CMS Price Transparency Data

Psychological testing evaluation

Facility: Mercyone Waterloo Medical Center

Billing Code: 96136 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$26
about 0.2× the $136 Medicare rate · typically $25–$90
modeled estimate · not a bill or quote
What this hospital charges insurers
$30
Above the fair price
about $4 over the fair price · 0.2× Medicare
Medicare pays $136 Fair price $26 This hospital $30 Cash price $108 Hospital's list price $141

How we calculate the fair BaseRate →

How this hospital compares to other IA hospitals

One of the lower prices — 5 of 8 other IA hospitals charge more for the same procedure.

Cheapest $25 Priciest $45

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 Psychological testing evaluation is about $26 (about 0.2× the $136 Medicare rate). Mercyone Waterloo Medical Center charges insurers about $30, or about $108 in cash — above the fair price. Located in Waterloo, IA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $26. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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 $20 - $118 15%
Blue Cross Blue Shieldmajor $20 - $47 15%
Aetnamajor $20 - $141 15%
Cignamajor $20 - $60 15%
Humanamajor $20 - $46 15%
Kaiser Permanentemajor $38 - $45 28%
Ambetter (Centene) $30 - $46 22%
Clover Health $20 15%
GEHA $66 49%
Health Net $30 - $141 22%
HealthPartners $30 - $46 22%
Meridian $20 - $46 15%
Molina $30 - $46 22%
Oscar Health $40 29%
Paramount $30 - $46 22%
Presbyterian $20 - $46 15%
Sanford Health Plan $34 25%
Tufts Health Plan $30 - $46 22%
UCare $37 27%
WellMed $20 15%
WellSense $30 - $46 22%
+ 355 smaller / regional plans $18 - $141
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 12 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 3421 West Ninth Street, Waterloo, IA 50702
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals