CMS Price Transparency Data
Psychotherapy session (60 minutes)
Facility: Mercyone Waterloo Medical Center
Billing Code: 90837 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 90837
- Insurance Median: $125
- Cash Discount Price: $321
- vs. Medicare Baseline: 0.69x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Mercyone Waterloo Medical Center is $125. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $321. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.69x the Medicare baseline. Located in 3421 West Ninth Street, Waterloo, IA.
Cash / Self-Pay
$321
Average discount available for prompt cash payment at this facility.
Insurance Median
$125
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$181.34
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $181.34 (100%)
Cash / Self-Pay: $321 (177%)
Insurance Median: $125 (69%)
Cash: $321 (177% of Medicare)
Ins. Median: $125 (69% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $181.34 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
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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 | $78 - $267 | 43% |
| Health Choices | $96 - $186 | 53% |
| Medical Associates | $96 - $168 | 53% |
| Aetna | $99 - $376 | 55% |
| Align Senior Care | $99 | 55% |
| Ally Align Care Adv | $99 | 55% |
| American Health Advantage Of Idaho | $99 | 55% |
| Aurora Special Needs | $99 | 55% |
| Blue Care Network Advantage | $99 | 55% |
| Blue Cross Blue Shield | $99 - $181 | 55% |
| Blue Shield - De (Highmark) Medciare Advantage | $99 | 55% |
| Care Dimensions | $99 | 55% |
| Care Improvement Plus | $99 | 55% |
| Care Resources Pace | $99 | 55% |
| Careplus Health Plans | $99 | 55% |
| Cca - Zing Health | $99 | 55% |
| Cca Senior Care Options | $99 | 55% |
| Central Valley Medical Services Corp Pace | $99 | 55% |
| Champion Health Plan Mcr Advantage | $99 | 55% |
| Champva | $99 | 55% |
| Cigna | $99 - $291 | 55% |
| Clear Spring Health | $99 | 55% |
| Clover Health | $99 | 55% |
| Commonwealth Care Alliance | $99 | 55% |
| Community Pace At Home | $99 | 55% |
| Eddy Senior Care-Pace | $99 | 55% |
| Eddy Seniorcare Pace | $99 | 55% |
| Elementcare | $99 | 55% |
| Evercare | $99 | 55% |
| Everence | $99 | 55% |
| Gateway Health Plan | $99 | 55% |
| Genesys Pace Of Genesee County | $99 | 55% |
| Georgia Health Advantage | $99 | 55% |
| Gold Advantage | $99 | 55% |
| Gpa Croell Redi Mix | $99 | 55% |
| Health America Advantra | $99 | 55% |
| Highmark Health Options Dual Plan | $99 | 55% |
| Hope Select Pace | $99 | 55% |
| Horizon Nj Total Care | $99 | 55% |
| Hudson Headwaters Pace | $99 | 55% |
| Humana | $99 - $215 | 55% |
| Huron Valley Pace | $99 | 55% |
| Innovative Integrated Health Community Plans | $99 | 55% |
| Johns Hopkins Advantage Md | $99 | 55% |
| Lasso Healthcare Msa | $99 | 55% |
| Life St Marys Pace | $99 | 55% |
| Lifecircles Pace | $99 | 55% |
| Longevity Health Plan | $99 | 55% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $99 | 55% |
| Martins Point Generations Advantage | $99 | 55% |
| Mass General Brigham Mcr Adv | $99 | 55% |
| Medicare (plans) | $99 - $134 | 55% |
| Medipak Advantage | $99 | 55% |
| Mercy Life | $99 | 55% |
| Mercyone Cedar Valley | $99 | 55% |
| Meridian Complete | $99 | 55% |
| Michigan Complete Health | $99 | 55% |
| Nascentia Health Plus | $99 | 55% |
| New Centry Health Careplus | $99 | 55% |
| Osu Prime Care Advantage | $99 | 55% |
| Pace Cny | $99 | 55% |
| Pace Iowa Immanuel Pathways | $99 | 55% |
| Pace Of Southwest Michigan | $99 - $122 | 55% |
| Pace Southeast | $99 | 55% |
| Pace-Trinity Health | $99 | 55% |
| Peak Pace Solutions | $99 | 55% |
| Perennial Advantage | $99 | 55% |
| Preferred Care Partners | $99 | 55% |
| Presbyterian Senior Plan | $99 | 55% |
| Provider Partners Health Plan Of Illinois | $99 | 55% |
| Provider Partners Health Plan Of Indiana | $99 | 55% |
| Pruitthealth Premier | $99 | 55% |
| Reliance Community Care Partners Care Resources Pace | $99 | 55% |
| Rx Allwin | $99 | 55% |
| Rx Grane Grnmedd | $99 | 55% |
| Rx Retiree Rx Care | $99 | 55% |
| Scan Health Plan Mcr Ipa Meritage Oon | $99 | 55% |
| Secure Horizons Ma Pffs | $99 | 55% |
| Serenity Pace | $99 | 55% |
| Siouxland Pace | $99 | 55% |
| Solis Health Plans | $99 | 55% |
| Sunnyview-Pace Finance Dept | $99 | 55% |
| Texan Plus | $99 | 55% |
| The Health Plan | $99 | 55% |
| Thome Pace | $99 | 55% |
| Todays Options | $99 | 55% |
| Tribute Health Plans | $99 | 55% |
| Tricare | $99 | 55% |
| Triwest Health Alliance | $99 | 55% |
| Um Health Advantage | $99 | 55% |
| Union Health Service | $99 | 55% |
| UnitedHealthcare | $99 - $410 | 55% |
| Us Family Health Plan | $99 | 55% |
| Veterans Eval Services | $99 | 55% |
| Welbe Health | $99 | 55% |
| Wellmed | $99 | 55% |
| Iowa Health Advantage | $104 | 57% |
| American Health Plan | $117 | 65% |
| Albany County Correctional Facility | $122 | 67% |
| Ambetter / Centene | $122 - $171 | 67% |
| Amish Mennonite | $122 | 67% |
| Ascension St. Vincent Public Safety Medical | $122 | 67% |
| Bcccp-Michigan | $122 | 67% |
| Bccp | $122 | 67% |
| Bmc Healthnet | $122 | 67% |
| Breast Grant-Connecticut | $122 | 67% |
| Broward County Dept Of Health | $122 | 67% |
| California Health And Wellness | $122 | 67% |
| Can Community Health Inc | $122 | 67% |
| Cardinal Innovations Lme | $122 | 67% |
| Care Connections Of Northern Iowa | $122 | 67% |
| Care Oregon Ohp | $122 | 67% |
| Cencal Health Plan | $122 | 67% |
| Cenpatico | $122 | 67% |
| Chhuny | $122 | 67% |
| Childrens Comm Health Plan | $122 | 67% |
| Childrens Medical Services Title 19 | $122 | 67% |
| City Of Philadelphia | $122 | 67% |
| Cmh Allegan County | $122 | 67% |
| Cmh Ausable Valley | $122 | 67% |
| Cmh Barry County | $122 | 67% |
| Cmh Bay-Arenac County | $122 | 67% |
| Cmh Berrien County | $122 | 67% |
| Cmh Cass County | $122 | 67% |
| Cmh Central Mi County | $122 | 67% |
| Cmh Clinton-Eaton-Ingham County | $122 | 67% |
| Cmh Detroit Wayne Integrated Health Network | $122 | 67% |
| Cmh Genesee County | $122 | 67% |
| Cmh Ionia County | $122 | 67% |
| Cmh Jackson County/Lifeways | $122 | 67% |
| Cmh Kalamazoo | $122 | 67% |
| Cmh Kent County | $122 | 67% |
| Cmh Lenawee County | $122 | 67% |
| Cmh Livingston County | $122 | 67% |
| Cmh Macomb | $122 | 67% |
| Cmh Misc | $122 | 67% |
| Cmh Monroe County | $122 | 67% |
| Cmh Montcalm County | $122 | 67% |
| Cmh Muskegon County | $122 | 67% |
| Cmh Newaygo County | $122 | 67% |
| Cmh North Country | $122 | 67% |
| Cmh Northern Lakes County | $122 | 67% |
| Cmh Oakland County | $122 | 67% |
| Cmh Ottawa County | $122 | 67% |
| Cmh Van Buren County | $122 | 67% |
| Cmh Washtenaw County | $122 | 67% |
| Cmh Wayne County/Carelink | $122 | 67% |
| Cmh Wayne Cty/Com Liv Svcs | $122 | 67% |
| Cmh West Mi County | $122 | 67% |
| Community Benefit Health | $122 | 67% |
| Community Care Behavorial Health | $122 | 67% |
| Community Care Partners | $122 | 67% |
| Community Health Choice | $122 | 67% |
| Connections Csp | $122 | 67% |
| County Coroner | $122 | 67% |
| County Funding Generic | $122 | 67% |
| Covid19 Hrsa Uninsured Testing And Treatment Fund | $122 | 67% |
| Dean Wi Badgercare | $122 | 67% |
| Delaware County Department Of Health | $122 | 67% |
| Delaware First Health | $122 | 67% |
| Delta Dental Nj | $122 | 67% |
| Dph Tb Program | $122 | 67% |
| Dscc | $122 | 67% |
| Eastpointe Lme | $122 | 67% |
| Family Health Network | $122 | 67% |
| Freedom First Healthcare | $122 | 67% |
| Fresno County Ccs | $122 | 67% |
| Ghc Scw Wi Badgercare | $122 | 67% |
| Harbor Health | $122 | 67% |
| Health Safety Net | $122 | 67% |
| Healthy Blue Ne | $122 | 67% |
| Hennepin Health | $122 | 67% |
| Id County Ada | $122 | 67% |
| Id County Canyon | $122 | 67% |
| Id County Cat Fund | $122 | 67% |
| Id County Other | $122 | 67% |
| Id County Payette | $122 | 67% |
| Idaho Dept Health And Wellfare | $122 | 67% |
| Idaho Womens Health Check | $122 | 67% |
| Indiana Breast Cervical Cancer | $122 | 67% |
| Inland Empire Health Plan | $122 | 67% |
| Intercommunity Health Ohp | $122 | 67% |
| Jai Medical System | $122 | 67% |
| Kern Family Health Plan | $122 | 67% |
| Keystone First | $122 | 67% |
| Keystone First Chip | $122 | 67% |
| La Care Health Plan | $122 | 67% |
| Lakeland Care Inc | $122 | 67% |
| Managed Health Services - Indiana | $122 | 67% |
| Maryland Breast & Cervical Program | $122 | 67% |
| Maryland Healthy Smiles - Scion Dental | $122 | 67% |
| Maryland Physicians Care | $122 | 67% |
| Massachusetts Behavioral Health Partnership | $122 | 67% |
| Mdwise | $122 | 67% |
| Medi-Cal | $122 | 67% |
| Medi-Cal Healthnet | $122 | 67% |
| Medstar Dc Healthy Family | $122 | 67% |
| Medstar Md Health Choice | $122 | 67% |
| Mo Home State Health Plan | $122 | 67% |
| Molina Centennial Care | $122 | 67% |
| Nascentia Health Options | $122 | 67% |
| New York Cancer Services Program | $122 | 67% |
| Nextlevel Health | $122 | 67% |
| Oregon Screenwise | $122 | 67% |
| Paramount Advantage | $122 | 67% |
| Parkland Community Health Plan | $122 | 67% |
| Partners Behavioral Lme | $122 | 67% |
| Peach State Healthplan | $122 | 67% |
| Philadelphia County Funding | $122 | 67% |
| Presbyterian Centennial Care | $122 | 67% |
| Prestige Health Choice | $122 | 67% |
| Priority Partners | $122 | 67% |
| Robert F Sing Program | $122 | 67% |
| Rx 340B Pass Along | $122 | 67% |
| Rx Assistance/Rx Manufacturer Assistance 0 Copay | $122 | 67% |
| Rx Medi-Cal | $122 | 67% |
| Rx Meridian Rx | $122 | 67% |
| Ryan White Florida Mssrp | $122 | 67% |
| Sandhills Center Lme | $122 | 67% |
| Screening For Life | $122 | 67% |
| St Joseph County Hlth Dpt | $122 | 67% |
| Sunshine State Health Plan | $122 | 67% |
| Superior Health | $122 | 67% |
| Tenncare | $122 | 67% |
| Texas Children'S Health Plan | $122 | 67% |
| Trillium Community Ohp | $122 | 67% |
| Tufts Health Public Plans | $122 | 67% |
| Vaya Health Lme | $122 | 67% |
| Veterans Administration | $122 | 67% |
| Washtenaw Health Plan | $122 | 67% |
| Wellsense Health Plan | $122 | 67% |
| Wi Womens Wellness | $122 | 67% |
| Iowa Total Care | $124 | 68% |
| Wellpoint | $125 | 69% |
| Wc Corvel | $127 | 70% |
| Amish Hospital Aid | $134 | 74% |
| Naphcare | $136 | 75% |
| Naphcare Correctional | $136 | 75% |
| Amps | $145 | 80% |
| Bcn Domestic | $151 - $181 | 83% |
| Blue Benefit Administrators Of Massachusetts | $151 - $181 | 83% |
| Blue Care Network | $151 - $181 | 83% |
| Blue Distinction Transplant | $151 - $181 | 83% |
| Blue Shield - Ca | $151 - $181 | 83% |
| Blue Shield - Id (Regence) | $151 - $181 | 83% |
| Blue Shield - Ny Highmark Northeastern | $151 - $181 | 83% |
| Blue Shield - Ny Highmark Western | $151 - $181 | 83% |
| Blue Shield - Pa (Highmark) | $151 - $181 | 83% |
| Blue Shield - Wa (Regence) | $151 - $181 | 83% |
| Health Partners | $151 - $269 | 83% |
| Kaiser Domestic | $151 - $181 | 83% |
| Pre-Employment | $151 - $181 | 83% |
| Wc Domestic | $151 - $181 | 83% |
| Avera | $152 | 84% |
| Sanford Health Plan | $162 | 89% |
| Preferred Health Choice | $168 | 93% |
| Stephenson Cty Health | $169 | 93% |
| Ucare | $177 | 98% |
| Nebraska Total Care | $179 | 99% |
| Lucent Health | $181 - $366 | 100% |
| Allied Benefit Systems | $186 - $366 | 103% |
| Auxiant | $186 - $291 | 103% |
| First Choice Health | $186 | 103% |
| Group Administrators | $186 | 103% |
| Health Smart | $186 | 103% |
| Midlands | $186 - $291 | 103% |
| Midlands Choice | $186 - $291 | 103% |
| Meritain | $195 - $366 | 108% |
| Usa Managed Care | $195 | 108% |
| Claimdoc | $210 | 116% |
| The Alliance | $211 | 116% |
| Preferred One | $222 | 122% |
| Global Excel | $227 | 125% |
| Velocity | $236 | 130% |
| Quiktrip | $239 | 132% |
| Newton Correctional Facility | $244 | 135% |
| Centivo | $261 | 144% |
| Genex Wc | $282 | 156% |
| Geha | $286 | 158% |
| Medica | $291 | 160% |
| Wc Align Network | $301 | 166% |
| Wc Praxis Health Network | $320 | 176% |
| Wc Reny Company | $327 | 180% |
| Wc Velocity | $327 | 180% |
| Auto Velocity | $338 | 186% |
| Multiplan | $338 | 186% |
| Wc O'Hara Corp | $338 | 186% |
| Oscar | $357 | 197% |
| Asr Health Benefits | $366 | 202% |
| Christian Brother Services | $366 | 202% |
| Coventry | $366 | 202% |
| First Health | $366 | 202% |
| Luminare Health | $366 | 202% |
| Medical Mutual | $366 | 202% |
| Webtpa | $366 | 202% |
| Andrie Inc | $376 | 207% |
| East Greenbush Central School District | $376 | 207% |
| Healthsmart Workers Comp | $376 | 207% |
| Iowa Dept Of Public Health | $376 - $410 | 207% |
| Jag Source | $376 | 207% |
| New York State Insurance Fund | $376 | 207% |
| Njm Insurance Group | $376 | 207% |
| Rx Heatlhcomp | $376 | 207% |
| Rx Restat | $376 | 207% |
| Rx Saif Opdp Wc | $376 | 207% |
| Rx Worker'S Comp | $376 | 207% |
| Wc Accident Fund | $376 | 207% |
| Wc Ace | $376 | 207% |
| Wc Acs Federal Employees | $376 | 207% |
| Wc Acuity | $376 | 207% |
| Wc Advantage | $376 | 207% |
| Wc Aegis | $376 | 207% |
| Wc Aig | $376 | 207% |
| Wc Aims | $376 | 207% |
| Wc Alaska National Ins | $376 | 207% |
| Wc Allied | $376 | 207% |
| Wc Am Trust N America | $376 | 207% |
| Wc American Claims Mgmt | $376 | 207% |
| Wc Amerisure | $376 | 207% |
| Wc Amtrust | $376 | 207% |
| Wc Asu Risk Mgt | $376 | 207% |
| Wc Benetech | $376 | 207% |
| Wc Berkley Admin | $376 | 207% |
| Wc Broadspire | $376 | 207% |
| Wc Broward County | $376 | 207% |
| Wc Bunch & Associates | $376 | 207% |
| Wc California State Comp Ins | $376 | 207% |
| Wc California State Ins Fund | $376 | 207% |
| Wc Capitol Area Health Consortium | $376 | 207% |
| Wc Ccmsi | $376 | 207% |
| Wc Chartis | $376 | 207% |
| Wc Chubb | $376 | 207% |
| Wc Cirma | $376 | 207% |
| Wc City Of Albany | $376 | 207% |
| Wc City Of Sioux City | $376 | 207% |
| Wc Claims Mgmt Inc | $376 | 207% |
| Wc Cna | $376 | 207% |
| Wc Comp One Admin C/O Manageability | $376 | 207% |
| Wc Compone Admin | $376 | 207% |
| Wc Ct Healthcare Trust | $376 | 207% |
| Wc Donegal Insurance Group | $376 | 207% |
| Wc Emc Insurance Company | $376 | 207% |
| Wc Employee Mutual | $376 | 207% |
| Wc Enablecomp | $376 | 207% |
| Wc Encore Health Network | $376 | 207% |
| Wc Erie | $376 | 207% |
| Wc Esis | $376 | 207% |
| Wc Evolutions | $376 | 207% |
| Wc Fcci | $376 | 207% |
| Wc Fed Ex | $376 | 207% |
| Wc Federal Black Lung | $376 | 207% |
| Wc Federated | $376 | 207% |
| Wc Finley Occupational Health | $376 | 207% |
| Wc First Agency/Occunet | $376 | 207% |
| Wc Ford Motor | $376 | 207% |
| Wc Fresno Unified Emp | $376 | 207% |
| Wc Gallagher Bassett | $376 | 207% |
| Wc General Motors | $376 | 207% |
| Wc Generic | $376 | 207% |
| Wc Genex Care For Ohio | $376 | 207% |
| Wc Great West Casualty | $376 | 207% |
| Wc Guarantee Insurance | $376 | 207% |
| Wc Guard Insurance Company | $376 | 207% |
| Wc Hab | $376 | 207% |
| Wc Hartford | $376 | 207% |
| Wc Hastings | $376 | 207% |
| Wc Health Management | $376 | 207% |
| Wc Heritage Summit | $376 | 207% |
| Wc Hireright | $376 | 207% |
| Wc Horizon | $376 | 207% |
| Wc Icw Group | $376 | 207% |
| Wc Idaho State Ins Fund | $376 | 207% |
| Wc Intercare Insurance | $376 | 207% |
| Wc Intermountain | $376 | 207% |
| Wc Johns Eastern | $376 | 207% |
| Wc Kemberton | $376 | 207% |
| Wc Key Ins & Benefit Solutions | $376 | 207% |
| Wc Liberty Mutual | $376 | 207% |
| Wc Mac Risk Management | $376 | 207% |
| Wc Massachusetts | $376 | 207% |
| Wc Mdia | $376 | 207% |
| Wc Meadowbrook Claim | $376 | 207% |
| Wc Medical Administrators | $376 | 207% |
| Wc Meijers | $376 | 207% |
| Wc Memic | $376 | 207% |
| Wc Mercy Workcare | $376 | 207% |
| Wc Michigan | $376 | 207% |
| Wc Michigan Millers Mutual | $376 | 207% |
| Wc Mitchell Frankenmuth | $376 | 207% |
| Wc Mra | $376 | 207% |
| Wc Nationwide | $376 | 207% |
| Wc Nca Comp | $376 | 207% |
| Wc New York | $376 | 207% |
| Wc New York Special Funds | $376 | 207% |
| Wc North American Rishces | $376 | 207% |
| Wc Northeast Health | $376 | 207% |
| Wc Notre Dame | $376 | 207% |
| Wc Novanet | $376 | 207% |
| Wc Occ Health Allen | $376 | 207% |
| Wc Ohio Bureau | $376 | 207% |
| Wc One Call Medical | $376 | 207% |
| Wc Paradigm | $376 | 207% |
| Wc Peerless | $376 | 207% |
| Wc Pma | $376 | 207% |
| Wc Price Chopper | $376 | 207% |
| Wc Procura Management | $376 | 207% |
| Wc Qualcare | $376 | 207% |
| Wc Quiktrip | $376 | 207% |
| Wc Rev Claims | $376 | 207% |
| Wc Risico | $376 | 207% |
| Wc Rural Mutual | $376 | 207% |
| Wc Saif Oregon | $376 | 207% |
| Wc Secura | $376 | 207% |
| Wc Sedgwick | $376 | 207% |
| Wc Sentry | $376 | 207% |
| Wc Sheakley Unicomp | $376 | 207% |
| Wc Smile Lodge | $376 | 207% |
| Wc Society | $376 | 207% |
| Wc Srs | $376 | 207% |
| Wc Taconic (Mro) | $376 | 207% |
| Wc Taconic Farms | $376 | 207% |
| Wc Travelers | $376 | 207% |
| Wc Triad Group | $376 | 207% |
| Wc Tristar | $376 | 207% |
| Wc Troy Ny | $376 | 207% |
| Wc Tyson | $376 | 207% |
| Wc Unified Health Services | $376 | 207% |
| Wc United Heartland | $376 | 207% |
| Wc Us Dept Of Labor | $376 | 207% |
| Wc Walmart | $376 | 207% |
| Wc West Bend | $376 | 207% |
| Wc West Bend Mutual/Argent | $376 | 207% |
| Wc Winnebago Industries | $376 | 207% |
| Wc Yankee Trails | $376 | 207% |
| Wc York Risk | $376 | 207% |
| Wc Zenith | $376 | 207% |
| Wc Zurich | $376 | 207% |