CMS Price Transparency Data

Psychological testing evaluation

Facility: Mercyone Waterloo Medical Center

Billing Code: 96136 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 96136
  • Insurance Median: $46
  • Cash Discount Price: $108
  • vs. Medicare Baseline: 0.34x Medicare
The contracted insurance negotiated median rate for a Psychological testing evaluation at Mercyone Waterloo Medical Center is $46. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $108. Compared to the federal Medicare reimbursement reference rate of $135.93, this hospital’s rate is 0.34x the Medicare baseline. Located in 3421 West Ninth Street, Waterloo, IA.
Cash / Self-Pay
$108

Average discount available for prompt cash payment at this facility.

Insurance Median
$46

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$135.93

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $135.93 (100%)
Cash / Self-Pay: $108 (79%)
Insurance Median: $46 (34%)
Cash: $108 (79% of Medicare)
Ins. Median: $46 (34% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $135.93 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 $14 - $141 10%
American Health Plan $18 - $21 13%
Aetna $20 - $141 15%
Align Senior Care $20 15%
Ally Align Care Adv $20 15%
American Health Advantage Of Idaho $20 15%
Aurora Special Needs $20 15%
Blue Care Network Advantage $20 15%
Blue Cross Blue Shield $20 - $46 15%
Blue Shield - De (Highmark) Medciare Advantage $20 15%
Care Dimensions $20 15%
Care Improvement Plus $20 15%
Care Resources Pace $20 15%
Careplus Health Plans $20 15%
Cca - Zing Health $20 15%
Cca Senior Care Options $20 15%
Central Valley Medical Services Corp Pace $20 15%
Champion Health Plan Mcr Advantage $20 15%
Cigna $20 - $60 15%
Clear Spring Health $20 15%
Clover Health $20 15%
Commonwealth Care Alliance $20 15%
Community Pace At Home $20 15%
Eddy Senior Care-Pace $20 15%
Eddy Seniorcare Pace $20 15%
Elementcare $20 15%
Evercare $20 15%
Everence $20 15%
Gateway Health Plan $20 15%
Genesys Pace Of Genesee County $20 15%
Georgia Health Advantage $20 15%
Gold Advantage $20 15%
Gpa Croell Redi Mix $20 15%
Health America Advantra $20 15%
Highmark Health Options Dual Plan $20 15%
Hope Select Pace $20 15%
Horizon Nj Total Care $20 15%
Hudson Headwaters Pace $20 15%
Humana $20 - $46 15%
Huron Valley Pace $20 15%
Innovative Integrated Health Community Plans $20 15%
Johns Hopkins Advantage Md $20 15%
Lasso Healthcare Msa $20 15%
Life St Marys Pace $20 15%
Lifecircles Pace $20 15%
Longevity Health Plan $20 15%
Longevity Ipa Of Michigan Llc Health Plan Isnp $20 15%
Martins Point Generations Advantage $20 15%
Mass General Brigham Mcr Adv $20 15%
Medicare (plans) $20 - $22 15%
Medipak Advantage $20 15%
Mercy Life $20 15%
Mercyone Cedar Valley $20 15%
Meridian Complete $20 15%
Michigan Complete Health $20 15%
Nascentia Health Plus $20 15%
New Centry Health Careplus $20 15%
Osu Prime Care Advantage $20 15%
Pace Cny $20 15%
Pace Iowa Immanuel Pathways $20 15%
Pace Of Southwest Michigan $20 - $46 15%
Pace Southeast $20 15%
Pace-Trinity Health $20 15%
Peak Pace Solutions $20 15%
Perennial Advantage $20 15%
Preferred Care Partners $20 15%
Presbyterian Senior Plan $20 15%
Provider Partners Health Plan Of Illinois $20 15%
Provider Partners Health Plan Of Indiana $20 15%
Pruitthealth Premier $20 15%
Reliance Community Care Partners Care Resources Pace $20 15%
Rx Allwin $20 15%
Rx Grane Grnmedd $20 15%
Rx Retiree Rx Care $20 15%
Scan Health Plan Mcr Ipa Meritage Oon $20 15%
Secure Horizons Ma Pffs $20 15%
Serenity Pace $20 15%
Siouxland Pace $20 15%
Solis Health Plans $20 15%
Sunnyview-Pace Finance Dept $20 15%
Texan Plus $20 15%
The Health Plan $20 15%
Thome Pace $20 15%
Todays Options $20 15%
Tribute Health Plans $20 15%
Um Health Advantage $20 15%
Union Health Service $20 15%
UnitedHealthcare $20 - $118 15%
Wc Corvel $20 15%
Welbe Health $20 15%
Wellmed $20 15%
Iowa Health Advantage $21 15%
Veterans Administration $21 15%
Amps $22 - $28 16%
Champva $22 16%
Tricare $22 16%
Triwest Health Alliance $22 16%
Us Family Health Plan $22 16%
Veterans Eval Services $22 16%
Amish Hospital Aid $28 21%
Albany County Correctional Facility $30 - $46 22%
Ambetter / Centene $30 - $46 22%
Amish Mennonite $30 - $46 22%
Ascension St. Vincent Public Safety Medical $30 - $46 22%
Bcccp-Michigan $30 - $46 22%
Bccp $30 - $46 22%
Bmc Healthnet $30 - $46 22%
Breast Grant-Connecticut $30 - $46 22%
Broward County Dept Of Health $30 - $46 22%
California Health And Wellness $30 - $46 22%
Can Community Health Inc $30 - $46 22%
Cardinal Innovations Lme $30 - $46 22%
Care Connections Of Northern Iowa $30 - $46 22%
Care Oregon Ohp $30 - $46 22%
Cencal Health Plan $30 - $46 22%
Cenpatico $30 - $46 22%
Chhuny $30 - $46 22%
Childrens Comm Health Plan $30 - $46 22%
Childrens Medical Services Title 19 $30 - $46 22%
City Of Philadelphia $30 - $46 22%
Cmh Allegan County $30 - $46 22%
Cmh Ausable Valley $30 - $46 22%
Cmh Barry County $30 - $46 22%
Cmh Bay-Arenac County $30 - $46 22%
Cmh Berrien County $30 - $46 22%
Cmh Cass County $30 - $46 22%
Cmh Central Mi County $30 - $46 22%
Cmh Clinton-Eaton-Ingham County $30 - $46 22%
Cmh Detroit Wayne Integrated Health Network $30 - $46 22%
Cmh Genesee County $30 - $46 22%
Cmh Ionia County $30 - $46 22%
Cmh Jackson County/Lifeways $30 - $46 22%
Cmh Kalamazoo $30 - $46 22%
Cmh Kent County $30 - $46 22%
Cmh Lenawee County $30 - $46 22%
Cmh Livingston County $30 - $46 22%
Cmh Macomb $30 - $46 22%
Cmh Misc $30 - $46 22%
Cmh Monroe County $30 - $46 22%
Cmh Montcalm County $30 - $46 22%
Cmh Muskegon County $30 - $46 22%
Cmh Newaygo County $30 - $46 22%
Cmh North Country $30 - $46 22%
Cmh Northern Lakes County $30 - $46 22%
Cmh Oakland County $30 - $46 22%
Cmh Ottawa County $30 - $46 22%
Cmh Van Buren County $30 - $46 22%
Cmh Washtenaw County $30 - $46 22%
Cmh Wayne County/Carelink $30 - $46 22%
Cmh Wayne Cty/Com Liv Svcs $30 - $46 22%
Cmh West Mi County $30 - $46 22%
Community Benefit Health $30 - $46 22%
Community Care Behavorial Health $30 - $46 22%
Community Care Partners $30 - $46 22%
Community Health Choice $30 - $46 22%
Connections Csp $30 - $46 22%
County Coroner $30 - $46 22%
County Funding Generic $30 - $46 22%
Covid19 Hrsa Uninsured Testing And Treatment Fund $30 - $46 22%
Dean Wi Badgercare $30 - $46 22%
Delaware County Department Of Health $30 - $46 22%
Delaware First Health $30 - $46 22%
Delta Dental Nj $30 - $46 22%
Dph Tb Program $30 - $46 22%
Dscc $30 - $46 22%
Eastpointe Lme $30 - $46 22%
Family Health Network $30 - $46 22%
Freedom First Healthcare $30 - $46 22%
Fresno County Ccs $30 - $46 22%
Ghc Scw Wi Badgercare $30 - $46 22%
Harbor Health $30 - $46 22%
Health Safety Net $30 - $46 22%
Healthy Blue Ne $30 - $46 22%
Hennepin Health $30 - $46 22%
Id County Ada $30 - $46 22%
Id County Canyon $30 - $46 22%
Id County Cat Fund $30 - $46 22%
Id County Other $30 - $46 22%
Id County Payette $30 - $46 22%
Idaho Dept Health And Wellfare $30 - $46 22%
Idaho Womens Health Check $30 - $46 22%
Indiana Breast Cervical Cancer $30 - $46 22%
Inland Empire Health Plan $30 - $46 22%
Intercommunity Health Ohp $30 - $46 22%
Iowa Total Care $30 - $47 22%
Jai Medical System $30 - $46 22%
Kern Family Health Plan $30 - $46 22%
Keystone First $30 - $46 22%
Keystone First Chip $30 - $46 22%
La Care Health Plan $30 - $46 22%
Lakeland Care Inc $30 - $46 22%
Managed Health Services - Indiana $30 - $46 22%
Maryland Breast & Cervical Program $30 - $46 22%
Maryland Healthy Smiles - Scion Dental $30 - $46 22%
Maryland Physicians Care $30 - $46 22%
Massachusetts Behavioral Health Partnership $30 - $46 22%
Mdwise $30 - $46 22%
Medi-Cal $30 - $46 22%
Medi-Cal Healthnet $30 - $46 22%
Medstar Dc Healthy Family $30 - $46 22%
Medstar Md Health Choice $30 - $46 22%
Mo Home State Health Plan $30 - $46 22%
Molina Centennial Care $30 - $46 22%
Nascentia Health Options $30 - $46 22%
New York Cancer Services Program $30 - $46 22%
Nextlevel Health $30 - $46 22%
Oregon Screenwise $30 - $46 22%
Paramount Advantage $30 - $46 22%
Parkland Community Health Plan $30 - $46 22%
Partners Behavioral Lme $30 - $46 22%
Peach State Healthplan $30 - $46 22%
Philadelphia County Funding $30 - $46 22%
Presbyterian Centennial Care $30 - $46 22%
Prestige Health Choice $30 - $46 22%
Priority Partners $30 - $46 22%
Robert F Sing Program $30 - $46 22%
Rx 340B Pass Along $30 - $46 22%
Rx Assistance/Rx Manufacturer Assistance 0 Copay $30 - $46 22%
Rx Medi-Cal $30 - $46 22%
Rx Meridian Rx $30 - $46 22%
Ryan White Florida Mssrp $30 - $46 22%
Sandhills Center Lme $30 - $46 22%
Screening For Life $30 - $46 22%
St Joseph County Hlth Dpt $30 - $46 22%
Sunshine State Health Plan $30 - $46 22%
Superior Health $30 - $46 22%
Tenncare $30 - $46 22%
Texas Children'S Health Plan $30 - $46 22%
Trillium Community Ohp $30 - $46 22%
Tufts Health Public Plans $30 - $46 22%
Vaya Health Lme $30 - $46 22%
Washtenaw Health Plan $30 - $46 22%
Wellpoint $30 - $47 22%
Wellsense Health Plan $30 - $46 22%
Wi Womens Wellness $30 - $46 22%
Avera $31 23%
Sanford Health Plan $34 25%
Medical Associates $35 26%
Lucent Health $37 27%
Ucare $37 27%
Bcn Domestic $38 - $45 28%
Blue Benefit Administrators Of Massachusetts $38 - $45 28%
Blue Care Network $38 - $45 28%
Blue Distinction Transplant $38 - $45 28%
Blue Shield - Ca $38 - $45 28%
Blue Shield - Id (Regence) $38 - $45 28%
Blue Shield - Ny Highmark Northeastern $38 - $45 28%
Blue Shield - Ny Highmark Western $38 - $45 28%
Blue Shield - Pa (Highmark) $38 - $45 28%
Blue Shield - Wa (Regence) $38 - $45 28%
Health Choices $38 - $60 28%
Health Smart $38 28%
Kaiser Domestic $38 - $45 28%
Pre-Employment $38 - $45 28%
Wc Domestic $38 - $45 28%
Centivo $40 29%
Oscar $40 29%
Usa Managed Care $40 29%
Health Partners $42 - $46 31%
Claimdoc $43 32%
The Alliance $44 - $87 32%
Stephenson Cty Health $45 33%
Global Excel $47 35%
Preferred One $47 35%
Velocity $49 36%
Genex Wc $56 - $106 41%
Wc Align Network $59 - $113 43%
Allied Benefit Systems $60 44%
Auxiant $60 44%
First Choice Health $60 44%
Group Administrators $60 44%
Midlands $60 44%
Midlands Choice $60 44%
Wc Praxis Health Network $63 - $120 46%
Wc Reny Company $64 - $123 47%
Wc Velocity $64 - $123 47%
Meritain $65 48%
Geha $66 49%
Auto Velocity $67 - $127 49%
Wc O'Hara Corp $67 - $127 49%
Andrie Inc $74 - $141 54%
East Greenbush Central School District $74 - $141 54%
Healthsmart Workers Comp $74 - $141 54%
Jag Source $74 - $141 54%
New York State Insurance Fund $74 - $141 54%
Njm Insurance Group $74 - $141 54%
Rx Heatlhcomp $74 - $141 54%
Rx Restat $74 - $141 54%
Rx Saif Opdp Wc $74 - $141 54%
Rx Worker'S Comp $74 - $141 54%
Wc Accident Fund $74 - $141 54%
Wc Ace $74 - $141 54%
Wc Acs Federal Employees $74 - $141 54%
Wc Acuity $74 - $141 54%
Wc Advantage $74 - $141 54%
Wc Aegis $74 - $141 54%
Wc Aig $74 - $141 54%
Wc Aims $74 - $141 54%
Wc Alaska National Ins $74 - $141 54%
Wc Allied $74 - $141 54%
Wc Am Trust N America $74 - $141 54%
Wc American Claims Mgmt $74 - $141 54%
Wc Amerisure $74 - $141 54%
Wc Amtrust $74 - $141 54%
Wc Asu Risk Mgt $74 - $141 54%
Wc Benetech $74 - $141 54%
Wc Berkley Admin $74 - $141 54%
Wc Broadspire $74 - $141 54%
Wc Broward County $74 - $141 54%
Wc Bunch & Associates $74 - $141 54%
Wc California State Comp Ins $74 - $141 54%
Wc California State Ins Fund $74 - $141 54%
Wc Capitol Area Health Consortium $74 - $141 54%
Wc Ccmsi $74 - $141 54%
Wc Chartis $74 - $141 54%
Wc Chubb $74 - $141 54%
Wc Cirma $74 - $141 54%
Wc City Of Albany $74 - $141 54%
Wc City Of Sioux City $74 - $141 54%
Wc Claims Mgmt Inc $74 - $141 54%
Wc Cna $74 - $141 54%
Wc Comp One Admin C/O Manageability $74 - $141 54%
Wc Compone Admin $74 - $141 54%
Wc Ct Healthcare Trust $74 - $141 54%
Wc Donegal Insurance Group $74 - $141 54%
Wc Emc Insurance Company $74 - $141 54%
Wc Employee Mutual $74 - $141 54%
Wc Enablecomp $74 - $141 54%
Wc Encore Health Network $74 - $141 54%
Wc Erie $74 - $141 54%
Wc Esis $74 - $141 54%
Wc Evolutions $74 - $141 54%
Wc Fcci $74 - $141 54%
Wc Fed Ex $74 - $141 54%
Wc Federal Black Lung $74 - $141 54%
Wc Federated $74 - $141 54%
Wc Finley Occupational Health $74 - $141 54%
Wc First Agency/Occunet $74 - $141 54%
Wc Ford Motor $74 - $141 54%
Wc Fresno Unified Emp $74 - $141 54%
Wc Gallagher Bassett $74 - $141 54%
Wc General Motors $74 - $141 54%
Wc Generic $74 - $141 54%
Wc Genex Care For Ohio $74 - $141 54%
Wc Great West Casualty $74 - $141 54%
Wc Guarantee Insurance $74 - $141 54%
Wc Guard Insurance Company $74 - $141 54%
Wc Hab $74 - $141 54%
Wc Hartford $74 - $141 54%
Wc Hastings $74 - $141 54%
Wc Health Management $74 - $141 54%
Wc Heritage Summit $74 - $141 54%
Wc Hireright $74 - $141 54%
Wc Horizon $74 - $141 54%
Wc Icw Group $74 - $141 54%
Wc Idaho State Ins Fund $74 - $141 54%
Wc Intercare Insurance $74 - $141 54%
Wc Intermountain $74 - $141 54%
Wc Johns Eastern $74 - $141 54%
Wc Kemberton $74 - $141 54%
Wc Key Ins & Benefit Solutions $74 - $141 54%
Wc Liberty Mutual $74 - $141 54%
Wc Mac Risk Management $74 - $141 54%
Wc Massachusetts $74 - $141 54%
Wc Mdia $74 - $141 54%
Wc Meadowbrook Claim $74 - $141 54%
Wc Medical Administrators $74 - $141 54%
Wc Meijers $74 - $141 54%
Wc Memic $74 - $141 54%
Wc Mercy Workcare $74 - $141 54%
Wc Michigan $74 - $141 54%
Wc Michigan Millers Mutual $74 - $141 54%
Wc Mitchell Frankenmuth $74 - $141 54%
Wc Mra $74 - $141 54%
Wc Nationwide $74 - $141 54%
Wc Nca Comp $74 - $141 54%
Wc New York $74 - $141 54%
Wc New York Special Funds $74 - $141 54%
Wc North American Rishces $74 - $141 54%
Wc Northeast Health $74 - $141 54%
Wc Notre Dame $74 - $141 54%
Wc Novanet $74 - $141 54%
Wc Occ Health Allen $74 - $141 54%
Wc Ohio Bureau $74 - $141 54%
Wc One Call Medical $74 - $141 54%
Wc Paradigm $74 - $141 54%
Wc Peerless $74 - $141 54%
Wc Pma $74 - $141 54%
Wc Price Chopper $74 - $141 54%
Wc Procura Management $74 - $141 54%
Wc Qualcare $74 - $141 54%
Wc Quiktrip $74 - $141 54%
Wc Rev Claims $74 - $141 54%
Wc Risico $74 - $141 54%
Wc Rural Mutual $74 - $141 54%
Wc Saif Oregon $74 - $141 54%
Wc Secura $74 - $141 54%
Wc Sedgwick $74 - $141 54%
Wc Sentry $74 - $141 54%
Wc Sheakley Unicomp $74 - $141 54%
Wc Smile Lodge $74 - $141 54%
Wc Society $74 - $141 54%
Wc Srs $74 - $141 54%
Wc Taconic (Mro) $74 - $141 54%
Wc Taconic Farms $74 - $141 54%
Wc Travelers $74 - $141 54%
Wc Triad Group $74 - $141 54%
Wc Tristar $74 - $141 54%
Wc Troy Ny $74 - $141 54%
Wc Tyson $74 - $141 54%
Wc Unified Health Services $74 - $141 54%
Wc United Heartland $74 - $141 54%
Wc Us Dept Of Labor $74 - $141 54%
Wc Walmart $74 - $141 54%
Wc West Bend $74 - $141 54%
Wc West Bend Mutual/Argent $74 - $141 54%
Wc Winnebago Industries $74 - $141 54%
Wc Yankee Trails $74 - $141 54%
Wc York Risk $74 - $141 54%
Wc Zenith $74 - $141 54%
Wc Zurich $74 - $141 54%
Quiktrip $80 59%
Newton Correctional Facility $89 - $92 65%
Multiplan $122 - $127 90%
Iowa Dept Of Public Health $136 - $141 100%
Nebraska Total Care $136 - $141 100%

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