CMS Price Transparency Data

Orthotic fitting and training

Facility: Mercyone Waterloo Medical Center

Billing Code: 97760 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$39
about 0.8× the $46 Medicare rate · typically $39–$50
modeled estimate · not a bill or quote
What this hospital charges insurers
$43
About the fair price
about $4 over the fair price · 0.9× Medicare
Medicare pays $46 Fair price $39 This hospital $43 Cash price $165 Hospital's list price $170

How we calculate the fair BaseRate →

How this hospital compares to other IA hospitals

A typical price — 5 charge more and 3 charge less, among the 9 IA hospitals compared.

Cheapest $29 Priciest $46

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 Orthotic fitting and training is about $39 (about 0.8× the $46 Medicare rate). Mercyone Waterloo Medical Center charges insurers about $43, or about $165 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 $23 - $338 50%
Blue Cross Blue Shieldmajor $23 - $70 50%
Aetnamajor $31 - $302 67%
Cignamajor $23 - $240 50%
Humanamajor $23 - $69 50%
Kaiser Permanentemajor $70 152%
Ambetter (Centene) $23 - $74 50%
Clover Health $43 93%
GEHA $49 - $231 106%
Health Net $23 - $97 50%
HealthPartners $23 - $222 50%
Medica $121 - $240 263%
Medical Mutual $152 - $302 330%
Meridian $23 - $43 50%
Molina $23 50%
Oscar Health $59 - $67 128%
Paramount $23 50%
Presbyterian $23 - $43 50%
Sanford Health Plan $74 161%
Tufts Health Plan $23 50%
UCare $82 178%
WellMed $43 93%
WellSense $23 50%
+ 359 smaller / regional plans $23 - $338
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 17 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