CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Mercyone Waterloo Medical Center

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $439
  • Cash Discount Price: $8,641
  • vs. Medicare Baseline: 1.23x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Mercyone Waterloo Medical Center is $439. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8,641. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.23x the Medicare baseline. Located in 3421 West Ninth Street, Waterloo, IA.
Cash / Self-Pay
$8,641

Average discount available for prompt cash payment at this facility.

Insurance Median
$439

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$356.43

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $356.43 (100%)
Cash / Self-Pay: $8,641 (2424%)
Insurance Median: $439 (123%)
Cash: $8,641 (2424% of Medicare)
Ins. Median: $439 (123% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $356.43 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
Iowa Dept Of Public Health $115 - $5,467 32%
Aetna $329 - $1,348 92%
Medicare (plans) $329 - $342 92%
Blue Cross Blue Shield $332 - $439 93%
Iowa Total Care $334 94%
UnitedHealthcare $335 - $5,467 94%
Medicaid / KanCare $338 - $339 95%
Bcn Domestic $356 - $439 100%
Blue Benefit Administrators Of Massachusetts $356 - $439 100%
Blue Care Network $356 - $439 100%
Blue Distinction Transplant $356 - $439 100%
Blue Shield - Ca $356 - $439 100%
Blue Shield - Id (Regence) $356 - $439 100%
Blue Shield - Ny Highmark Northeastern $356 - $439 100%
Blue Shield - Ny Highmark Western $356 - $439 100%
Blue Shield - Pa (Highmark) $356 - $439 100%
Blue Shield - Wa (Regence) $356 - $439 100%
Kaiser Domestic $356 - $439 100%
Pre-Employment $356 - $439 100%
Wc Domestic $356 - $439 100%
Amish Hospital Aid $446 125%
Oscar $515 144%
Centivo $557 156%
Ambetter / Centene $563 158%
Claimdoc $674 189%
Nova $674 189%
Geha $829 233%
Health Choices $1,285 361%
Medical Associates $1,285 361%
Allied Benefit Systems $1,348 378%
Asr Health Benefits $1,348 378%
Christian Brother Services $1,348 378%
Coventry $1,348 378%
First Health $1,348 378%
Lucent Health $1,348 378%
Luminare Health $1,348 378%
Medical Mutual $1,348 378%
Meritain $1,348 378%
Webtpa $1,348 378%
Health Partners $3,586 1006%
Auxiant $3,882 1089%
Cigna $3,882 1089%
Medica $3,882 1089%
Midlands $3,882 1089%
Midlands Choice $3,882 1089%

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