CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Mercyone Waterloo Medical Center

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$65
about 0.5× the $136 Medicare rate · typically $55–$95
modeled estimate · not a bill or quote
What this hospital charges insurers
$67
About the fair price
about $2 over the fair price · 0.5× Medicare
Medicare pays $136 Fair price $65 This hospital $67 Cash price $209 Hospital's list price $209

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 $49 Priciest $67

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 Office visit, established patient (30-39 min) is about $65 (about 0.5× the $136 Medicare rate). Mercyone Waterloo Medical Center charges insurers about $67, or about $209 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.

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 $42 - $168 31%
Blue Cross Blue Shieldmajor $42 - $217 31%
Aetnamajor $66 - $209 49%
Cignamajor $42 - $165 31%
Humanamajor $42 - $129 31%
Kaiser Permanentemajor $117 - $217 86%
Ambetter (Centene) $42 - $344 31%
Clover Health $67 - $79 49%
GEHA $67 - $168 49%
Health Net $42 - $209 31%
HealthPartners $42 - $183 31%
Meridian $42 - $79 31%
Molina $42 - $49 31%
Oscar Health $123 - $148 91%
Paramount $42 - $49 31%
Presbyterian $42 - $79 31%
Sanford Health Plan $115 - $135 85%
Tufts Health Plan $42 - $49 31%
UCare $121 - $143 89%
WellMed $67 - $79 49%
WellSense $42 - $49 31%
+ 356 smaller / regional plans $42 - $217
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

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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