CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: Mercyone Waterloo Medical Center

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97140
  • Insurance Median: $26
  • Cash Discount Price: $78
  • vs. Medicare Baseline: 0.94x Medicare
The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at Mercyone Waterloo Medical Center is $26. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $78. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 0.94x the Medicare baseline. Located in 3421 West Ninth Street, Waterloo, IA.
Cash / Self-Pay
$78

Average discount available for prompt cash payment at this facility.

Insurance Median
$26

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$27.72

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $27.72 (100%)
Cash / Self-Pay: $78 (281%)
Insurance Median: $26 (94%)
Cash: $78 (281% of Medicare)
Ins. Median: $26 (94% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $27.72 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
Aetna $18 - $302 65%
Medicaid / KanCare $18 - $55 65%
Iowa Total Care $24 - $25 87%
Albany County Correctional Facility $25 90%
Ambetter / Centene $25 - $45 90%
Amish Mennonite $25 90%
Ascension St. Vincent Public Safety Medical $25 90%
Bcccp-Michigan $25 90%
Bccp $25 90%
Blue Cross Blue Shield $25 - $41 90%
Bmc Healthnet $25 90%
Breast Grant-Connecticut $25 90%
Broward County Dept Of Health $25 90%
California Health And Wellness $25 90%
Can Community Health Inc $25 90%
Cardinal Innovations Lme $25 90%
Care Connections Of Northern Iowa $25 90%
Care Oregon Ohp $25 90%
Cencal Health Plan $25 90%
Cenpatico $25 90%
Chhuny $25 90%
Childrens Comm Health Plan $25 90%
Childrens Medical Services Title 19 $25 90%
Cigna $25 - $145 90%
City Of Philadelphia $25 90%
Cmh Allegan County $25 90%
Cmh Ausable Valley $25 90%
Cmh Barry County $25 90%
Cmh Bay-Arenac County $25 90%
Cmh Berrien County $25 90%
Cmh Cass County $25 90%
Cmh Central Mi County $25 90%
Cmh Clinton-Eaton-Ingham County $25 90%
Cmh Detroit Wayne Integrated Health Network $25 90%
Cmh Genesee County $25 90%
Cmh Ionia County $25 90%
Cmh Jackson County/Lifeways $25 90%
Cmh Kalamazoo $25 90%
Cmh Kent County $25 90%
Cmh Lenawee County $25 90%
Cmh Livingston County $25 90%
Cmh Macomb $25 90%
Cmh Misc $25 90%
Cmh Monroe County $25 90%
Cmh Montcalm County $25 90%
Cmh Muskegon County $25 90%
Cmh Newaygo County $25 90%
Cmh North Country $25 90%
Cmh Northern Lakes County $25 90%
Cmh Oakland County $25 90%
Cmh Ottawa County $25 90%
Cmh Van Buren County $25 90%
Cmh Washtenaw County $25 90%
Cmh Wayne County/Carelink $25 90%
Cmh Wayne Cty/Com Liv Svcs $25 90%
Cmh West Mi County $25 90%
Community Benefit Health $25 90%
Community Care Behavorial Health $25 90%
Community Care Partners $25 90%
Community Health Choice $25 90%
Connections Csp $25 90%
County Coroner $25 90%
County Funding Generic $25 90%
Covid19 Hrsa Uninsured Testing And Treatment Fund $25 90%
Dean Wi Badgercare $25 90%
Delaware County Department Of Health $25 90%
Delaware First Health $25 90%
Delta Dental Nj $25 90%
Dph Tb Program $25 90%
Dscc $25 90%
Eastpointe Lme $25 90%
Family Health Network $25 90%
Freedom First Healthcare $25 90%
Fresno County Ccs $25 90%
Ghc Scw Wi Badgercare $25 90%
Harbor Health $25 90%
Health Safety Net $25 90%
Healthy Blue Ne $25 90%
Hennepin Health $25 90%
Humana $25 - $42 90%
Id County Ada $25 90%
Id County Canyon $25 90%
Id County Cat Fund $25 90%
Id County Other $25 90%
Id County Payette $25 90%
Idaho Dept Health And Wellfare $25 90%
Idaho Womens Health Check $25 90%
Indiana Breast Cervical Cancer $25 90%
Inland Empire Health Plan $25 90%
Intercommunity Health Ohp $25 90%
Jai Medical System $25 90%
Kern Family Health Plan $25 90%
Keystone First $25 90%
Keystone First Chip $25 90%
La Care Health Plan $25 90%
Lakeland Care Inc $25 90%
Managed Health Services - Indiana $25 90%
Maryland Breast & Cervical Program $25 90%
Maryland Healthy Smiles - Scion Dental $25 90%
Maryland Physicians Care $25 90%
Massachusetts Behavioral Health Partnership $25 90%
Mdwise $25 90%
Medi-Cal $25 90%
Medi-Cal Healthnet $25 90%
Medstar Dc Healthy Family $25 90%
Medstar Md Health Choice $25 90%
Mo Home State Health Plan $25 90%
Molina Centennial Care $25 90%
Nascentia Health Options $25 90%
New York Cancer Services Program $25 90%
Nextlevel Health $25 90%
Oregon Screenwise $25 90%
Pace Of Southwest Michigan $25 - $26 90%
Paramount Advantage $25 90%
Parkland Community Health Plan $25 90%
Partners Behavioral Lme $25 90%
Peach State Healthplan $25 90%
Philadelphia County Funding $25 90%
Presbyterian Centennial Care $25 90%
Prestige Health Choice $25 90%
Priority Partners $25 90%
Robert F Sing Program $25 90%
Rx 340B Pass Along $25 90%
Rx Assistance/Rx Manufacturer Assistance 0 Copay $25 90%
Rx Medi-Cal $25 90%
Rx Meridian Rx $25 90%
Ryan White Florida Mssrp $25 90%
Sandhills Center Lme $25 90%
Screening For Life $25 90%
St Joseph County Hlth Dpt $25 90%
Sunshine State Health Plan $25 90%
Superior Health $25 90%
Tenncare $25 90%
Texas Children'S Health Plan $25 90%
Trillium Community Ohp $25 90%
Tufts Health Public Plans $25 90%
UnitedHealthcare $25 - $231 90%
Vaya Health Lme $25 90%
Washtenaw Health Plan $25 90%
Wc Corvel $25 90%
Wellpoint $25 90%
Wellsense Health Plan $25 90%
Wi Womens Wellness $25 90%
Align Senior Care $26 94%
Ally Align Care Adv $26 94%
American Health Advantage Of Idaho $26 94%
Amish Hospital Aid $26 - $35 94%
Aurora Special Needs $26 94%
Blue Care Network Advantage $26 94%
Blue Shield - De (Highmark) Medciare Advantage $26 94%
Care Dimensions $26 94%
Care Improvement Plus $26 94%
Care Resources Pace $26 94%
Careplus Health Plans $26 94%
Cca - Zing Health $26 94%
Cca Senior Care Options $26 94%
Central Valley Medical Services Corp Pace $26 94%
Champion Health Plan Mcr Advantage $26 94%
Champva $26 94%
Clear Spring Health $26 94%
Clover Health $26 94%
Commonwealth Care Alliance $26 94%
Community Pace At Home $26 94%
Eddy Senior Care-Pace $26 94%
Eddy Seniorcare Pace $26 94%
Elementcare $26 94%
Evercare $26 94%
Everence $26 94%
Gateway Health Plan $26 94%
Genesys Pace Of Genesee County $26 94%
Georgia Health Advantage $26 94%
Gold Advantage $26 94%
Gpa Croell Redi Mix $26 94%
Health America Advantra $26 94%
Highmark Health Options Dual Plan $26 94%
Hope Select Pace $26 94%
Horizon Nj Total Care $26 94%
Hudson Headwaters Pace $26 94%
Huron Valley Pace $26 94%
Innovative Integrated Health Community Plans $26 94%
Johns Hopkins Advantage Md $26 94%
Lasso Healthcare Msa $26 94%
Life St Marys Pace $26 94%
Lifecircles Pace $26 94%
Longevity Health Plan $26 94%
Longevity Ipa Of Michigan Llc Health Plan Isnp $26 94%
Martins Point Generations Advantage $26 94%
Mass General Brigham Mcr Adv $26 94%
Medicare (plans) $26 - $28 94%
Medipak Advantage $26 94%
Mercy Life $26 94%
Mercyone Cedar Valley $26 94%
Meridian Complete $26 94%
Michigan Complete Health $26 94%
Nascentia Health Plus $26 94%
New Centry Health Careplus $26 94%
Osu Prime Care Advantage $26 94%
Pace Cny $26 94%
Pace Iowa Immanuel Pathways $26 94%
Pace Southeast $26 94%
Pace-Trinity Health $26 94%
Peak Pace Solutions $26 94%
Perennial Advantage $26 94%
Preferred Care Partners $26 94%
Presbyterian Senior Plan $26 94%
Provider Partners Health Plan Of Illinois $26 94%
Provider Partners Health Plan Of Indiana $26 94%
Pruitthealth Premier $26 94%
Reliance Community Care Partners Care Resources Pace $26 94%
Rx Allwin $26 94%
Rx Grane Grnmedd $26 94%
Rx Retiree Rx Care $26 94%
Scan Health Plan Mcr Ipa Meritage Oon $26 94%
Secure Horizons Ma Pffs $26 94%
Serenity Pace $26 94%
Siouxland Pace $26 94%
Solis Health Plans $26 94%
Sunnyview-Pace Finance Dept $26 94%
Texan Plus $26 94%
The Health Plan $26 94%
Thome Pace $26 94%
Todays Options $26 94%
Tribute Health Plans $26 94%
Tricare $26 94%
Triwest Health Alliance $26 94%
Um Health Advantage $26 94%
Union Health Service $26 94%
Us Family Health Plan $26 94%
Veterans Administration $26 94%
Veterans Eval Services $26 94%
Welbe Health $26 94%
Wellmed $26 94%
American Health Plan $27 97%
Iowa Health Advantage $27 97%
Geha $28 - $231 101%
Stephenson Cty Health $28 101%
Newton Correctional Facility $33 - $36 119%
Amps $36 130%
Oscar $36 - $41 130%
Avera $41 148%
Bcn Domestic $41 148%
Blue Benefit Administrators Of Massachusetts $41 148%
Blue Care Network $41 148%
Blue Distinction Transplant $41 148%
Blue Shield - Ca $41 148%
Blue Shield - Id (Regence) $41 148%
Blue Shield - Ny Highmark Northeastern $41 148%
Blue Shield - Ny Highmark Western $41 148%
Blue Shield - Pa (Highmark) $41 148%
Blue Shield - Wa (Regence) $41 148%
Health Choices $41 - $48 148%
Health Partners $41 - $134 148%
Kaiser Domestic $41 148%
Pre-Employment $41 148%
Wc Domestic $41 148%
Centivo $44 - $51 159%
Medical Associates $44 - $48 159%
Sanford Health Plan $44 159%
Wc Praxis Health Network $44 - $47 159%
Wc Reny Company $45 - $48 162%
Wc Velocity $45 - $48 162%
Auto Velocity $46 - $50 166%
Wc O'Hara Corp $46 - $50 166%
Allied Benefit Systems $47 - $302 170%
Auxiant $47 - $145 170%
First Choice Health $47 170%
Group Administrators $47 170%
Midlands $47 - $145 170%
Midlands Choice $47 - $145 170%
Lucent Health $48 - $302 173%
Health Smart $49 177%
Meritain $49 - $302 177%
Ucare $49 177%
Andrie Inc $51 - $55 184%
Claimdoc $51 - $55 184%
East Greenbush Central School District $51 - $55 184%
Genex Wc $51 - $55 184%
Global Excel $51 - $55 184%
Healthsmart Workers Comp $51 - $55 184%
Iowa Dept Of Public Health $51 - $204 184%
Jag Source $51 - $55 184%
Multiplan $51 - $55 184%
Nebraska Total Care $51 - $55 184%
New York State Insurance Fund $51 - $55 184%
Njm Insurance Group $51 - $55 184%
Preferred One $51 - $54 184%
Quiktrip $51 - $52 184%
Rx Heatlhcomp $51 - $55 184%
Rx Restat $51 - $55 184%
Rx Saif Opdp Wc $51 - $55 184%
Rx Worker'S Comp $51 - $55 184%
The Alliance $51 - $55 184%
Usa Managed Care $51 184%
Velocity $51 - $55 184%
Wc Accident Fund $51 - $55 184%
Wc Ace $51 - $55 184%
Wc Acs Federal Employees $51 - $55 184%
Wc Acuity $51 - $55 184%
Wc Advantage $51 - $55 184%
Wc Aegis $51 - $55 184%
Wc Aig $51 - $55 184%
Wc Aims $51 - $55 184%
Wc Alaska National Ins $51 - $55 184%
Wc Align Network $51 - $55 184%
Wc Allied $51 - $55 184%
Wc Am Trust N America $51 - $55 184%
Wc American Claims Mgmt $51 - $55 184%
Wc Amerisure $51 - $55 184%
Wc Amtrust $51 - $55 184%
Wc Asu Risk Mgt $51 - $55 184%
Wc Benetech $51 - $55 184%
Wc Berkley Admin $51 - $55 184%
Wc Broadspire $51 - $55 184%
Wc Broward County $51 - $55 184%
Wc Bunch & Associates $51 - $55 184%
Wc California State Comp Ins $51 - $55 184%
Wc California State Ins Fund $51 - $55 184%
Wc Capitol Area Health Consortium $51 - $55 184%
Wc Ccmsi $51 - $55 184%
Wc Chartis $51 - $55 184%
Wc Chubb $51 - $55 184%
Wc Cirma $51 - $55 184%
Wc City Of Albany $51 - $55 184%
Wc City Of Sioux City $51 - $55 184%
Wc Claims Mgmt Inc $51 - $55 184%
Wc Cna $51 - $55 184%
Wc Comp One Admin C/O Manageability $51 - $55 184%
Wc Compone Admin $51 - $55 184%
Wc Ct Healthcare Trust $51 - $55 184%
Wc Donegal Insurance Group $51 - $55 184%
Wc Emc Insurance Company $51 - $55 184%
Wc Employee Mutual $51 - $55 184%
Wc Enablecomp $51 - $55 184%
Wc Encore Health Network $51 - $55 184%
Wc Erie $51 - $55 184%
Wc Esis $51 - $55 184%
Wc Evolutions $51 - $55 184%
Wc Fcci $51 - $55 184%
Wc Fed Ex $51 - $55 184%
Wc Federal Black Lung $51 - $55 184%
Wc Federated $51 - $55 184%
Wc Finley Occupational Health $51 - $55 184%
Wc First Agency/Occunet $51 - $55 184%
Wc Ford Motor $51 - $55 184%
Wc Fresno Unified Emp $51 - $55 184%
Wc Gallagher Bassett $51 - $55 184%
Wc General Motors $51 - $55 184%
Wc Generic $51 - $55 184%
Wc Genex Care For Ohio $51 - $55 184%
Wc Great West Casualty $51 - $55 184%
Wc Guarantee Insurance $51 - $55 184%
Wc Guard Insurance Company $51 - $55 184%
Wc Hab $51 - $55 184%
Wc Hartford $51 - $55 184%
Wc Hastings $51 - $55 184%
Wc Health Management $51 - $55 184%
Wc Heritage Summit $51 - $55 184%
Wc Hireright $51 - $55 184%
Wc Horizon $51 - $55 184%
Wc Icw Group $51 - $55 184%
Wc Idaho State Ins Fund $51 - $55 184%
Wc Intercare Insurance $51 - $55 184%
Wc Intermountain $51 - $55 184%
Wc Johns Eastern $51 - $55 184%
Wc Kemberton $51 - $55 184%
Wc Key Ins & Benefit Solutions $51 - $55 184%
Wc Liberty Mutual $51 - $55 184%
Wc Mac Risk Management $51 - $55 184%
Wc Massachusetts $51 - $55 184%
Wc Mdia $51 - $55 184%
Wc Meadowbrook Claim $51 - $55 184%
Wc Medical Administrators $51 - $55 184%
Wc Meijers $51 - $55 184%
Wc Memic $51 - $55 184%
Wc Mercy Workcare $51 - $55 184%
Wc Michigan $51 - $55 184%
Wc Michigan Millers Mutual $51 - $55 184%
Wc Mitchell Frankenmuth $51 - $55 184%
Wc Mra $51 - $55 184%
Wc Nationwide $51 - $55 184%
Wc Nca Comp $51 - $55 184%
Wc New York $51 - $55 184%
Wc New York Special Funds $51 - $55 184%
Wc North American Rishces $51 - $55 184%
Wc Northeast Health $51 - $55 184%
Wc Notre Dame $51 - $55 184%
Wc Novanet $51 - $55 184%
Wc Occ Health Allen $51 - $55 184%
Wc Ohio Bureau $51 - $55 184%
Wc One Call Medical $51 - $55 184%
Wc Paradigm $51 - $55 184%
Wc Peerless $51 - $55 184%
Wc Pma $51 - $55 184%
Wc Price Chopper $51 - $55 184%
Wc Procura Management $51 - $55 184%
Wc Qualcare $51 - $55 184%
Wc Quiktrip $51 - $55 184%
Wc Rev Claims $51 - $55 184%
Wc Risico $51 - $55 184%
Wc Rural Mutual $51 - $55 184%
Wc Saif Oregon $51 - $55 184%
Wc Secura $51 - $55 184%
Wc Sedgwick $51 - $55 184%
Wc Sentry $51 - $55 184%
Wc Sheakley Unicomp $51 - $55 184%
Wc Smile Lodge $51 - $55 184%
Wc Society $51 - $55 184%
Wc Srs $51 - $55 184%
Wc Taconic (Mro) $51 - $55 184%
Wc Taconic Farms $51 - $55 184%
Wc Travelers $51 - $55 184%
Wc Triad Group $51 - $55 184%
Wc Tristar $51 - $55 184%
Wc Troy Ny $51 - $55 184%
Wc Tyson $51 - $55 184%
Wc Unified Health Services $51 - $55 184%
Wc United Heartland $51 - $55 184%
Wc Us Dept Of Labor $51 - $55 184%
Wc Walmart $51 - $55 184%
Wc West Bend $51 - $55 184%
Wc West Bend Mutual/Argent $51 - $55 184%
Wc Winnebago Industries $51 - $55 184%
Wc Yankee Trails $51 - $55 184%
Wc York Risk $51 - $55 184%
Wc Zenith $51 - $55 184%
Wc Zurich $51 - $55 184%
Nova $53 191%
Medica $145 523%
Asr Health Benefits $302 1089%
Christian Brother Services $302 1089%
Coventry $302 1089%
First Health $302 1089%
Luminare Health $302 1089%
Medical Mutual $302 1089%
Webtpa $302 1089%

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