CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Mercyone Waterloo Medical Center

Billing Code: 81001 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$4
about 1.3× the $3 Medicare rate · typically $4–$6
modeled estimate · not a bill or quote
What this hospital charges insurers
$5
Above the fair price
about $1 over the fair price · 1.7× Medicare
Medicare pays $3 Fair price $4 This hospital $5 Cash price $70 Hospital's list price $95

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 $3 Priciest $5

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 Urinalysis (automated, with microscopy) is about $4 (about 1.3× the $3 Medicare rate). Mercyone Waterloo Medical Center charges insurers about $5, or about $70 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 $4. 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 $3 - $182 95%
Blue Cross Blue Shieldmajor $3 - $5 95%
Aetnamajor $3 - $21 95%
Cignamajor $3 - $129 95%
Humanamajor $3 - $4 95%
Kaiser Permanentemajor $3 95%
Ambetter (Centene) $4 - $5 126%
Clover Health $3 95%
GEHA $3 95%
Health Net $4 - $21 126%
HealthPartners $3 - $119 95%
Medica $129 4069%
Medical Mutual $9 284%
Meridian $3 - $4 95%
Molina $4 126%
Oscar Health $3 - $5 95%
Paramount $4 126%
Presbyterian $3 - $4 95%
Sanford Health Plan $5 158%
Tufts Health Plan $4 126%
UCare $5 158%
WellMed $3 95%
WellSense $4 126%
+ 359 smaller / regional plans $3 - $182
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 14 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.

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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