CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Mercyone Waterloo Medical Center

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$89
about 0.8× the $118 Medicare rate · typically $66–$103
modeled estimate · not a bill or quote
What this hospital charges insurers
$66
Below the fair price — a good deal
about $23 under the fair price · 0.6× Medicare
Medicare pays $118 Fair price $89 This hospital $66 Cash price $180 Hospital's list price $180

How we calculate the fair BaseRate →

How this hospital compares to other IA hospitals

A typical price — 1 charge more and 5 charge less, among the 9 IA hospitals compared.

Cheapest $46 Priciest $69

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

A fair price for a New patient office visit (30-44 min) is about $89 (about 0.8× the $118 Medicare rate). Mercyone Waterloo Medical Center charges insurers about $66, or about $180 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 $58 - $160 49%
Blue Cross Blue Shieldmajor $58 - $116 49%
Aetnamajor $56 - $180 48%
Cignamajor $58 - $141 49%
Humanamajor $58 - $107 49%
Kaiser Permanentemajor $116 99%
Ambetter (Centene) $58 - $114 49%
Clover Health $66 56%
GEHA $160 136%
Health Net $58 - $180 49%
HealthPartners $58 - $161 49%
Meridian $58 - $66 49%
Molina $58 49%
Oscar Health $124 105%
Paramount $58 49%
Presbyterian $58 - $66 49%
Sanford Health Plan $114 97%
Tufts Health Plan $58 49%
UCare $119 101%
WellMed $66 56%
WellSense $58 49%
+ 355 smaller / regional plans $58 - $180
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 15 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 3421 West Ninth Street, Waterloo, IA 50702
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals