CMS Price Transparency Data

Family therapy session

Facility: Mercyone Waterloo Medical Center

Billing Code: 90847 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$91
about 0.5× the $181 Medicare rate · typically $83–$106
modeled estimate · not a bill or quote
What this hospital charges insurers
$75
Below the fair price — a good deal
about $16 under the fair price · 0.4× Medicare
Medicare pays $181 Fair price $91 This hospital $75 Cash price $285 Hospital's list price $353

How we calculate the fair BaseRate →

How this hospital compares to other IA hospitals

Lowest price of the 9 IA hospitals we have prices for — a strong deal.

Cheapest $75 Priciest $115

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Family therapy session is about $91 (about 0.5× the $181 Medicare rate). Mercyone Waterloo Medical Center charges insurers about $75, or about $285 in cash — 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 $28 - $391 15%
Blue Cross Blue Shieldmajor $28 - $181 15%
Aetnamajor $52 - $349 29%
Cignamajor $28 - $278 15%
Humanamajor $28 - $163 15%
Kaiser Permanentemajor $115 - $181 63%
Ambetter (Centene) $28 - $130 15%
Clover Health $75 41%
GEHA $240 132%
Health Net $28 - $315 15%
HealthPartners $28 - $256 15%
Medica $278 153%
Medical Mutual $349 192%
Meridian $28 - $75 15%
Molina $28 15%
Oscar Health $270 149%
Paramount $28 15%
Presbyterian $28 - $75 15%
Sanford Health Plan $123 68%
Tufts Health Plan $28 15%
UCare $135 74%
WellMed $75 41%
WellSense $28 15%
+ 358 smaller / regional plans $28 - $391
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