CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: Mercyone Waterloo Medical Center

Billing Code: 97112 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97112
  • Insurance Median: $31
  • Cash Discount Price: $89
  • vs. Medicare Baseline: 0.95x Medicare
The contracted insurance negotiated median rate for a Physical therapy (neuromuscular re-education) at Mercyone Waterloo Medical Center is $31. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $89. Compared to the federal Medicare reimbursement reference rate of $32.73, this hospital’s rate is 0.95x the Medicare baseline. Located in 3421 West Ninth Street, Waterloo, IA.
Cash / Self-Pay
$89

Average discount available for prompt cash payment at this facility.

Insurance Median
$31

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$32.73

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $32.73 (100%)
Cash / Self-Pay: $89 (272%)
Insurance Median: $31 (95%)
Cash: $89 (272% of Medicare)
Ins. Median: $31 (95% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $32.73 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
Medicaid / KanCare $21 - $68 64%
Aetna $22 - $302 67%
Albany County Correctional Facility $23 70%
Ambetter / Centene $23 - $53 70%
Amish Mennonite $23 70%
Ascension St. Vincent Public Safety Medical $23 70%
Bcccp-Michigan $23 70%
Bccp $23 70%
Blue Cross Blue Shield $23 - $48 70%
Bmc Healthnet $23 70%
Breast Grant-Connecticut $23 70%
Broward County Dept Of Health $23 70%
California Health And Wellness $23 70%
Can Community Health Inc $23 70%
Cardinal Innovations Lme $23 70%
Care Connections Of Northern Iowa $23 70%
Care Oregon Ohp $23 70%
Cencal Health Plan $23 70%
Cenpatico $23 70%
Chhuny $23 70%
Childrens Comm Health Plan $23 70%
Childrens Medical Services Title 19 $23 70%
Cigna $23 - $97 70%
City Of Philadelphia $23 70%
Cmh Allegan County $23 70%
Cmh Ausable Valley $23 70%
Cmh Barry County $23 70%
Cmh Bay-Arenac County $23 70%
Cmh Berrien County $23 70%
Cmh Cass County $23 70%
Cmh Central Mi County $23 70%
Cmh Clinton-Eaton-Ingham County $23 70%
Cmh Detroit Wayne Integrated Health Network $23 70%
Cmh Genesee County $23 70%
Cmh Ionia County $23 70%
Cmh Jackson County/Lifeways $23 70%
Cmh Kalamazoo $23 70%
Cmh Kent County $23 70%
Cmh Lenawee County $23 70%
Cmh Livingston County $23 70%
Cmh Macomb $23 70%
Cmh Misc $23 70%
Cmh Monroe County $23 70%
Cmh Montcalm County $23 70%
Cmh Muskegon County $23 70%
Cmh Newaygo County $23 70%
Cmh North Country $23 70%
Cmh Northern Lakes County $23 70%
Cmh Oakland County $23 70%
Cmh Ottawa County $23 70%
Cmh Van Buren County $23 70%
Cmh Washtenaw County $23 70%
Cmh Wayne County/Carelink $23 70%
Cmh Wayne Cty/Com Liv Svcs $23 70%
Cmh West Mi County $23 70%
Community Benefit Health $23 70%
Community Care Behavorial Health $23 70%
Community Care Partners $23 70%
Community Health Choice $23 70%
Connections Csp $23 70%
County Coroner $23 70%
County Funding Generic $23 70%
Covid19 Hrsa Uninsured Testing And Treatment Fund $23 70%
Dean Wi Badgercare $23 70%
Delaware County Department Of Health $23 70%
Delaware First Health $23 70%
Delta Dental Nj $23 70%
Dph Tb Program $23 70%
Dscc $23 70%
Eastpointe Lme $23 70%
Family Health Network $23 70%
Freedom First Healthcare $23 70%
Fresno County Ccs $23 70%
Ghc Scw Wi Badgercare $23 70%
Harbor Health $23 70%
Health Safety Net $23 70%
Healthy Blue Ne $23 70%
Hennepin Health $23 70%
Humana $23 - $50 70%
Id County Ada $23 70%
Id County Canyon $23 70%
Id County Cat Fund $23 70%
Id County Other $23 70%
Id County Payette $23 70%
Idaho Dept Health And Wellfare $23 70%
Idaho Womens Health Check $23 70%
Indiana Breast Cervical Cancer $23 70%
Inland Empire Health Plan $23 70%
Intercommunity Health Ohp $23 70%
Iowa Total Care $23 - $26 70%
Jai Medical System $23 70%
Kern Family Health Plan $23 70%
Keystone First $23 70%
Keystone First Chip $23 70%
La Care Health Plan $23 70%
Lakeland Care Inc $23 70%
Managed Health Services - Indiana $23 70%
Maryland Breast & Cervical Program $23 70%
Maryland Healthy Smiles - Scion Dental $23 70%
Maryland Physicians Care $23 70%
Massachusetts Behavioral Health Partnership $23 70%
Mdwise $23 70%
Medi-Cal $23 70%
Medi-Cal Healthnet $23 70%
Medstar Dc Healthy Family $23 70%
Medstar Md Health Choice $23 70%
Mo Home State Health Plan $23 70%
Molina Centennial Care $23 70%
Nascentia Health Options $23 70%
New York Cancer Services Program $23 70%
Nextlevel Health $23 70%
Oregon Screenwise $23 70%
Pace Of Southwest Michigan $23 - $31 70%
Paramount Advantage $23 70%
Parkland Community Health Plan $23 70%
Partners Behavioral Lme $23 70%
Peach State Healthplan $23 70%
Philadelphia County Funding $23 70%
Presbyterian Centennial Care $23 70%
Prestige Health Choice $23 70%
Priority Partners $23 70%
Robert F Sing Program $23 70%
Rx 340B Pass Along $23 70%
Rx Assistance/Rx Manufacturer Assistance 0 Copay $23 70%
Rx Medi-Cal $23 70%
Rx Meridian Rx $23 70%
Ryan White Florida Mssrp $23 70%
Sandhills Center Lme $23 70%
Screening For Life $23 70%
St Joseph County Hlth Dpt $23 70%
Sunshine State Health Plan $23 70%
Superior Health $23 70%
Tenncare $23 70%
Texas Children'S Health Plan $23 70%
Trillium Community Ohp $23 70%
Tufts Health Public Plans $23 70%
UnitedHealthcare $23 - $231 70%
Vaya Health Lme $23 70%
Washtenaw Health Plan $23 70%
Wellpoint $23 70%
Wellsense Health Plan $23 70%
Wi Womens Wellness $23 70%
Champva $30 92%
Tricare $30 92%
Triwest Health Alliance $30 92%
Us Family Health Plan $30 92%
Veterans Eval Services $30 92%
Wc Corvel $30 92%
Align Senior Care $31 95%
Ally Align Care Adv $31 95%
American Health Advantage Of Idaho $31 95%
Amish Hospital Aid $31 - $42 95%
Aurora Special Needs $31 95%
Blue Care Network Advantage $31 95%
Blue Shield - De (Highmark) Medciare Advantage $31 95%
Care Dimensions $31 95%
Care Improvement Plus $31 95%
Care Resources Pace $31 95%
Careplus Health Plans $31 95%
Cca - Zing Health $31 95%
Cca Senior Care Options $31 95%
Central Valley Medical Services Corp Pace $31 95%
Champion Health Plan Mcr Advantage $31 95%
Clear Spring Health $31 95%
Clover Health $31 95%
Commonwealth Care Alliance $31 95%
Community Pace At Home $31 95%
Eddy Senior Care-Pace $31 95%
Eddy Seniorcare Pace $31 95%
Elementcare $31 95%
Evercare $31 95%
Everence $31 95%
Gateway Health Plan $31 95%
Genesys Pace Of Genesee County $31 95%
Georgia Health Advantage $31 95%
Gold Advantage $31 95%
Gpa Croell Redi Mix $31 95%
Health America Advantra $31 95%
Highmark Health Options Dual Plan $31 95%
Hope Select Pace $31 95%
Horizon Nj Total Care $31 95%
Hudson Headwaters Pace $31 95%
Huron Valley Pace $31 95%
Innovative Integrated Health Community Plans $31 95%
Johns Hopkins Advantage Md $31 95%
Lasso Healthcare Msa $31 95%
Life St Marys Pace $31 95%
Lifecircles Pace $31 95%
Longevity Health Plan $31 95%
Longevity Ipa Of Michigan Llc Health Plan Isnp $31 95%
Martins Point Generations Advantage $31 95%
Mass General Brigham Mcr Adv $31 95%
Medicare (plans) $31 - $33 95%
Medipak Advantage $31 95%
Mercy Life $31 95%
Mercyone Cedar Valley $31 95%
Meridian Complete $31 95%
Michigan Complete Health $31 95%
Nascentia Health Plus $31 95%
New Centry Health Careplus $31 95%
Osu Prime Care Advantage $31 95%
Pace Cny $31 95%
Pace Iowa Immanuel Pathways $31 95%
Pace Southeast $31 95%
Pace-Trinity Health $31 95%
Peak Pace Solutions $31 95%
Perennial Advantage $31 95%
Preferred Care Partners $31 95%
Presbyterian Senior Plan $31 95%
Provider Partners Health Plan Of Illinois $31 95%
Provider Partners Health Plan Of Indiana $31 95%
Pruitthealth Premier $31 95%
Reliance Community Care Partners Care Resources Pace $31 95%
Rx Allwin $31 95%
Rx Grane Grnmedd $31 95%
Rx Retiree Rx Care $31 95%
Scan Health Plan Mcr Ipa Meritage Oon $31 95%
Secure Horizons Ma Pffs $31 95%
Serenity Pace $31 95%
Siouxland Pace $31 95%
Solis Health Plans $31 95%
Sunnyview-Pace Finance Dept $31 95%
Texan Plus $31 95%
The Health Plan $31 95%
Thome Pace $31 95%
Todays Options $31 95%
Tribute Health Plans $31 95%
Um Health Advantage $31 95%
Union Health Service $31 95%
Veterans Administration $31 95%
Welbe Health $31 95%
Wellmed $31 95%
American Health Plan $32 98%
Health Choices $32 - $59 98%
Iowa Health Advantage $32 98%
Medical Associates $32 - $52 98%
Stephenson Cty Health $33 101%
Geha $35 - $231 107%
Newton Correctional Facility $39 - $44 119%
Amps $42 128%
Oscar $42 - $48 128%
Bcn Domestic $48 147%
Blue Benefit Administrators Of Massachusetts $48 147%
Blue Care Network $48 147%
Blue Distinction Transplant $48 147%
Blue Shield - Ca $48 147%
Blue Shield - Id (Regence) $48 147%
Blue Shield - Ny Highmark Northeastern $48 147%
Blue Shield - Ny Highmark Western $48 147%
Blue Shield - Pa (Highmark) $48 147%
Blue Shield - Wa (Regence) $48 147%
Kaiser Domestic $48 147%
Pre-Employment $48 147%
Wc Domestic $48 147%
Avera $49 150%
Wc Praxis Health Network $51 - $58 156%
Centivo $52 - $61 159%
Health Partners $52 - $90 159%
Sanford Health Plan $52 159%
Wc Reny Company $52 - $59 159%
Wc Velocity $52 - $59 159%
Auto Velocity $54 - $61 165%
Wc O'Hara Corp $54 - $61 165%
Lucent Health $56 - $302 171%
Health Smart $58 177%
Ucare $58 177%
Allied Benefit Systems $59 - $302 180%
Auxiant $59 - $97 180%
First Choice Health $59 180%
Group Administrators $59 180%
Midlands $59 - $97 180%
Midlands Choice $59 - $97 180%
Andrie Inc $60 - $68 183%
Claimdoc $60 - $65 183%
East Greenbush Central School District $60 - $68 183%
Genex Wc $60 - $68 183%
Global Excel $60 - $68 183%
Healthsmart Workers Comp $60 - $68 183%
Iowa Dept Of Public Health $60 - $137 183%
Jag Source $60 - $68 183%
Meritain $60 - $302 183%
Multiplan $60 - $68 183%
Nebraska Total Care $60 - $68 183%
New York State Insurance Fund $60 - $68 183%
Njm Insurance Group $60 - $68 183%
Preferred One $60 - $68 183%
Quiktrip $60 - $61 183%
Rx Heatlhcomp $60 - $68 183%
Rx Restat $60 - $68 183%
Rx Saif Opdp Wc $60 - $68 183%
Rx Worker'S Comp $60 - $68 183%
The Alliance $60 - $66 183%
Usa Managed Care $60 - $61 183%
Velocity $60 - $68 183%
Wc Accident Fund $60 - $68 183%
Wc Ace $60 - $68 183%
Wc Acs Federal Employees $60 - $68 183%
Wc Acuity $60 - $68 183%
Wc Advantage $60 - $68 183%
Wc Aegis $60 - $68 183%
Wc Aig $60 - $68 183%
Wc Aims $60 - $68 183%
Wc Alaska National Ins $60 - $68 183%
Wc Align Network $60 - $68 183%
Wc Allied $60 - $68 183%
Wc Am Trust N America $60 - $68 183%
Wc American Claims Mgmt $60 - $68 183%
Wc Amerisure $60 - $68 183%
Wc Amtrust $60 - $68 183%
Wc Asu Risk Mgt $60 - $68 183%
Wc Benetech $60 - $68 183%
Wc Berkley Admin $60 - $68 183%
Wc Broadspire $60 - $68 183%
Wc Broward County $60 - $68 183%
Wc Bunch & Associates $60 - $68 183%
Wc California State Comp Ins $60 - $68 183%
Wc California State Ins Fund $60 - $68 183%
Wc Capitol Area Health Consortium $60 - $68 183%
Wc Ccmsi $60 - $68 183%
Wc Chartis $60 - $68 183%
Wc Chubb $60 - $68 183%
Wc Cirma $60 - $68 183%
Wc City Of Albany $60 - $68 183%
Wc City Of Sioux City $60 - $68 183%
Wc Claims Mgmt Inc $60 - $68 183%
Wc Cna $60 - $68 183%
Wc Comp One Admin C/O Manageability $60 - $68 183%
Wc Compone Admin $60 - $68 183%
Wc Ct Healthcare Trust $60 - $68 183%
Wc Donegal Insurance Group $60 - $68 183%
Wc Emc Insurance Company $60 - $68 183%
Wc Employee Mutual $60 - $68 183%
Wc Enablecomp $60 - $68 183%
Wc Encore Health Network $60 - $68 183%
Wc Erie $60 - $68 183%
Wc Esis $60 - $68 183%
Wc Evolutions $60 - $68 183%
Wc Fcci $60 - $68 183%
Wc Fed Ex $60 - $68 183%
Wc Federal Black Lung $60 - $68 183%
Wc Federated $60 - $68 183%
Wc Finley Occupational Health $60 - $68 183%
Wc First Agency/Occunet $60 - $68 183%
Wc Ford Motor $60 - $68 183%
Wc Fresno Unified Emp $60 - $68 183%
Wc Gallagher Bassett $60 - $68 183%
Wc General Motors $60 - $68 183%
Wc Generic $60 - $68 183%
Wc Genex Care For Ohio $60 - $68 183%
Wc Great West Casualty $60 - $68 183%
Wc Guarantee Insurance $60 - $68 183%
Wc Guard Insurance Company $60 - $68 183%
Wc Hab $60 - $68 183%
Wc Hartford $60 - $68 183%
Wc Hastings $60 - $68 183%
Wc Health Management $60 - $68 183%
Wc Heritage Summit $60 - $68 183%
Wc Hireright $60 - $68 183%
Wc Horizon $60 - $68 183%
Wc Icw Group $60 - $68 183%
Wc Idaho State Ins Fund $60 - $68 183%
Wc Intercare Insurance $60 - $68 183%
Wc Intermountain $60 - $68 183%
Wc Johns Eastern $60 - $68 183%
Wc Kemberton $60 - $68 183%
Wc Key Ins & Benefit Solutions $60 - $68 183%
Wc Liberty Mutual $60 - $68 183%
Wc Mac Risk Management $60 - $68 183%
Wc Massachusetts $60 - $68 183%
Wc Mdia $60 - $68 183%
Wc Meadowbrook Claim $60 - $68 183%
Wc Medical Administrators $60 - $68 183%
Wc Meijers $60 - $68 183%
Wc Memic $60 - $68 183%
Wc Mercy Workcare $60 - $68 183%
Wc Michigan $60 - $68 183%
Wc Michigan Millers Mutual $60 - $68 183%
Wc Mitchell Frankenmuth $60 - $68 183%
Wc Mra $60 - $68 183%
Wc Nationwide $60 - $68 183%
Wc Nca Comp $60 - $68 183%
Wc New York $60 - $68 183%
Wc New York Special Funds $60 - $68 183%
Wc North American Rishces $60 - $68 183%
Wc Northeast Health $60 - $68 183%
Wc Notre Dame $60 - $68 183%
Wc Novanet $60 - $68 183%
Wc Occ Health Allen $60 - $68 183%
Wc Ohio Bureau $60 - $68 183%
Wc One Call Medical $60 - $68 183%
Wc Paradigm $60 - $68 183%
Wc Peerless $60 - $68 183%
Wc Pma $60 - $68 183%
Wc Price Chopper $60 - $68 183%
Wc Procura Management $60 - $68 183%
Wc Qualcare $60 - $68 183%
Wc Quiktrip $60 - $68 183%
Wc Rev Claims $60 - $68 183%
Wc Risico $60 - $68 183%
Wc Rural Mutual $60 - $68 183%
Wc Saif Oregon $60 - $68 183%
Wc Secura $60 - $68 183%
Wc Sedgwick $60 - $68 183%
Wc Sentry $60 - $68 183%
Wc Sheakley Unicomp $60 - $68 183%
Wc Smile Lodge $60 - $68 183%
Wc Society $60 - $68 183%
Wc Srs $60 - $68 183%
Wc Taconic (Mro) $60 - $68 183%
Wc Taconic Farms $60 - $68 183%
Wc Travelers $60 - $68 183%
Wc Triad Group $60 - $68 183%
Wc Tristar $60 - $68 183%
Wc Troy Ny $60 - $68 183%
Wc Tyson $60 - $68 183%
Wc Unified Health Services $60 - $68 183%
Wc United Heartland $60 - $68 183%
Wc Us Dept Of Labor $60 - $68 183%
Wc Walmart $60 - $68 183%
Wc West Bend $60 - $68 183%
Wc West Bend Mutual/Argent $60 - $68 183%
Wc Winnebago Industries $60 - $68 183%
Wc Yankee Trails $60 - $68 183%
Wc York Risk $60 - $68 183%
Wc Zenith $60 - $68 183%
Wc Zurich $60 - $68 183%
Nova $63 192%
Medica $97 296%
Asr Health Benefits $302 923%
Christian Brother Services $302 923%
Coventry $302 923%
First Health $302 923%
Luminare Health $302 923%
Medical Mutual $302 923%
Webtpa $302 923%

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