CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: Mercyone Waterloo Medical Center

Billing Code: 97112 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$31
about 0.9× the $33 Medicare rate · typically $27–$54
modeled estimate · not a bill or quote
What this hospital charges insurers
$31
About the fair price
0.9× Medicare
Medicare pays $33 Fair price $31 This hospital $31 Cash price $89 Hospital's list price $103

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 $26 Priciest $33

Black dot = this hospital, among the 9 IA hospitals with a price for this procedure. Full list below.

A fair price for a Physical therapy (neuromuscular re-education) is about $31 (about 0.9× the $33 Medicare rate). Mercyone Waterloo Medical Center charges insurers about $31, or about $89 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 - $231 70%
Blue Cross Blue Shieldmajor $23 - $48 70%
Aetnamajor $22 - $302 67%
Cignamajor $23 - $97 70%
Humanamajor $23 - $50 70%
Kaiser Permanentemajor $48 147%
Ambetter (Centene) $23 - $53 70%
Clover Health $31 95%
GEHA $35 - $231 107%
Health Net $23 - $68 70%
HealthPartners $23 - $90 70%
Medica $97 296%
Medical Mutual $302 923%
Meridian $23 - $31 70%
Molina $23 70%
Oscar Health $42 - $48 128%
Paramount $23 70%
Presbyterian $23 - $31 70%
Sanford Health Plan $52 159%
Tufts Health Plan $23 70%
UCare $58 177%
WellMed $31 95%
WellSense $23 70%
+ 359 smaller / regional plans $23 - $302
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 14 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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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