CMS Price Transparency Data

Bunion correction surgery

Facility: Mercyone Waterloo Medical Center

Billing Code: 28296 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 28296
  • Insurance Median: $221
  • Cash Discount Price: $1,788
  • vs. Medicare Baseline: 0.07x Medicare
The contracted insurance negotiated median rate for a Bunion correction surgery at Mercyone Waterloo Medical Center is $221. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,788. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.07x the Medicare baseline. Located in 3421 West Ninth Street, Waterloo, IA.
Cash / Self-Pay
$1,788

Average discount available for prompt cash payment at this facility.

Insurance Median
$221

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$3,342.87

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $3,342.87 (100%)
Cash / Self-Pay: $1,788 (53%)
Insurance Median: $221 (7%)
Cash: $1,788 (53% of Medicare)
Ins. Median: $221 (7% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $3,342.87 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

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Commercial Insurance Negotiated Rates

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

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Medicaid / KanCare $154 - $312 5%
Albany County Correctional Facility $178 5%
Ambetter / Centene $178 - $384 5%
Amish Mennonite $178 5%
Ascension St. Vincent Public Safety Medical $178 5%
Bcccp-Michigan $178 5%
Bccp $178 5%
Blue Cross Blue Shield $178 - $593 5%
Bmc Healthnet $178 5%
Breast Grant-Connecticut $178 5%
Broward County Dept Of Health $178 5%
California Health And Wellness $178 5%
Can Community Health Inc $178 5%
Cardinal Innovations Lme $178 5%
Care Connections Of Northern Iowa $178 5%
Care Oregon Ohp $178 5%
Cencal Health Plan $178 5%
Cenpatico $178 5%
Chhuny $178 5%
Childrens Comm Health Plan $178 5%
Childrens Medical Services Title 19 $178 5%
Cigna $178 - $685 5%
City Of Philadelphia $178 5%
Cmh Allegan County $178 5%
Cmh Ausable Valley $178 5%
Cmh Barry County $178 5%
Cmh Bay-Arenac County $178 5%
Cmh Berrien County $178 5%
Cmh Cass County $178 5%
Cmh Central Mi County $178 5%
Cmh Clinton-Eaton-Ingham County $178 5%
Cmh Detroit Wayne Integrated Health Network $178 5%
Cmh Genesee County $178 5%
Cmh Ionia County $178 5%
Cmh Jackson County/Lifeways $178 5%
Cmh Kalamazoo $178 5%
Cmh Kent County $178 5%
Cmh Lenawee County $178 5%
Cmh Livingston County $178 5%
Cmh Macomb $178 5%
Cmh Misc $178 5%
Cmh Monroe County $178 5%
Cmh Montcalm County $178 5%
Cmh Muskegon County $178 5%
Cmh Newaygo County $178 5%
Cmh North Country $178 5%
Cmh Northern Lakes County $178 5%
Cmh Oakland County $178 5%
Cmh Ottawa County $178 5%
Cmh Van Buren County $178 5%
Cmh Washtenaw County $178 5%
Cmh Wayne County/Carelink $178 5%
Cmh Wayne Cty/Com Liv Svcs $178 5%
Cmh West Mi County $178 5%
Community Benefit Health $178 5%
Community Care Behavorial Health $178 5%
Community Care Partners $178 5%
Community Health Choice $178 5%
Connections Csp $178 5%
County Coroner $178 5%
County Funding Generic $178 5%
Covid19 Hrsa Uninsured Testing And Treatment Fund $178 5%
Dean Wi Badgercare $178 5%
Delaware County Department Of Health $178 5%
Delaware First Health $178 5%
Delta Dental Nj $178 5%
Dph Tb Program $178 5%
Dscc $178 5%
Eastpointe Lme $178 5%
Family Health Network $178 5%
Freedom First Healthcare $178 5%
Fresno County Ccs $178 5%
Ghc Scw Wi Badgercare $178 5%
Harbor Health $178 5%
Health Safety Net $178 5%
Healthy Blue Ne $178 5%
Hennepin Health $178 5%
Humana $178 - $361 5%
Id County Ada $178 5%
Id County Canyon $178 5%
Id County Cat Fund $178 5%
Id County Other $178 5%
Id County Payette $178 5%
Idaho Dept Health And Wellfare $178 5%
Idaho Womens Health Check $178 5%
Indiana Breast Cervical Cancer $178 5%
Inland Empire Health Plan $178 5%
Intercommunity Health Ohp $178 5%
Jai Medical System $178 5%
Kern Family Health Plan $178 5%
Keystone First $178 5%
Keystone First Chip $178 5%
La Care Health Plan $178 5%
Lakeland Care Inc $178 5%
Managed Health Services - Indiana $178 5%
Maryland Breast & Cervical Program $178 5%
Maryland Healthy Smiles - Scion Dental $178 5%
Maryland Physicians Care $178 5%
Massachusetts Behavioral Health Partnership $178 5%
Mdwise $178 5%
Medi-Cal $178 5%
Medi-Cal Healthnet $178 5%
Medstar Dc Healthy Family $178 5%
Medstar Md Health Choice $178 5%
Mo Home State Health Plan $178 5%
Molina Centennial Care $178 5%
Nascentia Health Options $178 5%
New York Cancer Services Program $178 5%
Nextlevel Health $178 5%
Oregon Screenwise $178 5%
Pace Of Southwest Michigan $178 - $221 5%
Paramount Advantage $178 5%
Parkland Community Health Plan $178 5%
Partners Behavioral Lme $178 5%
Peach State Healthplan $178 5%
Philadelphia County Funding $178 5%
Presbyterian Centennial Care $178 5%
Prestige Health Choice $178 5%
Priority Partners $178 5%
Robert F Sing Program $178 5%
Rx 340B Pass Along $178 5%
Rx Assistance/Rx Manufacturer Assistance 0 Copay $178 5%
Rx Medi-Cal $178 5%
Rx Meridian Rx $178 5%
Ryan White Florida Mssrp $178 5%
Sandhills Center Lme $178 5%
Screening For Life $178 5%
St Joseph County Hlth Dpt $178 5%
Sunshine State Health Plan $178 5%
Superior Health $178 5%
Tenncare $178 5%
Texas Children'S Health Plan $178 5%
Trillium Community Ohp $178 5%
Tufts Health Public Plans $178 5%
UnitedHealthcare $178 - $1,045 5%
Vaya Health Lme $178 5%
Washtenaw Health Plan $178 5%
Wellsense Health Plan $178 5%
Wi Womens Wellness $178 5%
Iowa Total Care $181 5%
Wellpoint $183 5%
Aetna $204 - $2,090 6%
Wc Corvel $215 6%
Align Senior Care $221 7%
Ally Align Care Adv $221 7%
American Health Advantage Of Idaho $221 7%
Aurora Special Needs $221 7%
Blue Care Network Advantage $221 7%
Blue Shield - De (Highmark) Medciare Advantage $221 7%
Care Dimensions $221 7%
Care Improvement Plus $221 7%
Care Resources Pace $221 7%
Careplus Health Plans $221 7%
Cca - Zing Health $221 7%
Cca Senior Care Options $221 7%
Central Valley Medical Services Corp Pace $221 7%
Champion Health Plan Mcr Advantage $221 7%
Clear Spring Health $221 7%
Clover Health $221 7%
Commonwealth Care Alliance $221 7%
Community Pace At Home $221 7%
Eddy Senior Care-Pace $221 7%
Eddy Seniorcare Pace $221 7%
Elementcare $221 7%
Evercare $221 7%
Everence $221 7%
Gateway Health Plan $221 7%
Genesys Pace Of Genesee County $221 7%
Georgia Health Advantage $221 7%
Gold Advantage $221 7%
Gpa Croell Redi Mix $221 7%
Health America Advantra $221 7%
Highmark Health Options Dual Plan $221 7%
Hope Select Pace $221 7%
Horizon Nj Total Care $221 7%
Hudson Headwaters Pace $221 7%
Huron Valley Pace $221 7%
Innovative Integrated Health Community Plans $221 7%
Johns Hopkins Advantage Md $221 7%
Lasso Healthcare Msa $221 7%
Life St Marys Pace $221 7%
Lifecircles Pace $221 7%
Longevity Health Plan $221 7%
Longevity Ipa Of Michigan Llc Health Plan Isnp $221 7%
Martins Point Generations Advantage $221 7%
Mass General Brigham Mcr Adv $221 7%
Medicare (plans) $221 - $237 7%
Medipak Advantage $221 7%
Mercy Life $221 7%
Mercyone Cedar Valley $221 7%
Meridian Complete $221 7%
Michigan Complete Health $221 7%
Nascentia Health Plus $221 7%
New Centry Health Careplus $221 7%
Osu Prime Care Advantage $221 7%
Pace Cny $221 7%
Pace Iowa Immanuel Pathways $221 7%
Pace Southeast $221 7%
Pace-Trinity Health $221 7%
Peak Pace Solutions $221 7%
Perennial Advantage $221 7%
Preferred Care Partners $221 7%
Presbyterian Senior Plan $221 7%
Provider Partners Health Plan Of Illinois $221 7%
Provider Partners Health Plan Of Indiana $221 7%
Pruitthealth Premier $221 7%
Reliance Community Care Partners Care Resources Pace $221 7%
Rx Allwin $221 7%
Rx Grane Grnmedd $221 7%
Rx Retiree Rx Care $221 7%
Scan Health Plan Mcr Ipa Meritage Oon $221 7%
Secure Horizons Ma Pffs $221 7%
Serenity Pace $221 7%
Siouxland Pace $221 7%
Solis Health Plans $221 7%
Sunnyview-Pace Finance Dept $221 7%
Texan Plus $221 7%
The Health Plan $221 7%
Thome Pace $221 7%
Todays Options $221 7%
Tribute Health Plans $221 7%
Um Health Advantage $221 7%
Union Health Service $221 7%
Welbe Health $221 7%
Wellmed $221 7%
Veterans Administration $226 7%
American Health Plan $232 7%
Iowa Health Advantage $232 7%
Champva $238 7%
Tricare $238 7%
Triwest Health Alliance $238 7%
Us Family Health Plan $238 7%
Veterans Eval Services $238 7%
Amish Hospital Aid $300 9%
Nebraska Total Care $300 9%
Amps $305 9%
Avera $350 10%
Medical Associates $377 11%
Sanford Health Plan $387 12%
Lucent Health $407 12%
Ucare $412 12%
Health Smart $418 13%
Oscar $423 13%
Usa Managed Care $438 13%
Centivo $452 14%
Health Partners $462 - $556 14%
Stephenson Cty Health $462 14%
Claimdoc $472 14%
The Alliance $474 14%
Bcn Domestic $504 15%
Blue Benefit Administrators Of Massachusetts $504 15%
Blue Care Network $504 15%
Blue Distinction Transplant $504 15%
Blue Shield - Ca $504 15%
Blue Shield - Id (Regence) $504 15%
Blue Shield - Ny Highmark Northeastern $504 15%
Blue Shield - Ny Highmark Western $504 15%
Blue Shield - Pa (Highmark) $504 15%
Blue Shield - Wa (Regence) $504 15%
Health Choices $504 - $685 15%
Kaiser Domestic $504 15%
Pre-Employment $504 15%
Wc Domestic $504 15%
Preferred One $506 15%
Global Excel $511 15%
Velocity $531 16%
Geha $604 18%
Allied Benefit Systems $685 20%
Auxiant $685 20%
First Choice Health $685 20%
Group Administrators $685 20%
Midlands $685 20%
Midlands Choice $685 20%
Iowa Dept Of Public Health $750 - $1,045 22%
Quiktrip $797 24%
Meritain $810 24%
Multiplan $932 28%
Newton Correctional Facility $975 - $1,358 29%
Genex Wc $1,126 - $1,568 34%
Wc Align Network $1,201 - $1,672 36%
Wc Praxis Health Network $1,276 - $1,776 38%
Wc Reny Company $1,306 - $1,818 39%
Wc Velocity $1,306 - $1,818 39%
Auto Velocity $1,351 - $1,881 40%
Wc O'Hara Corp $1,351 - $1,881 40%
Andrie Inc $1,486 - $2,090 44%
East Greenbush Central School District $1,486 - $2,090 44%
Healthsmart Workers Comp $1,486 - $2,090 44%
Jag Source $1,486 - $2,090 44%
New York State Insurance Fund $1,486 - $2,090 44%
Njm Insurance Group $1,486 - $2,090 44%
Rx Heatlhcomp $1,486 - $2,090 44%
Rx Restat $1,486 - $2,090 44%
Rx Saif Opdp Wc $1,486 - $2,090 44%
Rx Worker'S Comp $1,486 - $2,090 44%
Wc Accident Fund $1,486 - $2,090 44%
Wc Ace $1,486 - $2,090 44%
Wc Acs Federal Employees $1,486 - $2,090 44%
Wc Acuity $1,486 - $2,090 44%
Wc Advantage $1,486 - $2,090 44%
Wc Aegis $1,486 - $2,090 44%
Wc Aig $1,486 - $2,090 44%
Wc Aims $1,486 - $2,090 44%
Wc Alaska National Ins $1,486 - $2,090 44%
Wc Allied $1,486 - $2,090 44%
Wc Am Trust N America $1,486 - $2,090 44%
Wc American Claims Mgmt $1,486 - $2,090 44%
Wc Amerisure $1,486 - $2,090 44%
Wc Amtrust $1,486 - $2,090 44%
Wc Asu Risk Mgt $1,486 - $2,090 44%
Wc Benetech $1,486 - $2,090 44%
Wc Berkley Admin $1,486 - $2,090 44%
Wc Broadspire $1,486 - $2,090 44%
Wc Broward County $1,486 - $2,090 44%
Wc Bunch & Associates $1,486 - $2,090 44%
Wc California State Comp Ins $1,486 - $2,090 44%
Wc California State Ins Fund $1,486 - $2,090 44%
Wc Capitol Area Health Consortium $1,486 - $2,090 44%
Wc Ccmsi $1,486 - $2,090 44%
Wc Chartis $1,486 - $2,090 44%
Wc Chubb $1,486 - $2,090 44%
Wc Cirma $1,486 - $2,090 44%
Wc City Of Albany $1,486 - $2,090 44%
Wc City Of Sioux City $1,486 - $2,090 44%
Wc Claims Mgmt Inc $1,486 - $2,090 44%
Wc Cna $1,486 - $2,090 44%
Wc Comp One Admin C/O Manageability $1,486 - $2,090 44%
Wc Compone Admin $1,486 - $2,090 44%
Wc Ct Healthcare Trust $1,486 - $2,090 44%
Wc Donegal Insurance Group $1,486 - $2,090 44%
Wc Emc Insurance Company $1,486 - $2,090 44%
Wc Employee Mutual $1,486 - $2,090 44%
Wc Enablecomp $1,486 - $2,090 44%
Wc Encore Health Network $1,486 - $2,090 44%
Wc Erie $1,486 - $2,090 44%
Wc Esis $1,486 - $2,090 44%
Wc Evolutions $1,486 - $2,090 44%
Wc Fcci $1,486 - $2,090 44%
Wc Fed Ex $1,486 - $2,090 44%
Wc Federal Black Lung $1,486 - $2,090 44%
Wc Federated $1,486 - $2,090 44%
Wc Finley Occupational Health $1,486 - $2,090 44%
Wc First Agency/Occunet $1,486 - $2,090 44%
Wc Ford Motor $1,486 - $2,090 44%
Wc Fresno Unified Emp $1,486 - $2,090 44%
Wc Gallagher Bassett $1,486 - $2,090 44%
Wc General Motors $1,486 - $2,090 44%
Wc Generic $1,486 - $2,090 44%
Wc Genex Care For Ohio $1,486 - $2,090 44%
Wc Great West Casualty $1,486 - $2,090 44%
Wc Guarantee Insurance $1,486 - $2,090 44%
Wc Guard Insurance Company $1,486 - $2,090 44%
Wc Hab $1,486 - $2,090 44%
Wc Hartford $1,486 - $2,090 44%
Wc Hastings $1,486 - $2,090 44%
Wc Health Management $1,486 - $2,090 44%
Wc Heritage Summit $1,486 - $2,090 44%
Wc Hireright $1,486 - $2,090 44%
Wc Horizon $1,486 - $2,090 44%
Wc Icw Group $1,486 - $2,090 44%
Wc Idaho State Ins Fund $1,486 - $2,090 44%
Wc Intercare Insurance $1,486 - $2,090 44%
Wc Intermountain $1,486 - $2,090 44%
Wc Johns Eastern $1,486 - $2,090 44%
Wc Kemberton $1,486 - $2,090 44%
Wc Key Ins & Benefit Solutions $1,486 - $2,090 44%
Wc Liberty Mutual $1,486 - $2,090 44%
Wc Mac Risk Management $1,486 - $2,090 44%
Wc Massachusetts $1,486 - $2,090 44%
Wc Mdia $1,486 - $2,090 44%
Wc Meadowbrook Claim $1,486 - $2,090 44%
Wc Medical Administrators $1,486 - $2,090 44%
Wc Meijers $1,486 - $2,090 44%
Wc Memic $1,486 - $2,090 44%
Wc Mercy Workcare $1,486 - $2,090 44%
Wc Michigan $1,486 - $2,090 44%
Wc Michigan Millers Mutual $1,486 - $2,090 44%
Wc Mitchell Frankenmuth $1,486 - $2,090 44%
Wc Mra $1,486 - $2,090 44%
Wc Nationwide $1,486 - $2,090 44%
Wc Nca Comp $1,486 - $2,090 44%
Wc New York $1,486 - $2,090 44%
Wc New York Special Funds $1,486 - $2,090 44%
Wc North American Rishces $1,486 - $2,090 44%
Wc Northeast Health $1,486 - $2,090 44%
Wc Notre Dame $1,486 - $2,090 44%
Wc Novanet $1,486 - $2,090 44%
Wc Occ Health Allen $1,486 - $2,090 44%
Wc Ohio Bureau $1,486 - $2,090 44%
Wc One Call Medical $1,486 - $2,090 44%
Wc Paradigm $1,486 - $2,090 44%
Wc Peerless $1,486 - $2,090 44%
Wc Pma $1,486 - $2,090 44%
Wc Price Chopper $1,486 - $2,090 44%
Wc Procura Management $1,486 - $2,090 44%
Wc Qualcare $1,486 - $2,090 44%
Wc Quiktrip $1,486 - $2,090 44%
Wc Rev Claims $1,486 - $2,090 44%
Wc Risico $1,486 - $2,090 44%
Wc Rural Mutual $1,486 - $2,090 44%
Wc Saif Oregon $1,486 - $2,090 44%
Wc Secura $1,486 - $2,090 44%
Wc Sedgwick $1,486 - $2,090 44%
Wc Sentry $1,486 - $2,090 44%
Wc Sheakley Unicomp $1,486 - $2,090 44%
Wc Smile Lodge $1,486 - $2,090 44%
Wc Society $1,486 - $2,090 44%
Wc Srs $1,486 - $2,090 44%
Wc Taconic (Mro) $1,486 - $2,090 44%
Wc Taconic Farms $1,486 - $2,090 44%
Wc Travelers $1,486 - $2,090 44%
Wc Triad Group $1,486 - $2,090 44%
Wc Tristar $1,486 - $2,090 44%
Wc Troy Ny $1,486 - $2,090 44%
Wc Tyson $1,486 - $2,090 44%
Wc Unified Health Services $1,486 - $2,090 44%
Wc United Heartland $1,486 - $2,090 44%
Wc Us Dept Of Labor $1,486 - $2,090 44%
Wc Walmart $1,486 - $2,090 44%
Wc West Bend $1,486 - $2,090 44%
Wc West Bend Mutual/Argent $1,486 - $2,090 44%
Wc Winnebago Industries $1,486 - $2,090 44%
Wc Yankee Trails $1,486 - $2,090 44%
Wc York Risk $1,486 - $2,090 44%
Wc Zenith $1,486 - $2,090 44%
Wc Zurich $1,486 - $2,090 44%

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