CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Mercyone Waterloo Medical Center

Billing Code: 90834 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$91
about 0.5× the $181 Medicare rate · typically $71–$104
modeled estimate · not a bill or quote
What this hospital charges insurers
$83
About the fair price
about $8 under the fair price · 0.5× Medicare
Medicare pays $181 Fair price $91 This hospital $83 Cash price $251 Hospital's list price $251

How we calculate the fair BaseRate →

How this hospital compares to other IA hospitals

Lowest price of the 9 IA hospitals we have prices for — a strong deal.

Cheapest $83 Priciest $100

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 Psychotherapy session (45 minutes) is about $91 (about 0.5× the $181 Medicare rate). Mercyone Waterloo Medical Center charges insurers about $83, or about $251 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 $67 - $280 37%
Blue Cross Blue Shieldmajor $67 - $181 37%
Aetnamajor $67 - $251 37%
Cignamajor $67 - $199 37%
Humanamajor $67 - $146 37%
Kaiser Permanentemajor $102 - $181 56%
Ambetter (Centene) $83 - $155 46%
Clover Health $67 - $89 37%
GEHA $191 - $225 105%
Health Net $83 - $251 46%
HealthPartners $83 - $185 46%
Medica $199 110%
Medical Mutual $250 138%
Meridian $67 - $89 37%
Molina $83 46%
Oscar Health $241 - $251 133%
Paramount $83 46%
Presbyterian $67 - $89 37%
Sanford Health Plan $110 - $147 61%
Tufts Health Plan $83 46%
UCare $120 - $160 66%
WellMed $67 - $89 37%
WellSense $83 46%
+ 358 smaller / regional plans $66 - $280
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