CMS Price Transparency Data

C-section delivery (full package)

Facility: Mercyone Waterloo Medical Center

Billing Code: 59510 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 59510
  • Insurance Median: $938
  • Cash Discount Price: $5,860
  • vs. Medicare Baseline: 0.38x Medicare
The contracted insurance negotiated median rate for a C-section delivery (full package) at Mercyone Waterloo Medical Center is $938. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,860. Compared to the federal Medicare reimbursement reference rate of $2,473.27, this hospital’s rate is 0.38x the Medicare baseline. Located in 3421 West Ninth Street, Waterloo, IA.
Cash / Self-Pay
$5,860

Average discount available for prompt cash payment at this facility.

Insurance Median
$938

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$2,473.27

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $2,473.27 (100%)
Cash / Self-Pay: $5,860 (237%)
Insurance Median: $938 (38%)
Cash: $5,860 (237% of Medicare)
Ins. Median: $938 (38% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $2,473.27 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
Health Partners $255 - $2,202 10%
Avera $262 - $1,639 11%
Bcn Domestic $270 - $1,685 11%
Blue Benefit Administrators Of Massachusetts $270 - $1,685 11%
Blue Care Network $270 - $1,685 11%
Blue Cross Blue Shield $270 - $1,982 11%
Blue Distinction Transplant $270 - $1,685 11%
Blue Shield - Ca $270 - $1,685 11%
Blue Shield - Id (Regence) $270 - $1,685 11%
Blue Shield - Ny Highmark Northeastern $270 - $1,685 11%
Blue Shield - Ny Highmark Western $270 - $1,685 11%
Blue Shield - Pa (Highmark) $270 - $1,685 11%
Blue Shield - Wa (Regence) $270 - $1,685 11%
Health Choices $270 - $2,323 11%
Kaiser Domestic $270 - $1,685 11%
Pre-Employment $270 - $1,685 11%
Wc Domestic $270 - $1,685 11%
Humana $276 - $1,724 11%
Medical Associates $288 - $1,799 12%
Ambetter / Centene $293 - $1,832 12%
Ucare $306 - $1,914 12%
Lucent Health $310 - $1,940 13%
Sanford Health Plan $317 - $1,979 13%
Health Smart $319 - $1,993 13%
Oscar $323 - $2,016 13%
Usa Managed Care $334 - $2,090 14%
Quiktrip $336 - $2,101 14%
Centivo $345 - $2,158 14%
Claimdoc $360 - $2,252 15%
The Alliance $362 - $2,263 15%
Global Excel $390 - $2,435 16%
Velocity $405 - $2,532 16%
Preferred One $421 - $2,631 17%
Allied Benefit Systems $465 - $2,323 19%
Auxiant $465 - $2,323 19%
Cigna $465 - $2,323 19%
First Choice Health $465 - $2,323 19%
Group Administrators $465 - $2,323 19%
Midlands $465 - $2,323 19%
Midlands Choice $465 - $2,323 19%
Iowa Dept Of Public Health $469 - $4,118 19%
Medicaid / KanCare $469 - $4,118 19%
Nebraska Total Care $469 - $4,118 19%
UnitedHealthcare $469 - $4,118 19%
Geha $475 - $2,970 19%
Multiplan $516 - $2,579 21%
Aetna $594 - $8,236 24%
Meritain $594 - $3,712 24%
Newton Correctional Facility $609 - $5,353 25%
Genex Wc $703 - $6,177 28%
Wc Align Network $750 - $6,589 30%
Albany County Correctional Facility $775 31%
Amish Mennonite $775 31%
Ascension St. Vincent Public Safety Medical $775 31%
Bcccp-Michigan $775 31%
Bccp $775 31%
Bmc Healthnet $775 31%
Breast Grant-Connecticut $775 31%
Broward County Dept Of Health $775 31%
California Health And Wellness $775 31%
Can Community Health Inc $775 31%
Cardinal Innovations Lme $775 31%
Care Connections Of Northern Iowa $775 31%
Care Oregon Ohp $775 31%
Cencal Health Plan $775 31%
Cenpatico $775 31%
Chhuny $775 31%
Childrens Comm Health Plan $775 31%
Childrens Medical Services Title 19 $775 31%
City Of Philadelphia $775 31%
Cmh Allegan County $775 31%
Cmh Ausable Valley $775 31%
Cmh Barry County $775 31%
Cmh Bay-Arenac County $775 31%
Cmh Berrien County $775 31%
Cmh Cass County $775 31%
Cmh Central Mi County $775 31%
Cmh Clinton-Eaton-Ingham County $775 31%
Cmh Detroit Wayne Integrated Health Network $775 31%
Cmh Genesee County $775 31%
Cmh Ionia County $775 31%
Cmh Jackson County/Lifeways $775 31%
Cmh Kalamazoo $775 31%
Cmh Kent County $775 31%
Cmh Lenawee County $775 31%
Cmh Livingston County $775 31%
Cmh Macomb $775 31%
Cmh Misc $775 31%
Cmh Monroe County $775 31%
Cmh Montcalm County $775 31%
Cmh Muskegon County $775 31%
Cmh Newaygo County $775 31%
Cmh North Country $775 31%
Cmh Northern Lakes County $775 31%
Cmh Oakland County $775 31%
Cmh Ottawa County $775 31%
Cmh Van Buren County $775 31%
Cmh Washtenaw County $775 31%
Cmh Wayne County/Carelink $775 31%
Cmh Wayne Cty/Com Liv Svcs $775 31%
Cmh West Mi County $775 31%
Community Benefit Health $775 31%
Community Care Behavorial Health $775 31%
Community Care Partners $775 31%
Community Health Choice $775 31%
Connections Csp $775 31%
County Coroner $775 31%
County Funding Generic $775 31%
Covid19 Hrsa Uninsured Testing And Treatment Fund $775 31%
Dean Wi Badgercare $775 31%
Delaware County Department Of Health $775 31%
Delaware First Health $775 31%
Delta Dental Nj $775 31%
Dph Tb Program $775 31%
Dscc $775 31%
Eastpointe Lme $775 31%
Family Health Network $775 31%
Freedom First Healthcare $775 31%
Fresno County Ccs $775 31%
Ghc Scw Wi Badgercare $775 31%
Harbor Health $775 31%
Health Safety Net $775 31%
Healthy Blue Ne $775 31%
Hennepin Health $775 31%
Id County Ada $775 31%
Id County Canyon $775 31%
Id County Cat Fund $775 31%
Id County Other $775 31%
Id County Payette $775 31%
Idaho Dept Health And Wellfare $775 31%
Idaho Womens Health Check $775 31%
Indiana Breast Cervical Cancer $775 31%
Inland Empire Health Plan $775 31%
Intercommunity Health Ohp $775 31%
Jai Medical System $775 31%
Kern Family Health Plan $775 31%
Keystone First $775 31%
Keystone First Chip $775 31%
La Care Health Plan $775 31%
Lakeland Care Inc $775 31%
Managed Health Services - Indiana $775 31%
Maryland Breast & Cervical Program $775 31%
Maryland Healthy Smiles - Scion Dental $775 31%
Maryland Physicians Care $775 31%
Massachusetts Behavioral Health Partnership $775 31%
Mdwise $775 31%
Medi-Cal $775 31%
Medi-Cal Healthnet $775 31%
Medstar Dc Healthy Family $775 31%
Medstar Md Health Choice $775 31%
Mo Home State Health Plan $775 31%
Molina Centennial Care $775 31%
Nascentia Health Options $775 31%
New York Cancer Services Program $775 31%
Nextlevel Health $775 31%
Oregon Screenwise $775 31%
Pace Of Southwest Michigan $775 - $1,056 31%
Paramount Advantage $775 31%
Parkland Community Health Plan $775 31%
Partners Behavioral Lme $775 31%
Peach State Healthplan $775 31%
Philadelphia County Funding $775 31%
Presbyterian Centennial Care $775 31%
Prestige Health Choice $775 31%
Priority Partners $775 31%
Robert F Sing Program $775 31%
Rx 340B Pass Along $775 31%
Rx Assistance/Rx Manufacturer Assistance 0 Copay $775 31%
Rx Medi-Cal $775 31%
Rx Meridian Rx $775 31%
Ryan White Florida Mssrp $775 31%
Sandhills Center Lme $775 31%
Screening For Life $775 31%
St Joseph County Hlth Dpt $775 31%
Sunshine State Health Plan $775 31%
Superior Health $775 31%
Tenncare $775 31%
Texas Children'S Health Plan $775 31%
Trillium Community Ohp $775 31%
Tufts Health Public Plans $775 31%
Vaya Health Lme $775 31%
Washtenaw Health Plan $775 31%
Wellsense Health Plan $775 31%
Wi Womens Wellness $775 31%
Iowa Total Care $791 32%
Wc Praxis Health Network $797 - $7,001 32%
Wellpoint $799 32%
Wc Reny Company $816 - $7,165 33%
Wc Velocity $816 - $7,165 33%
Auto Velocity $844 - $7,412 34%
Wc O'Hara Corp $844 - $7,412 34%
Andrie Inc $938 - $8,236 38%
East Greenbush Central School District $938 - $8,236 38%
Healthsmart Workers Comp $938 - $8,236 38%
Jag Source $938 - $8,236 38%
New York State Insurance Fund $938 - $8,236 38%
Njm Insurance Group $938 - $8,236 38%
Rx Heatlhcomp $938 - $8,236 38%
Rx Restat $938 - $8,236 38%
Rx Saif Opdp Wc $938 - $8,236 38%
Rx Worker'S Comp $938 - $8,236 38%
Wc Accident Fund $938 - $8,236 38%
Wc Ace $938 - $8,236 38%
Wc Acs Federal Employees $938 - $8,236 38%
Wc Acuity $938 - $8,236 38%
Wc Advantage $938 - $8,236 38%
Wc Aegis $938 - $8,236 38%
Wc Aig $938 - $8,236 38%
Wc Aims $938 - $8,236 38%
Wc Alaska National Ins $938 - $8,236 38%
Wc Allied $938 - $8,236 38%
Wc Am Trust N America $938 - $8,236 38%
Wc American Claims Mgmt $938 - $8,236 38%
Wc Amerisure $938 - $8,236 38%
Wc Amtrust $938 - $8,236 38%
Wc Asu Risk Mgt $938 - $8,236 38%
Wc Benetech $938 - $8,236 38%
Wc Berkley Admin $938 - $8,236 38%
Wc Broadspire $938 - $8,236 38%
Wc Broward County $938 - $8,236 38%
Wc Bunch & Associates $938 - $8,236 38%
Wc California State Comp Ins $938 - $8,236 38%
Wc California State Ins Fund $938 - $8,236 38%
Wc Capitol Area Health Consortium $938 - $8,236 38%
Wc Ccmsi $938 - $8,236 38%
Wc Chartis $938 - $8,236 38%
Wc Chubb $938 - $8,236 38%
Wc Cirma $938 - $8,236 38%
Wc City Of Albany $938 - $8,236 38%
Wc City Of Sioux City $938 - $8,236 38%
Wc Claims Mgmt Inc $938 - $8,236 38%
Wc Cna $938 - $8,236 38%
Wc Comp One Admin C/O Manageability $938 - $8,236 38%
Wc Compone Admin $938 - $8,236 38%
Wc Ct Healthcare Trust $938 - $8,236 38%
Wc Donegal Insurance Group $938 - $8,236 38%
Wc Emc Insurance Company $938 - $8,236 38%
Wc Employee Mutual $938 - $8,236 38%
Wc Enablecomp $938 - $8,236 38%
Wc Encore Health Network $938 - $8,236 38%
Wc Erie $938 - $8,236 38%
Wc Esis $938 - $8,236 38%
Wc Evolutions $938 - $8,236 38%
Wc Fcci $938 - $8,236 38%
Wc Fed Ex $938 - $8,236 38%
Wc Federal Black Lung $938 - $8,236 38%
Wc Federated $938 - $8,236 38%
Wc Finley Occupational Health $938 - $8,236 38%
Wc First Agency/Occunet $938 - $8,236 38%
Wc Ford Motor $938 - $8,236 38%
Wc Fresno Unified Emp $938 - $8,236 38%
Wc Gallagher Bassett $938 - $8,236 38%
Wc General Motors $938 - $8,236 38%
Wc Generic $938 - $8,236 38%
Wc Genex Care For Ohio $938 - $8,236 38%
Wc Great West Casualty $938 - $8,236 38%
Wc Guarantee Insurance $938 - $8,236 38%
Wc Guard Insurance Company $938 - $8,236 38%
Wc Hab $938 - $8,236 38%
Wc Hartford $938 - $8,236 38%
Wc Hastings $938 - $8,236 38%
Wc Health Management $938 - $8,236 38%
Wc Heritage Summit $938 - $8,236 38%
Wc Hireright $938 - $8,236 38%
Wc Horizon $938 - $8,236 38%
Wc Icw Group $938 - $8,236 38%
Wc Idaho State Ins Fund $938 - $8,236 38%
Wc Intercare Insurance $938 - $8,236 38%
Wc Intermountain $938 - $8,236 38%
Wc Johns Eastern $938 - $8,236 38%
Wc Kemberton $938 - $8,236 38%
Wc Key Ins & Benefit Solutions $938 - $8,236 38%
Wc Liberty Mutual $938 - $8,236 38%
Wc Mac Risk Management $938 - $8,236 38%
Wc Massachusetts $938 - $8,236 38%
Wc Mdia $938 - $8,236 38%
Wc Meadowbrook Claim $938 - $8,236 38%
Wc Medical Administrators $938 - $8,236 38%
Wc Meijers $938 - $8,236 38%
Wc Memic $938 - $8,236 38%
Wc Mercy Workcare $938 - $8,236 38%
Wc Michigan $938 - $8,236 38%
Wc Michigan Millers Mutual $938 - $8,236 38%
Wc Mitchell Frankenmuth $938 - $8,236 38%
Wc Mra $938 - $8,236 38%
Wc Nationwide $938 - $8,236 38%
Wc Nca Comp $938 - $8,236 38%
Wc New York $938 - $8,236 38%
Wc New York Special Funds $938 - $8,236 38%
Wc North American Rishces $938 - $8,236 38%
Wc Northeast Health $938 - $8,236 38%
Wc Notre Dame $938 - $8,236 38%
Wc Novanet $938 - $8,236 38%
Wc Occ Health Allen $938 - $8,236 38%
Wc Ohio Bureau $938 - $8,236 38%
Wc One Call Medical $938 - $8,236 38%
Wc Paradigm $938 - $8,236 38%
Wc Peerless $938 - $8,236 38%
Wc Pma $938 - $8,236 38%
Wc Price Chopper $938 - $8,236 38%
Wc Procura Management $938 - $8,236 38%
Wc Qualcare $938 - $8,236 38%
Wc Quiktrip $938 - $8,236 38%
Wc Rev Claims $938 - $8,236 38%
Wc Risico $938 - $8,236 38%
Wc Rural Mutual $938 - $8,236 38%
Wc Saif Oregon $938 - $8,236 38%
Wc Secura $938 - $8,236 38%
Wc Sedgwick $938 - $8,236 38%
Wc Sentry $938 - $8,236 38%
Wc Sheakley Unicomp $938 - $8,236 38%
Wc Smile Lodge $938 - $8,236 38%
Wc Society $938 - $8,236 38%
Wc Srs $938 - $8,236 38%
Wc Taconic (Mro) $938 - $8,236 38%
Wc Taconic Farms $938 - $8,236 38%
Wc Travelers $938 - $8,236 38%
Wc Triad Group $938 - $8,236 38%
Wc Tristar $938 - $8,236 38%
Wc Troy Ny $938 - $8,236 38%
Wc Tyson $938 - $8,236 38%
Wc Unified Health Services $938 - $8,236 38%
Wc United Heartland $938 - $8,236 38%
Wc Us Dept Of Labor $938 - $8,236 38%
Wc Walmart $938 - $8,236 38%
Wc West Bend $938 - $8,236 38%
Wc West Bend Mutual/Argent $938 - $8,236 38%
Wc Winnebago Industries $938 - $8,236 38%
Wc Yankee Trails $938 - $8,236 38%
Wc York Risk $938 - $8,236 38%
Wc Zenith $938 - $8,236 38%
Wc Zurich $938 - $8,236 38%
Wc Corvel $1,024 41%
Align Senior Care $1,056 43%
Ally Align Care Adv $1,056 43%
American Health Advantage Of Idaho $1,056 43%
Aurora Special Needs $1,056 43%
Blue Care Network Advantage $1,056 43%
Blue Shield - De (Highmark) Medciare Advantage $1,056 43%
Care Dimensions $1,056 43%
Care Improvement Plus $1,056 43%
Care Resources Pace $1,056 43%
Careplus Health Plans $1,056 43%
Cca - Zing Health $1,056 43%
Cca Senior Care Options $1,056 43%
Central Valley Medical Services Corp Pace $1,056 43%
Champion Health Plan Mcr Advantage $1,056 43%
Clear Spring Health $1,056 43%
Clover Health $1,056 43%
Commonwealth Care Alliance $1,056 43%
Community Pace At Home $1,056 43%
Eddy Senior Care-Pace $1,056 43%
Eddy Seniorcare Pace $1,056 43%
Elementcare $1,056 43%
Evercare $1,056 43%
Everence $1,056 43%
Gateway Health Plan $1,056 43%
Genesys Pace Of Genesee County $1,056 43%
Georgia Health Advantage $1,056 43%
Gold Advantage $1,056 43%
Gpa Croell Redi Mix $1,056 43%
Health America Advantra $1,056 43%
Highmark Health Options Dual Plan $1,056 43%
Hope Select Pace $1,056 43%
Horizon Nj Total Care $1,056 43%
Hudson Headwaters Pace $1,056 43%
Huron Valley Pace $1,056 43%
Innovative Integrated Health Community Plans $1,056 43%
Johns Hopkins Advantage Md $1,056 43%
Lasso Healthcare Msa $1,056 43%
Life St Marys Pace $1,056 43%
Lifecircles Pace $1,056 43%
Longevity Health Plan $1,056 43%
Longevity Ipa Of Michigan Llc Health Plan Isnp $1,056 43%
Martins Point Generations Advantage $1,056 43%
Mass General Brigham Mcr Adv $1,056 43%
Medicare (plans) $1,056 - $1,118 43%
Medipak Advantage $1,056 43%
Mercy Life $1,056 43%
Mercyone Cedar Valley $1,056 43%
Meridian Complete $1,056 43%
Michigan Complete Health $1,056 43%
Nascentia Health Plus $1,056 43%
New Centry Health Careplus $1,056 43%
Osu Prime Care Advantage $1,056 43%
Pace Cny $1,056 43%
Pace Iowa Immanuel Pathways $1,056 43%
Pace Southeast $1,056 43%
Pace-Trinity Health $1,056 43%
Peak Pace Solutions $1,056 43%
Perennial Advantage $1,056 43%
Preferred Care Partners $1,056 43%
Presbyterian Senior Plan $1,056 43%
Provider Partners Health Plan Of Illinois $1,056 43%
Provider Partners Health Plan Of Indiana $1,056 43%
Pruitthealth Premier $1,056 43%
Reliance Community Care Partners Care Resources Pace $1,056 43%
Rx Allwin $1,056 43%
Rx Grane Grnmedd $1,056 43%
Rx Retiree Rx Care $1,056 43%
Scan Health Plan Mcr Ipa Meritage Oon $1,056 43%
Secure Horizons Ma Pffs $1,056 43%
Serenity Pace $1,056 43%
Siouxland Pace $1,056 43%
Solis Health Plans $1,056 43%
Sunnyview-Pace Finance Dept $1,056 43%
Texan Plus $1,056 43%
The Health Plan $1,056 43%
Thome Pace $1,056 43%
Todays Options $1,056 43%
Tribute Health Plans $1,056 43%
Um Health Advantage $1,056 43%
Union Health Service $1,056 43%
Welbe Health $1,056 43%
Wellmed $1,056 43%
Veterans Administration $1,078 44%
American Health Plan $1,109 45%
Iowa Health Advantage $1,109 45%
Champva $1,161 47%
Tricare $1,161 47%
Triwest Health Alliance $1,161 47%
Us Family Health Plan $1,161 47%
Veterans Eval Services $1,161 47%
Amish Hospital Aid $1,433 58%
Amps $1,455 59%
Stephenson Cty Health $1,524 62%

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