CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Mercyone Waterloo Medical Center

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$149
about 0.8× the $181 Medicare rate · typically $134–$149
modeled estimate · not a bill or quote
What this hospital charges insurers
$150
About the fair price
about $1 over the fair price · 0.8× Medicare
Medicare pays $181 Fair price $149 This hospital $150 Cash price $467 Hospital's list price $618

How we calculate the fair BaseRate →

How this hospital compares to other IA hospitals

Highest price of the 9 IA hospitals we have prices for — worth calling around.

Cheapest $113 Priciest $150

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 Psychiatric evaluation (first visit) is about $149 (about 0.8× the $181 Medicare rate). Mercyone Waterloo Medical Center charges insurers about $150, or about $467 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 $100 - $1,040 55%
Blue Cross Blue Shieldmajor $100 - $181 55%
Aetnamajor $100 - $766 55%
Cignamajor $100 - $609 55%
Humanamajor $100 - $218 55%
Kaiser Permanentemajor $160 - $181 88%
Ambetter (Centene) $150 - $174 83%
Clover Health $100 55%
GEHA $287 - $1,040 158%
Health Net $150 - $377 83%
HealthPartners $150 - $563 83%
Medica $609 336%
Medical Mutual $766 422%
Meridian $100 - $150 55%
Molina $150 83%
Oscar Health $377 208%
Paramount $150 83%
Presbyterian $100 - $150 55%
Sanford Health Plan $165 91%
Tufts Health Plan $150 83%
UCare $180 99%
WellMed $100 55%
WellSense $150 83%
+ 357 smaller / regional plans $100 - $858
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.

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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