CMS Price Transparency Data

Group therapy session

Facility: Mercyone Waterloo Medical Center

Billing Code: 90853 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$94
about 0.9× the $104 Medicare rate · typically $37–$122
modeled estimate · not a bill or quote
What this hospital charges insurers
$104
About the fair price
about $10 over the fair price · 1.0× Medicare
Medicare pays $104 Fair price $94 This hospital $104 Cash price $311 Hospital's list price $479

How we calculate the fair BaseRate →

How this hospital compares to other IA hospitals

Highest price of the 9 IA hospitals we have prices for — worth calling around.

Cheapest $18 Priciest $104

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

A fair price for a Group therapy session is about $94 (about 0.9× the $104 Medicare rate). Mercyone Waterloo Medical Center charges insurers about $104, or about $311 in cash — about the fair price. 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.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Kaiser Permanente Humana

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 $106 - $843 102%
Blue Cross Blue Shieldmajor $104 100%
Aetnamajor $102 - $753 98%
Cignamajor $81 - $599 78%
Kaiser Permanentemajor $104 100%
HealthPartners $75 - $553 72%
Medica $81 - $599 78%
Medical Mutual $102 - $753 98%
+ 15 smaller / regional plans $27 - $843
Excludes 3 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