 - $11 116%
Keystone First Chip $9 - $11 116%
La Care Health Plan $9 - $11 116%
Lakeland Care Inc $9 - $11 116%
Managed Health Services - Indiana $9 - $11 116%
Maryland Breast & Cervical Program $9 - $11 116%
Maryland Healthy Smiles - Scion Dental $9 - $11 116%
Maryland Physicians Care $9 - $11 116%
Massachusetts Behavioral Health Partnership $9 - $11 116%
Mdwise $9 - $11 116%
Medi-Cal $9 - $11 116%
Medi-Cal Healthnet $9 - $11 116%
Medstar Dc Healthy Family $9 - $11 116%
Medstar Md Health Choice $9 - $11 116%
Midlands $9 - $75 116%
Midlands Choice $9 - $75 116%
Mo Home State Health Plan $9 - $11 116%
Molina Centennial Care $9 - $11 116%
Nascentia Health Options $9 - $11 116%
New York Cancer Services Program $9 - $11 116%
Nextlevel Health $9 - $11 116%
Oregon Screenwise $9 - $11 116%
Paramount Advantage $9 - $11 116%
Parkland Community Health Plan $9 - $11 116%
Partners Behavioral Lme $9 - $11 116%
Peach State Healthplan $9 - $11 116%
Philadelphia County Funding $9 - $11 116%
Preferred One $9 - $11 116%
Presbyterian Centennial Care $9 - $11 116%
Prestige Health Choice $9 - $11 116%
Priority Partners $9 - $11 116%
Robert F Sing Program $9 - $11 116%
Rx 340B Pass Along $9 - $11 116%
Rx Assistance/Rx Manufacturer Assistance 0 Copay $9 - $11 116%
Rx Medi-Cal $9 - $11 116%
Rx Meridian Rx $9 - $11 116%
Ryan White Florida Mssrp $9 - $11 116%
Sandhills Center Lme $9 - $11 116%
Screening For Life $9 - $11 116%
St Joseph County Hlth Dpt $9 - $11 116%
Sunshine State Health Plan $9 - $11 116%
Superior Health $9 - $11 116%
Tenncare $9 - $11 116%
Texas Children'S Health Plan $9 - $11 116%
Trillium Community Ohp $9 - $11 116%
Tufts Health Public Plans $9 - $11 116%
Vaya Health Lme $9 - $11 116%
Washtenaw Health Plan $9 - $11 116%
Wellsense Health Plan $9 - $11 116%
Wi Womens Wellness $9 - $11 116%
Amish Hospital Aid $10 - $18 129%
Amps $10 129%
Meritain $10 - $101 129%
Newton Correctional Facility $10 - $20 129%
Wellpoint $10 - $11 129%
Avera $12 154%
Genex Wc $12 - $23 154%
Sanford Health Plan $12 154%
Ucare $12 154%
Medical Associates $13 - $25 167%
Wc Align Network $13 - $24 167%
Auto Velocity $14 - $27 180%
Health Smart $14 180%
Lucent Health $14 - $101 180%
Multiplan $14 - $27 180%
Wc O'Hara Corp $14 - $27 180%
Wc Praxis Health Network $14 - $26 180%
Wc Reny Company $14 - $26 180%
Wc Velocity $14 - $26 180%
Quiktrip $15 193%
Usa Managed Care $15 193%
Andrie Inc $16 - $30 206%
Claimdoc $16 206%
East Greenbush Central School District $16 - $30 206%
Global Excel $16 - $18 206%
Healthsmart Workers Comp $16 - $30 206%
Jag Source $16 - $30 206%
Nebraska Total Care $16 - $30 206%
New York State Insurance Fund $16 - $30 206%
Njm Insurance Group $16 - $30 206%
Nova $16 206%
Rx Heatlhcomp $16 - $30 206%
Rx Restat $16 - $30 206%
Rx Saif Opdp Wc $16 - $30 206%
Rx Worker'S Comp $16 - $30 206%
The Alliance $16 206%
Velocity $16 - $18 206%
Wc Accident Fund $16 - $30 206%
Wc Ace $16 - $30 206%
Wc Acs Federal Employees $16 - $30 206%
Wc Acuity $16 - $30 206%
Wc Advantage $16 - $30 206%
Wc Aegis $16 - $30 206%
Wc Aig $16 - $30 206%
Wc Aims $16 - $30 206%
Wc Alaska National Ins $16 - $30 206%
Wc Allied $16 - $30 206%
Wc Am Trust N America $16 - $30 206%
Wc American Claims Mgmt $16 - $30 206%
Wc Amerisure $16 - $30 206%
Wc Amtrust $16 - $30 206%
Wc Asu Risk Mgt $16 - $30 206%
Wc Benetech $16 - $30 206%
Wc Berkley Admin $16 - $30 206%
Wc Broadspire $16 - $30 206%
Wc Broward County $16 - $30 206%
Wc Bunch & Associates $16 - $30 206%
Wc California State Comp Ins $16 - $30 206%
Wc California State Ins Fund $16 - $30 206%
Wc Capitol Area Health Consortium $16 - $30 206%
Wc Ccmsi $16 - $30 206%
Wc Chartis $16 - $30 206%
Wc Chubb $16 - $30 206%
Wc Cirma $16 - $30 206%
Wc City Of Albany $16 - $30 206%
Wc City Of Sioux City $16 - $30 206%
Wc Claims Mgmt Inc $16 - $30 206%
Wc Cna $16 - $30 206%
Wc Comp One Admin C/O Manageability $16 - $30 206%
Wc Compone Admin $16 - $30 206%
Wc Ct Healthcare Trust $16 - $30 206%
Wc Donegal Insurance Group $16 - $30 206%
Wc Emc Insurance Company $16 - $30 206%
Wc Employee Mutual $16 - $30 206%
Wc Enablecomp $16 - $30 206%
Wc Encore Health Network $16 - $30 206%
Wc Erie $16 - $30 206%
Wc Esis $16 - $30 206%
Wc Evolutions $16 - $30 206%
Wc Fcci $16 - $30 206%
Wc Fed Ex $16 - $30 206%
Wc Federal Black Lung $16 - $30 206%
Wc Federated $16 - $30 206%
Wc Finley Occupational Health $16 - $30 206%
Wc First Agency/Occunet $16 - $30 206%
Wc Ford Motor $16 - $30 206%
Wc Fresno Unified Emp $16 - $30 206%
Wc Gallagher Bassett $16 - $30 206%
Wc General Motors $16 - $30 206%
Wc Generic $16 - $30 206%
Wc Genex Care For Ohio $16 - $30 206%
Wc Great West Casualty $16 - $30 206%
Wc Guarantee Insurance $16 - $30 206%
Wc Guard Insurance Company $16 - $30 206%
Wc Hab $16 - $30 206%
Wc Hartford $16 - $30 206%
Wc Hastings $16 - $30 206%
Wc Health Management $16 - $30 206%
Wc Heritage Summit $16 - $30 206%
Wc Hireright $16 - $30 206%
Wc Horizon $16 - $30 206%
Wc Icw Group $16 - $30 206%
Wc Idaho State Ins Fund $16 - $30 206%
Wc Intercare Insurance $16 - $30 206%
Wc Intermountain $16 - $30 206%
Wc Johns Eastern $16 - $30 206%
Wc Kemberton $16 - $30 206%
Wc Key Ins & Benefit Solutions $16 - $30 206%
Wc Liberty Mutual $16 - $30 206%
Wc Mac Risk Management $16 - $30 206%
Wc Massachusetts $16 - $30 206%
Wc Mdia $16 - $30 206%
Wc Meadowbrook Claim $16 - $30 206%
Wc Medical Administrators $16 - $30 206%
Wc Meijers $16 - $30 206%
Wc Memic $16 - $30 206%
Wc Mercy Workcare $16 - $30 206%
Wc Michigan $16 - $30 206%
Wc Michigan Millers Mutual $16 - $30 206%
Wc Mitchell Frankenmuth $16 - $30 206%
Wc Mra $16 - $30 206%
Wc Nationwide $16 - $30 206%
Wc Nca Comp $16 - $30 206%
Wc New York $16 - $30 206%
Wc New York Special Funds $16 - $30 206%
Wc North American Rishces $16 - $30 206%
Wc Northeast Health $16 - $30 206%
Wc Notre Dame $16 - $30 206%
Wc Novanet $16 - $30 206%
Wc Occ Health Allen $16 - $30 206%
Wc Ohio Bureau $16 - $30 206%
Wc One Call Medical $16 - $30 206%
Wc Paradigm $16 - $30 206%
Wc Peerless $16 - $30 206%
Wc Pma $16 - $30 206%
Wc Price Chopper $16 - $30 206%
Wc Procura Management $16 - $30 206%
Wc Qualcare $16 - $30 206%
Wc Quiktrip $16 - $30 206%
Wc Rev Claims $16 - $30 206%
Wc Risico $16 - $30 206%
Wc Rural Mutual $16 - $30 206%
Wc Saif Oregon $16 - $30 206%
Wc Secura $16 - $30 206%
Wc Sedgwick $16 - $30 206%
Wc Sentry $16 - $30 206%
Wc Sheakley Unicomp $16 - $30 206%
Wc Smile Lodge $16 - $30 206%
Wc Society $16 - $30 206%
Wc Srs $16 - $30 206%
Wc Taconic (Mro) $16 - $30 206%
Wc Taconic Farms $16 - $30 206%
Wc Travelers $16 - $30 206%
Wc Triad Group $16 - $30 206%
Wc Tristar $16 - $30 206%
Wc Troy Ny $16 - $30 206%
Wc Tyson $16 - $30 206%
Wc Unified Health Services $16 - $30 206%
Wc United Heartland $16 - $30 206%
Wc Us Dept Of Labor $16 - $30 206%
Wc Walmart $16 - $30 206%
Wc West Bend $16 - $30 206%
Wc West Bend Mutual/Argent $16 - $30 206%
Wc Winnebago Industries $16 - $30 206%
Wc Yankee Trails $16 - $30 206%
Wc York Risk $16 - $30 206%
Wc Zenith $16 - $30 206%
Wc Zurich $16 - $30 206%
Asr Health Benefits $21 - $101 270%
Christian Brother Services $21 - $101 270%
Coventry $21 - $101 270%
First Health $21 - $101 270%
Luminare Health $21 - $101 270%
Medical Mutual $21 - $101 270%
Webtpa $21 - $101 270%
Medica $75 965%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

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