CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Mercyone Waterloo Medical Center

Billing Code: 99214 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 99214
  • Insurance Median: $76
  • Cash Discount Price: $209
  • vs. Medicare Baseline: 0.56x Medicare
The contracted insurance negotiated median rate for a Office visit, established patient (30-39 min) at Mercyone Waterloo Medical Center is $76. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $209. Compared to the federal Medicare reimbursement reference rate of $135.6, this hospital’s rate is 0.56x the Medicare baseline. Located in 3421 West Ninth Street, Waterloo, IA.
Cash / Self-Pay
$209

Average discount available for prompt cash payment at this facility.

Insurance Median
$76

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$135.6

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $135.6 (100%)
Cash / Self-Pay: $209 (154%)
Insurance Median: $76 (56%)
Cash: $209 (154% of Medicare)
Ins. Median: $76 (56% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $135.6 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

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

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 $42 - $49 31%
Ambetter / Centene $42 - $344 31%
Amish Mennonite $42 - $49 31%
Ascension St. Vincent Public Safety Medical $42 - $49 31%
Bcccp-Michigan $42 - $49 31%
Bccp $42 - $49 31%
Blue Cross Blue Shield $42 - $217 31%
Bmc Healthnet $42 - $49 31%
Breast Grant-Connecticut $42 - $49 31%
Broward County Dept Of Health $42 - $49 31%
California Health And Wellness $42 - $49 31%
Can Community Health Inc $42 - $49 31%
Cardinal Innovations Lme $42 - $49 31%
Care Connections Of Northern Iowa $42 - $49 31%
Care Oregon Ohp $42 - $49 31%
Cencal Health Plan $42 - $49 31%
Cenpatico $42 - $49 31%
Chhuny $42 - $49 31%
Childrens Comm Health Plan $42 - $49 31%
Childrens Medical Services Title 19 $42 - $49 31%
Cigna $42 - $165 31%
City Of Philadelphia $42 - $49 31%
Cmh Allegan County $42 - $49 31%
Cmh Ausable Valley $42 - $49 31%
Cmh Barry County $42 - $49 31%
Cmh Bay-Arenac County $42 - $49 31%
Cmh Berrien County $42 - $49 31%
Cmh Cass County $42 - $49 31%
Cmh Central Mi County $42 - $49 31%
Cmh Clinton-Eaton-Ingham County $42 - $49 31%
Cmh Detroit Wayne Integrated Health Network $42 - $49 31%
Cmh Genesee County $42 - $49 31%
Cmh Ionia County $42 - $49 31%
Cmh Jackson County/Lifeways $42 - $49 31%
Cmh Kalamazoo $42 - $49 31%
Cmh Kent County $42 - $49 31%
Cmh Lenawee County $42 - $49 31%
Cmh Livingston County $42 - $49 31%
Cmh Macomb $42 - $49 31%
Cmh Misc $42 - $49 31%
Cmh Monroe County $42 - $49 31%
Cmh Montcalm County $42 - $49 31%
Cmh Muskegon County $42 - $49 31%
Cmh Newaygo County $42 - $49 31%
Cmh North Country $42 - $49 31%
Cmh Northern Lakes County $42 - $49 31%
Cmh Oakland County $42 - $49 31%
Cmh Ottawa County $42 - $49 31%
Cmh Van Buren County $42 - $49 31%
Cmh Washtenaw County $42 - $49 31%
Cmh Wayne County/Carelink $42 - $49 31%
Cmh Wayne Cty/Com Liv Svcs $42 - $49 31%
Cmh West Mi County $42 - $49 31%
Community Benefit Health $42 - $49 31%
Community Care Behavorial Health $42 - $49 31%
Community Care Partners $42 - $49 31%
Community Health Choice $42 - $49 31%
Connections Csp $42 - $49 31%
County Coroner $42 - $49 31%
County Funding Generic $42 - $49 31%
Covid19 Hrsa Uninsured Testing And Treatment Fund $42 - $49 31%
Dean Wi Badgercare $42 - $49 31%
Delaware County Department Of Health $42 - $49 31%
Delaware First Health $42 - $49 31%
Delta Dental Nj $42 - $49 31%
Dph Tb Program $42 - $49 31%
Dscc $42 - $49 31%
Eastpointe Lme $42 - $49 31%
Family Health Network $42 - $49 31%
Freedom First Healthcare $42 - $49 31%
Fresno County Ccs $42 - $49 31%
Ghc Scw Wi Badgercare $42 - $49 31%
Harbor Health $42 - $49 31%
Health Safety Net $42 - $49 31%
Healthy Blue Ne $42 - $49 31%
Hennepin Health $42 - $49 31%
Humana $42 - $129 31%
Id County Ada $42 - $49 31%
Id County Canyon $42 - $49 31%
Id County Cat Fund $42 - $49 31%
Id County Other $42 - $49 31%
Id County Payette $42 - $49 31%
Idaho Dept Health And Wellfare $42 - $49 31%
Idaho Womens Health Check $42 - $49 31%
Indiana Breast Cervical Cancer $42 - $49 31%
Inland Empire Health Plan $42 - $49 31%
Intercommunity Health Ohp $42 - $49 31%
Jai Medical System $42 - $49 31%
Kern Family Health Plan $42 - $49 31%
Keystone First $42 - $49 31%
Keystone First Chip $42 - $49 31%
La Care Health Plan $42 - $49 31%
Lakeland Care Inc $42 - $49 31%
Managed Health Services - Indiana $42 - $49 31%
Maryland Breast & Cervical Program $42 - $49 31%
Maryland Healthy Smiles - Scion Dental $42 - $49 31%
Maryland Physicians Care $42 - $49 31%
Massachusetts Behavioral Health Partnership $42 - $49 31%
Mdwise $42 - $49 31%
Medi-Cal $42 - $49 31%
Medi-Cal Healthnet $42 - $49 31%
Medicaid / KanCare $42 - $207 31%
Medstar Dc Healthy Family $42 - $49 31%
Medstar Md Health Choice $42 - $49 31%
Mo Home State Health Plan $42 - $49 31%
Molina Centennial Care $42 - $49 31%
Nascentia Health Options $42 - $49 31%
New York Cancer Services Program $42 - $49 31%
Nextlevel Health $42 - $49 31%
Oregon Screenwise $42 - $49 31%
Pace Of Southwest Michigan $42 - $79 31%
Paramount Advantage $42 - $49 31%
Parkland Community Health Plan $42 - $49 31%
Partners Behavioral Lme $42 - $49 31%
Peach State Healthplan $42 - $49 31%
Philadelphia County Funding $42 - $49 31%
Presbyterian Centennial Care $42 - $49 31%
Prestige Health Choice $42 - $49 31%
Priority Partners $42 - $49 31%
Robert F Sing Program $42 - $49 31%
Rx 340B Pass Along $42 - $49 31%
Rx Assistance/Rx Manufacturer Assistance 0 Copay $42 - $49 31%
Rx Medi-Cal $42 - $49 31%
Rx Meridian Rx $42 - $49 31%
Ryan White Florida Mssrp $42 - $49 31%
Sandhills Center Lme $42 - $49 31%
Screening For Life $42 - $49 31%
St Joseph County Hlth Dpt $42 - $49 31%
Sunshine State Health Plan $42 - $49 31%
Superior Health $42 - $49 31%
Tenncare $42 - $49 31%
Texas Children'S Health Plan $42 - $49 31%
Trillium Community Ohp $42 - $49 31%
Tufts Health Public Plans $42 - $49 31%
UnitedHealthcare $42 - $168 31%
Vaya Health Lme $42 - $49 31%
Washtenaw Health Plan $42 - $49 31%
Wellsense Health Plan $42 - $49 31%
Wi Womens Wellness $42 - $49 31%
Iowa Total Care $43 - $204 32%
Wellpoint $43 - $51 32%
Aetna $66 - $209 49%
Align Senior Care $67 - $79 49%
Ally Align Care Adv $67 - $79 49%
American Health Advantage Of Idaho $67 - $79 49%
Aurora Special Needs $67 - $79 49%
Blue Care Network Advantage $67 - $79 49%
Blue Shield - De (Highmark) Medciare Advantage $67 - $79 49%
Care Dimensions $67 - $79 49%
Care Improvement Plus $67 - $79 49%
Care Resources Pace $67 - $79 49%
Careplus Health Plans $67 - $79 49%
Cca - Zing Health $67 - $79 49%
Cca Senior Care Options $67 - $79 49%
Central Valley Medical Services Corp Pace $67 - $79 49%
Champion Health Plan Mcr Advantage $67 - $79 49%
Clear Spring Health $67 - $79 49%
Clover Health $67 - $79 49%
Commonwealth Care Alliance $67 - $79 49%
Community Pace At Home $67 - $79 49%
Eddy Senior Care-Pace $67 - $79 49%
Eddy Seniorcare Pace $67 - $79 49%
Elementcare $67 - $79 49%
Evercare $67 - $79 49%
Everence $67 - $79 49%
Gateway Health Plan $67 - $79 49%
Geha $67 - $168 49%
Genesys Pace Of Genesee County $67 - $79 49%
Georgia Health Advantage $67 - $79 49%
Gold Advantage $67 - $79 49%
Gpa Croell Redi Mix $67 - $79 49%
Health America Advantra $67 - $79 49%
Highmark Health Options Dual Plan $67 - $79 49%
Hope Select Pace $67 - $79 49%
Horizon Nj Total Care $67 - $79 49%
Hudson Headwaters Pace $67 - $79 49%
Huron Valley Pace $67 - $79 49%
Innovative Integrated Health Community Plans $67 - $79 49%
Johns Hopkins Advantage Md $67 - $79 49%
Lasso Healthcare Msa $67 - $79 49%
Life St Marys Pace $67 - $79 49%
Lifecircles Pace $67 - $79 49%
Longevity Health Plan $67 - $79 49%
Longevity Ipa Of Michigan Llc Health Plan Isnp $67 - $79 49%
Martins Point Generations Advantage $67 - $79 49%
Mass General Brigham Mcr Adv $67 - $79 49%
Medicare (plans) $67 - $84 49%
Medipak Advantage $67 - $79 49%
Mercy Life $67 - $79 49%
Mercyone Cedar Valley $67 - $79 49%
Meridian Complete $67 - $79 49%
Michigan Complete Health $67 - $79 49%
Nascentia Health Plus $67 - $79 49%
New Centry Health Careplus $67 - $79 49%
Osu Prime Care Advantage $67 - $79 49%
Pace Cny $67 - $79 49%
Pace Iowa Immanuel Pathways $67 - $79 49%
Pace Southeast $67 - $79 49%
Pace-Trinity Health $67 - $79 49%
Peak Pace Solutions $67 - $79 49%
Perennial Advantage $67 - $79 49%
Preferred Care Partners $67 - $79 49%
Presbyterian Senior Plan $67 - $79 49%
Provider Partners Health Plan Of Illinois $67 - $79 49%
Provider Partners Health Plan Of Indiana $67 - $79 49%
Pruitthealth Premier $67 - $79 49%
Reliance Community Care Partners Care Resources Pace $67 - $79 49%
Rx Allwin $67 - $79 49%
Rx Grane Grnmedd $67 - $79 49%
Rx Retiree Rx Care $67 - $79 49%
Scan Health Plan Mcr Ipa Meritage Oon $67 - $79 49%
Secure Horizons Ma Pffs $67 - $79 49%
Serenity Pace $67 - $79 49%
Siouxland Pace $67 - $79 49%
Solis Health Plans $67 - $79 49%
Sunnyview-Pace Finance Dept $67 - $79 49%
Texan Plus $67 - $79 49%
The Health Plan $67 - $79 49%
Thome Pace $67 - $79 49%
Todays Options $67 - $79 49%
Tribute Health Plans $67 - $79 49%
Um Health Advantage $67 - $79 49%
Union Health Service $67 - $79 49%
Welbe Health $67 - $79 49%
Wellmed $67 - $79 49%
Veterans Administration $68 - $80 50%
American Health Plan $70 - $83 52%
Iowa Health Advantage $70 - $83 52%
Nebraska Total Care $75 55%
Champva $76 - $89 56%
Tricare $76 - $89 56%
Triwest Health Alliance $76 - $89 56%
Us Family Health Plan $76 - $89 56%
Veterans Eval Services $76 - $89 56%
Wc Corvel $76 56%
Amps $87 - $108 64%
Iowa Dept Of Public Health $89 66%
Amish Hospital Aid $91 - $107 67%
Naphcare $92 - $108 68%
Naphcare Correctional $92 - $108 68%
Avera $104 - $122 77%
Medical Associates $114 - $134 84%
Preferred Health Choice $114 - $134 84%
Sanford Health Plan $115 - $135 85%
Bcn Domestic $117 - $217 86%
Blue Benefit Administrators Of Massachusetts $117 - $217 86%
Blue Care Network $117 - $217 86%
Blue Distinction Transplant $117 - $217 86%
Blue Shield - Ca $117 - $217 86%
Blue Shield - Id (Regence) $117 - $217 86%
Blue Shield - Ny Highmark Northeastern $117 - $217 86%
Blue Shield - Ny Highmark Western $117 - $217 86%
Blue Shield - Pa (Highmark) $117 - $217 86%
Blue Shield - Wa (Regence) $117 - $217 86%
Health Choices $117 - $165 86%
Kaiser Domestic $117 - $217 86%
Pre-Employment $117 - $217 86%
Wc Domestic $117 - $217 86%
Ucare $121 - $143 89%
Lucent Health $123 - $145 91%
Oscar $123 - $148 91%
Health Partners $126 - $183 93%
Health Smart $126 - $149 93%
Usa Managed Care $132 - $156 97%
Centivo $133 - $157 98%
Newton Correctional Facility $136 100%
Stephenson Cty Health $142 105%
Claimdoc $143 - $168 105%
The Alliance $143 - $169 105%
Meritain $152 - $179 112%
Global Excel $154 - $182 114%
Genex Wc $157 116%
Velocity $160 - $189 118%
Nova $162 119%
Allied Benefit Systems $165 122%
Auxiant $165 122%
First Choice Health $165 122%
Group Administrators $165 122%
Midlands $165 122%
Midlands Choice $165 122%
Preferred One $166 - $195 122%
Wc Align Network $167 123%
Wc Praxis Health Network $178 131%
Wc Reny Company $182 134%
Wc Velocity $182 134%
Auto Velocity $188 139%
Wc O'Hara Corp $188 139%
Multiplan $201 148%
Andrie Inc $209 154%
East Greenbush Central School District $209 154%
Healthsmart Workers Comp $209 154%
Jag Source $209 154%
New York State Insurance Fund $209 154%
Njm Insurance Group $209 154%
Quiktrip $209 154%
Rx Heatlhcomp $209 154%
Rx Restat $209 154%
Rx Saif Opdp Wc $209 154%
Rx Worker'S Comp $209 154%
Wc Accident Fund $209 154%
Wc Ace $209 154%
Wc Acs Federal Employees $209 154%
Wc Acuity $209 154%
Wc Advantage $209 154%
Wc Aegis $209 154%
Wc Aig $209 154%
Wc Aims $209 154%
Wc Alaska National Ins $209 154%
Wc Allied $209 154%
Wc Am Trust N America $209 154%
Wc American Claims Mgmt $209 154%
Wc Amerisure $209 154%
Wc Amtrust $209 154%
Wc Asu Risk Mgt $209 154%
Wc Benetech $209 154%
Wc Berkley Admin $209 154%
Wc Broadspire $209 154%
Wc Broward County $209 154%
Wc Bunch & Associates $209 154%
Wc California State Comp Ins $209 154%
Wc California State Ins Fund $209 154%
Wc Capitol Area Health Consortium $209 154%
Wc Ccmsi $209 154%
Wc Chartis $209 154%
Wc Chubb $209 154%
Wc Cirma $209 154%
Wc City Of Albany $209 154%
Wc City Of Sioux City $209 154%
Wc Claims Mgmt Inc $209 154%
Wc Cna $209 154%
Wc Comp One Admin C/O Manageability $209 154%
Wc Compone Admin $209 154%
Wc Ct Healthcare Trust $209 154%
Wc Donegal Insurance Group $209 154%
Wc Emc Insurance Company $209 154%
Wc Employee Mutual $209 154%
Wc Enablecomp $209 154%
Wc Encore Health Network $209 154%
Wc Erie $209 154%
Wc Esis $209 154%
Wc Evolutions $209 154%
Wc Fcci $209 154%
Wc Fed Ex $209 154%
Wc Federal Black Lung $209 154%
Wc Federated $209 154%
Wc Finley Occupational Health $209 154%
Wc First Agency/Occunet $209 154%
Wc Ford Motor $209 154%
Wc Fresno Unified Emp $209 154%
Wc Gallagher Bassett $209 154%
Wc General Motors $209 154%
Wc Generic $209 154%
Wc Genex Care For Ohio $209 154%
Wc Great West Casualty $209 154%
Wc Guarantee Insurance $209 154%
Wc Guard Insurance Company $209 154%
Wc Hab $209 154%
Wc Hartford $209 154%
Wc Hastings $209 154%
Wc Health Management $209 154%
Wc Heritage Summit $209 154%
Wc Hireright $209 154%
Wc Horizon $209 154%
Wc Icw Group $209 154%
Wc Idaho State Ins Fund $209 154%
Wc Intercare Insurance $209 154%
Wc Intermountain $209 154%
Wc Johns Eastern $209 154%
Wc Kemberton $209 154%
Wc Key Ins & Benefit Solutions $209 154%
Wc Liberty Mutual $209 154%
Wc Mac Risk Management $209 154%
Wc Massachusetts $209 154%
Wc Mdia $209 154%
Wc Meadowbrook Claim $209 154%
Wc Medical Administrators $209 154%
Wc Meijers $209 154%
Wc Memic $209 154%
Wc Mercy Workcare $209 154%
Wc Michigan $209 154%
Wc Michigan Millers Mutual $209 154%
Wc Mitchell Frankenmuth $209 154%
Wc Mra $209 154%
Wc Nationwide $209 154%
Wc Nca Comp $209 154%
Wc New York $209 154%
Wc New York Special Funds $209 154%
Wc North American Rishces $209 154%
Wc Northeast Health $209 154%
Wc Notre Dame $209 154%
Wc Novanet $209 154%
Wc Occ Health Allen $209 154%
Wc Ohio Bureau $209 154%
Wc One Call Medical $209 154%
Wc Paradigm $209 154%
Wc Peerless $209 154%
Wc Pma $209 154%
Wc Price Chopper $209 154%
Wc Procura Management $209 154%
Wc Qualcare $209 154%
Wc Quiktrip $209 154%
Wc Rev Claims $209 154%
Wc Risico $209 154%
Wc Rural Mutual $209 154%
Wc Saif Oregon $209 154%
Wc Secura $209 154%
Wc Sedgwick $209 154%
Wc Sentry $209 154%
Wc Sheakley Unicomp $209 154%
Wc Smile Lodge $209 154%
Wc Society $209 154%
Wc Srs $209 154%
Wc Taconic (Mro) $209 154%
Wc Taconic Farms $209 154%
Wc Travelers $209 154%
Wc Triad Group $209 154%
Wc Tristar $209 154%
Wc Troy Ny $209 154%
Wc Tyson $209 154%
Wc Unified Health Services $209 154%
Wc United Heartland $209 154%
Wc Us Dept Of Labor $209 154%
Wc Walmart $209 154%
Wc West Bend $209 154%
Wc West Bend Mutual/Argent $209 154%
Wc Winnebago Industries $209 154%
Wc Yankee Trails $209 154%
Wc York Risk $209 154%
Wc Zenith $209 154%
Wc Zurich $209 154%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

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