CMS Price Transparency Data
Family therapy session
Facility: Mercyone Waterloo Medical Center
Billing Code: 90847 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 90847
- Insurance Median: $88
- Cash Discount Price: $285
- vs. Medicare Baseline: 0.49x Medicare
The contracted insurance negotiated median rate for a Family therapy session at Mercyone Waterloo Medical Center is $88. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $285. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.49x the Medicare baseline. Located in 3421 West Ninth Street, Waterloo, IA.
Cash / Self-Pay
$285
Average discount available for prompt cash payment at this facility.
Insurance Median
$88
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$181.34
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $181.34 (100%)
Cash / Self-Pay: $285 (157%)
Insurance Median: $88 (49%)
Cash: $285 (157% of Medicare)
Ins. Median: $88 (49% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $181.34 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 |
|---|---|---|
| Albany County Correctional Facility | $28 | 15% |
| Ambetter / Centene | $28 - $130 | 15% |
| Amish Mennonite | $28 | 15% |
| Ascension St. Vincent Public Safety Medical | $28 | 15% |
| Bcccp-Michigan | $28 | 15% |
| Bccp | $28 | 15% |
| Blue Cross Blue Shield | $28 - $181 | 15% |
| Bmc Healthnet | $28 | 15% |
| Breast Grant-Connecticut | $28 | 15% |
| Broward County Dept Of Health | $28 | 15% |
| California Health And Wellness | $28 | 15% |
| Can Community Health Inc | $28 | 15% |
| Cardinal Innovations Lme | $28 | 15% |
| Care Connections Of Northern Iowa | $28 | 15% |
| Care Oregon Ohp | $28 | 15% |
| Cencal Health Plan | $28 | 15% |
| Cenpatico | $28 | 15% |
| Chhuny | $28 | 15% |
| Childrens Comm Health Plan | $28 | 15% |
| Childrens Medical Services Title 19 | $28 | 15% |
| Cigna | $28 - $278 | 15% |
| City Of Philadelphia | $28 | 15% |
| Cmh Allegan County | $28 | 15% |
| Cmh Ausable Valley | $28 | 15% |
| Cmh Barry County | $28 | 15% |
| Cmh Bay-Arenac County | $28 | 15% |
| Cmh Berrien County | $28 | 15% |
| Cmh Cass County | $28 | 15% |
| Cmh Central Mi County | $28 | 15% |
| Cmh Clinton-Eaton-Ingham County | $28 | 15% |
| Cmh Detroit Wayne Integrated Health Network | $28 | 15% |
| Cmh Genesee County | $28 | 15% |
| Cmh Ionia County | $28 | 15% |
| Cmh Jackson County/Lifeways | $28 | 15% |
| Cmh Kalamazoo | $28 | 15% |
| Cmh Kent County | $28 | 15% |
| Cmh Lenawee County | $28 | 15% |
| Cmh Livingston County | $28 | 15% |
| Cmh Macomb | $28 | 15% |
| Cmh Misc | $28 | 15% |
| Cmh Monroe County | $28 | 15% |
| Cmh Montcalm County | $28 | 15% |
| Cmh Muskegon County | $28 | 15% |
| Cmh Newaygo County | $28 | 15% |
| Cmh North Country | $28 | 15% |
| Cmh Northern Lakes County | $28 | 15% |
| Cmh Oakland County | $28 | 15% |
| Cmh Ottawa County | $28 | 15% |
| Cmh Van Buren County | $28 | 15% |
| Cmh Washtenaw County | $28 | 15% |
| Cmh Wayne County/Carelink | $28 | 15% |
| Cmh Wayne Cty/Com Liv Svcs | $28 | 15% |
| Cmh West Mi County | $28 | 15% |
| Community Benefit Health | $28 | 15% |
| Community Care Behavorial Health | $28 | 15% |
| Community Care Partners | $28 | 15% |
| Community Health Choice | $28 | 15% |
| Connections Csp | $28 | 15% |
| County Coroner | $28 | 15% |
| County Funding Generic | $28 | 15% |
| Covid19 Hrsa Uninsured Testing And Treatment Fund | $28 | 15% |
| Dean Wi Badgercare | $28 | 15% |
| Delaware County Department Of Health | $28 | 15% |
| Delaware First Health | $28 | 15% |
| Delta Dental Nj | $28 | 15% |
| Dph Tb Program | $28 | 15% |
| Dscc | $28 | 15% |
| Eastpointe Lme | $28 | 15% |
| Family Health Network | $28 | 15% |
| Freedom First Healthcare | $28 | 15% |
| Fresno County Ccs | $28 | 15% |
| Ghc Scw Wi Badgercare | $28 | 15% |
| Harbor Health | $28 | 15% |
| Health Safety Net | $28 | 15% |
| Healthy Blue Ne | $28 | 15% |
| Hennepin Health | $28 | 15% |
| Humana | $28 - $163 | 15% |
| Id County Ada | $28 | 15% |
| Id County Canyon | $28 | 15% |
| Id County Cat Fund | $28 | 15% |
| Id County Other | $28 | 15% |
| Id County Payette | $28 | 15% |
| Idaho Dept Health And Wellfare | $28 | 15% |
| Idaho Womens Health Check | $28 | 15% |
| Indiana Breast Cervical Cancer | $28 | 15% |
| Inland Empire Health Plan | $28 | 15% |
| Intercommunity Health Ohp | $28 | 15% |
| Iowa Total Care | $28 | 15% |
| Jai Medical System | $28 | 15% |
| Kern Family Health Plan | $28 | 15% |
| Keystone First | $28 | 15% |
| Keystone First Chip | $28 | 15% |
| La Care Health Plan | $28 | 15% |
| Lakeland Care Inc | $28 | 15% |
| Managed Health Services - Indiana | $28 | 15% |
| Maryland Breast & Cervical Program | $28 | 15% |
| Maryland Healthy Smiles - Scion Dental | $28 | 15% |
| Maryland Physicians Care | $28 | 15% |
| Massachusetts Behavioral Health Partnership | $28 | 15% |
| Mdwise | $28 | 15% |
| Medi-Cal | $28 | 15% |
| Medi-Cal Healthnet | $28 | 15% |
| Medicaid / KanCare | $28 - $205 | 15% |
| Medstar Dc Healthy Family | $28 | 15% |
| Medstar Md Health Choice | $28 | 15% |
| Mo Home State Health Plan | $28 | 15% |
| Molina Centennial Care | $28 | 15% |
| Nascentia Health Options | $28 | 15% |
| New York Cancer Services Program | $28 | 15% |
| Nextlevel Health | $28 | 15% |
| Oregon Screenwise | $28 | 15% |
| Pace Of Southwest Michigan | $28 - $75 | 15% |
| Paramount Advantage | $28 | 15% |
| Parkland Community Health Plan | $28 | 15% |
| Partners Behavioral Lme | $28 | 15% |
| Peach State Healthplan | $28 | 15% |
| Philadelphia County Funding | $28 | 15% |
| Presbyterian Centennial Care | $28 | 15% |
| Prestige Health Choice | $28 | 15% |
| Priority Partners | $28 | 15% |
| Robert F Sing Program | $28 | 15% |
| Rx 340B Pass Along | $28 | 15% |
| Rx Assistance/Rx Manufacturer Assistance 0 Copay | $28 | 15% |
| Rx Medi-Cal | $28 | 15% |
| Rx Meridian Rx | $28 | 15% |
| Ryan White Florida Mssrp | $28 | 15% |
| Sandhills Center Lme | $28 | 15% |
| Screening For Life | $28 | 15% |
| St Joseph County Hlth Dpt | $28 | 15% |
| Sunshine State Health Plan | $28 | 15% |
| Superior Health | $28 | 15% |
| Tenncare | $28 | 15% |
| Texas Children'S Health Plan | $28 | 15% |
| Trillium Community Ohp | $28 | 15% |
| Tufts Health Public Plans | $28 | 15% |
| UnitedHealthcare | $28 - $391 | 15% |
| Vaya Health Lme | $28 | 15% |
| Washtenaw Health Plan | $28 | 15% |
| Wellsense Health Plan | $28 | 15% |
| Wi Womens Wellness | $28 | 15% |
| Wellpoint | $29 | 16% |
| Aetna | $52 - $349 | 29% |
| Align Senior Care | $75 | 41% |
| Ally Align Care Adv | $75 | 41% |
| American Health Advantage Of Idaho | $75 | 41% |
| Aurora Special Needs | $75 | 41% |
| Blue Care Network Advantage | $75 | 41% |
| Blue Shield - De (Highmark) Medciare Advantage | $75 | 41% |
| Care Dimensions | $75 | 41% |
| Care Improvement Plus | $75 | 41% |
| Care Resources Pace | $75 | 41% |
| Careplus Health Plans | $75 | 41% |
| Cca - Zing Health | $75 | 41% |
| Cca Senior Care Options | $75 | 41% |
| Central Valley Medical Services Corp Pace | $75 | 41% |
| Champion Health Plan Mcr Advantage | $75 | 41% |
| Champva | $75 | 41% |
| Clear Spring Health | $75 | 41% |
| Clover Health | $75 | 41% |
| Commonwealth Care Alliance | $75 | 41% |
| Community Pace At Home | $75 | 41% |
| Eddy Senior Care-Pace | $75 | 41% |
| Eddy Seniorcare Pace | $75 | 41% |
| Elementcare | $75 | 41% |
| Evercare | $75 | 41% |
| Everence | $75 | 41% |
| Gateway Health Plan | $75 | 41% |
| Genesys Pace Of Genesee County | $75 | 41% |
| Georgia Health Advantage | $75 | 41% |
| Gold Advantage | $75 | 41% |
| Gpa Croell Redi Mix | $75 | 41% |
| Health America Advantra | $75 | 41% |
| Highmark Health Options Dual Plan | $75 | 41% |
| Hope Select Pace | $75 | 41% |
| Horizon Nj Total Care | $75 | 41% |
| Hudson Headwaters Pace | $75 | 41% |
| Huron Valley Pace | $75 | 41% |
| Innovative Integrated Health Community Plans | $75 | 41% |
| Johns Hopkins Advantage Md | $75 | 41% |
| Lasso Healthcare Msa | $75 | 41% |
| Life St Marys Pace | $75 | 41% |
| Lifecircles Pace | $75 | 41% |
| Longevity Health Plan | $75 | 41% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $75 | 41% |
| Martins Point Generations Advantage | $75 | 41% |
| Mass General Brigham Mcr Adv | $75 | 41% |
| Medicare (plans) | $75 - $102 | 41% |
| Medipak Advantage | $75 | 41% |
| Mercy Life | $75 | 41% |
| Mercyone Cedar Valley | $75 | 41% |
| Meridian Complete | $75 | 41% |
| Michigan Complete Health | $75 | 41% |
| Nascentia Health Plus | $75 | 41% |
| New Centry Health Careplus | $75 | 41% |
| Osu Prime Care Advantage | $75 | 41% |
| Pace Cny | $75 | 41% |
| Pace Iowa Immanuel Pathways | $75 | 41% |
| Pace Southeast | $75 | 41% |
| Pace-Trinity Health | $75 | 41% |
| Peak Pace Solutions | $75 | 41% |
| Perennial Advantage | $75 | 41% |
| Preferred Care Partners | $75 | 41% |
| Presbyterian Senior Plan | $75 | 41% |
| Provider Partners Health Plan Of Illinois | $75 | 41% |
| Provider Partners Health Plan Of Indiana | $75 | 41% |
| Pruitthealth Premier | $75 | 41% |
| Reliance Community Care Partners Care Resources Pace | $75 | 41% |
| Rx Allwin | $75 | 41% |
| Rx Grane Grnmedd | $75 | 41% |
| Rx Retiree Rx Care | $75 | 41% |
| Scan Health Plan Mcr Ipa Meritage Oon | $75 | 41% |
| Secure Horizons Ma Pffs | $75 | 41% |
| Serenity Pace | $75 | 41% |
| Siouxland Pace | $75 | 41% |
| Solis Health Plans | $75 | 41% |
| Sunnyview-Pace Finance Dept | $75 | 41% |
| Texan Plus | $75 | 41% |
| The Health Plan | $75 | 41% |
| Thome Pace | $75 | 41% |
| Todays Options | $75 | 41% |
| Tribute Health Plans | $75 | 41% |
| Tricare | $75 | 41% |
| Triwest Health Alliance | $75 | 41% |
| Um Health Advantage | $75 | 41% |
| Union Health Service | $75 | 41% |
| Us Family Health Plan | $75 | 41% |
| Veterans Eval Services | $75 | 41% |
| Welbe Health | $75 | 41% |
| Wellmed | $75 | 41% |
| Iowa Health Advantage | $79 | 44% |
| Veterans Administration | $81 | 45% |
| American Health Plan | $89 | 49% |
| Health Choices | $92 - $143 | 51% |
| Medical Associates | $92 - $128 | 51% |
| Wc Corvel | $97 | 53% |
| Amish Hospital Aid | $102 | 56% |
| Naphcare | $103 | 57% |
| Naphcare Correctional | $103 | 57% |
| Amps | $110 | 61% |
| Stephenson Cty Health | $111 | 61% |
| Health Partners | $114 - $256 | 63% |
| Avera | $115 | 63% |
| Bcn Domestic | $115 - $181 | 63% |
| Blue Benefit Administrators Of Massachusetts | $115 - $181 | 63% |
| Blue Care Network | $115 - $181 | 63% |
| Blue Distinction Transplant | $115 - $181 | 63% |
| Blue Shield - Ca | $115 - $181 | 63% |
| Blue Shield - Id (Regence) | $115 - $181 | 63% |
| Blue Shield - Ny Highmark Northeastern | $115 - $181 | 63% |
| Blue Shield - Ny Highmark Western | $115 - $181 | 63% |
| Blue Shield - Pa (Highmark) | $115 - $181 | 63% |
| Blue Shield - Wa (Regence) | $115 - $181 | 63% |
| Kaiser Domestic | $115 - $181 | 63% |
| Pre-Employment | $115 - $181 | 63% |
| Wc Domestic | $115 - $181 | 63% |
| Nebraska Total Care | $121 | 67% |
| Sanford Health Plan | $123 | 68% |
| Preferred Health Choice | $128 | 71% |
| Ucare | $135 | 74% |
| Lucent Health | $138 - $349 | 76% |
| Health Smart | $141 | 78% |
| Allied Benefit Systems | $143 - $349 | 79% |
| Auxiant | $143 - $278 | 79% |
| First Choice Health | $143 | 79% |
| Group Administrators | $143 | 79% |
| Midlands | $143 - $278 | 79% |
| Midlands Choice | $143 - $278 | 79% |
| Usa Managed Care | $148 | 82% |
| Meritain | $149 - $349 | 82% |
| Quiktrip | $158 | 87% |
| Claimdoc | $160 | 88% |
| The Alliance | $160 | 88% |
| Preferred One | $168 | 93% |
| Global Excel | $173 | 95% |
| Velocity | $180 | 99% |
| Centivo | $198 | 109% |
| Newton Correctional Facility | $205 | 113% |
| Genex Wc | $236 | 130% |
| Geha | $240 | 132% |
| Wc Align Network | $252 | 139% |
| Wc Praxis Health Network | $268 | 148% |
| Oscar | $270 | 149% |
| Wc Reny Company | $274 | 151% |
| Wc Velocity | $274 | 151% |
| Medica | $278 | 153% |
| Auto Velocity | $284 | 157% |
| Wc O'Hara Corp | $284 | 157% |
| Multiplan | $288 | 159% |
| Andrie Inc | $315 | 174% |
| East Greenbush Central School District | $315 | 174% |
| Healthsmart Workers Comp | $315 | 174% |
| Iowa Dept Of Public Health | $315 - $391 | 174% |
| Jag Source | $315 | 174% |
| New York State Insurance Fund | $315 | 174% |
| Njm Insurance Group | $315 | 174% |
| Rx Heatlhcomp | $315 | 174% |
| Rx Restat | $315 | 174% |
| Rx Saif Opdp Wc | $315 | 174% |
| Rx Worker'S Comp | $315 | 174% |
| Wc Accident Fund | $315 | 174% |
| Wc Ace | $315 | 174% |
| Wc Acs Federal Employees | $315 | 174% |
| Wc Acuity | $315 | 174% |
| Wc Advantage | $315 | 174% |
| Wc Aegis | $315 | 174% |
| Wc Aig | $315 | 174% |
| Wc Aims | $315 | 174% |
| Wc Alaska National Ins | $315 | 174% |
| Wc Allied | $315 | 174% |
| Wc Am Trust N America | $315 | 174% |
| Wc American Claims Mgmt | $315 | 174% |
| Wc Amerisure | $315 | 174% |
| Wc Amtrust | $315 | 174% |
| Wc Asu Risk Mgt | $315 | 174% |
| Wc Benetech | $315 | 174% |
| Wc Berkley Admin | $315 | 174% |
| Wc Broadspire | $315 | 174% |
| Wc Broward County | $315 | 174% |
| Wc Bunch & Associates | $315 | 174% |
| Wc California State Comp Ins | $315 | 174% |
| Wc California State Ins Fund | $315 | 174% |
| Wc Capitol Area Health Consortium | $315 | 174% |
| Wc Ccmsi | $315 | 174% |
| Wc Chartis | $315 | 174% |
| Wc Chubb | $315 | 174% |
| Wc Cirma | $315 | 174% |
| Wc City Of Albany | $315 | 174% |
| Wc City Of Sioux City | $315 | 174% |
| Wc Claims Mgmt Inc | $315 | 174% |
| Wc Cna | $315 | 174% |
| Wc Comp One Admin C/O Manageability | $315 | 174% |
| Wc Compone Admin | $315 | 174% |
| Wc Ct Healthcare Trust | $315 | 174% |
| Wc Donegal Insurance Group | $315 | 174% |
| Wc Emc Insurance Company | $315 | 174% |
| Wc Employee Mutual | $315 | 174% |
| Wc Enablecomp | $315 | 174% |
| Wc Encore Health Network | $315 | 174% |
| Wc Erie | $315 | 174% |
| Wc Esis | $315 | 174% |
| Wc Evolutions | $315 | 174% |
| Wc Fcci | $315 | 174% |
| Wc Fed Ex | $315 | 174% |
| Wc Federal Black Lung | $315 | 174% |
| Wc Federated | $315 | 174% |
| Wc Finley Occupational Health | $315 | 174% |
| Wc First Agency/Occunet | $315 | 174% |
| Wc Ford Motor | $315 | 174% |
| Wc Fresno Unified Emp | $315 | 174% |
| Wc Gallagher Bassett | $315 | 174% |
| Wc General Motors | $315 | 174% |
| Wc Generic | $315 | 174% |
| Wc Genex Care For Ohio | $315 | 174% |
| Wc Great West Casualty | $315 | 174% |
| Wc Guarantee Insurance | $315 | 174% |
| Wc Guard Insurance Company | $315 | 174% |
| Wc Hab | $315 | 174% |
| Wc Hartford | $315 | 174% |
| Wc Hastings | $315 | 174% |
| Wc Health Management | $315 | 174% |
| Wc Heritage Summit | $315 | 174% |
| Wc Hireright | $315 | 174% |
| Wc Horizon | $315 | 174% |
| Wc Icw Group | $315 | 174% |
| Wc Idaho State Ins Fund | $315 | 174% |
| Wc Intercare Insurance | $315 | 174% |
| Wc Intermountain | $315 | 174% |
| Wc Johns Eastern | $315 | 174% |
| Wc Kemberton | $315 | 174% |
| Wc Key Ins & Benefit Solutions | $315 | 174% |
| Wc Liberty Mutual | $315 | 174% |
| Wc Mac Risk Management | $315 | 174% |
| Wc Massachusetts | $315 | 174% |
| Wc Mdia | $315 | 174% |
| Wc Meadowbrook Claim | $315 | 174% |
| Wc Medical Administrators | $315 | 174% |
| Wc Meijers | $315 | 174% |
| Wc Memic | $315 | 174% |
| Wc Mercy Workcare | $315 | 174% |
| Wc Michigan | $315 | 174% |
| Wc Michigan Millers Mutual | $315 | 174% |
| Wc Mitchell Frankenmuth | $315 | 174% |
| Wc Mra | $315 | 174% |
| Wc Nationwide | $315 | 174% |
| Wc Nca Comp | $315 | 174% |
| Wc New York | $315 | 174% |
| Wc New York Special Funds | $315 | 174% |
| Wc North American Rishces | $315 | 174% |
| Wc Northeast Health | $315 | 174% |
| Wc Notre Dame | $315 | 174% |
| Wc Novanet | $315 | 174% |
| Wc Occ Health Allen | $315 | 174% |
| Wc Ohio Bureau | $315 | 174% |
| Wc One Call Medical | $315 | 174% |
| Wc Paradigm | $315 | 174% |
| Wc Peerless | $315 | 174% |
| Wc Pma | $315 | 174% |
| Wc Price Chopper | $315 | 174% |
| Wc Procura Management | $315 | 174% |
| Wc Qualcare | $315 | 174% |
| Wc Quiktrip | $315 | 174% |
| Wc Rev Claims | $315 | 174% |
| Wc Risico | $315 | 174% |
| Wc Rural Mutual | $315 | 174% |
| Wc Saif Oregon | $315 | 174% |
| Wc Secura | $315 | 174% |
| Wc Sedgwick | $315 | 174% |
| Wc Sentry | $315 | 174% |
| Wc Sheakley Unicomp | $315 | 174% |
| Wc Smile Lodge | $315 | 174% |
| Wc Society | $315 | 174% |
| Wc Srs | $315 | 174% |
| Wc Taconic (Mro) | $315 | 174% |
| Wc Taconic Farms | $315 | 174% |
| Wc Travelers | $315 | 174% |
| Wc Triad Group | $315 | 174% |
| Wc Tristar | $315 | 174% |
| Wc Troy Ny | $315 | 174% |
| Wc Tyson | $315 | 174% |
| Wc Unified Health Services | $315 | 174% |
| Wc United Heartland | $315 | 174% |
| Wc Us Dept Of Labor | $315 | 174% |
| Wc Walmart | $315 | 174% |
| Wc West Bend | $315 | 174% |
| Wc West Bend Mutual/Argent | $315 | 174% |
| Wc Winnebago Industries | $315 | 174% |
| Wc Yankee Trails | $315 | 174% |
| Wc York Risk | $315 | 174% |
| Wc Zenith | $315 | 174% |
| Wc Zurich | $315 | 174% |
| Asr Health Benefits | $349 | 192% |
| Christian Brother Services | $349 | 192% |
| Coventry | $349 | 192% |
| First Health | $349 | 192% |
| Luminare Health | $349 | 192% |
| Medical Mutual | $349 | 192% |
| Webtpa | $349 | 192% |