CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Mercyone Waterloo Medical Center

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 81001
  • Insurance Median: $5
  • Cash Discount Price: $70
  • vs. Medicare Baseline: 1.58x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Mercyone Waterloo Medical Center is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $70. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 1.58x the Medicare baseline. Located in 3421 West Ninth Street, Waterloo, IA.
Cash / Self-Pay
$70

Average discount available for prompt cash payment at this facility.

Insurance Median
$5

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$3.17

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $3.17 (100%)
Cash / Self-Pay: $70 (2208%)
Insurance Median: $5 (158%)
Cash: $70 (2208% of Medicare)
Ins. Median: $5 (158% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $3.17 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
Aetna $3 - $21 95%
Align Senior Care $3 95%
Ally Align Care Adv $3 95%
American Health Advantage Of Idaho $3 95%
American Health Plan $3 95%
Aurora Special Needs $3 95%
Bcn Domestic $3 95%
Blue Benefit Administrators Of Massachusetts $3 95%
Blue Care Network $3 95%
Blue Care Network Advantage $3 95%
Blue Cross Blue Shield $3 - $4 95%
Blue Distinction Transplant $3 95%
Blue Shield - Ca $3 95%
Blue Shield - De (Highmark) Medciare Advantage $3 95%
Blue Shield - Id (Regence) $3 95%
Blue Shield - Ny Highmark Northeastern $3 95%
Blue Shield - Ny Highmark Western $3 95%
Blue Shield - Pa (Highmark) $3 95%
Blue Shield - Wa (Regence) $3 95%
Care Dimensions $3 95%
Care Improvement Plus $3 95%
Care Resources Pace $3 95%
Careplus Health Plans $3 95%
Cca - Zing Health $3 95%
Cca Senior Care Options $3 95%
Centivo $3 - $5 95%
Central Valley Medical Services Corp Pace $3 95%
Champion Health Plan Mcr Advantage $3 95%
Champva $3 95%
Cigna $3 - $129 95%
Clear Spring Health $3 95%
Clover Health $3 95%
Commonwealth Care Alliance $3 95%
Community Pace At Home $3 95%
Eddy Senior Care-Pace $3 95%
Eddy Seniorcare Pace $3 95%
Elementcare $3 95%
Evercare $3 95%
Everence $3 95%
Gateway Health Plan $3 95%
Geha $3 95%
Genesys Pace Of Genesee County $3 95%
Georgia Health Advantage $3 95%
Gold Advantage $3 95%
Gpa Croell Redi Mix $3 95%
Health America Advantra $3 95%
Health Choices $3 - $43 95%
Health Partners $3 - $119 95%
Highmark Health Options Dual Plan $3 95%
Hope Select Pace $3 95%
Horizon Nj Total Care $3 95%
Hudson Headwaters Pace $3 95%
Humana $3 - $4 95%
Huron Valley Pace $3 95%
Innovative Integrated Health Community Plans $3 95%
Iowa Health Advantage $3 95%
Iowa Total Care $3 - $5 95%
Johns Hopkins Advantage Md $3 95%
Kaiser Domestic $3 95%
Lasso Healthcare Msa $3 95%
Life St Marys Pace $3 95%
Lifecircles Pace $3 95%
Longevity Health Plan $3 95%
Longevity Ipa Of Michigan Llc Health Plan Isnp $3 95%
Martins Point Generations Advantage $3 95%
Mass General Brigham Mcr Adv $3 95%
Medicaid / KanCare $3 - $21 95%
Medicare (plans) $3 95%
Medipak Advantage $3 95%
Mercy Life $3 95%
Mercyone Cedar Valley $3 95%
Meridian Complete $3 95%
Michigan Complete Health $3 95%
Nascentia Health Plus $3 95%
New Centry Health Careplus $3 95%
Oscar $3 - $5 95%
Osu Prime Care Advantage $3 95%
Pace Cny $3 95%
Pace Iowa Immanuel Pathways $3 95%
Pace Of Southwest Michigan $3 - $4 95%
Pace Southeast $3 95%
Pace-Trinity Health $3 95%
Peak Pace Solutions $3 95%
Perennial Advantage $3 95%
Pre-Employment $3 95%
Preferred Care Partners $3 95%
Presbyterian Senior Plan $3 95%
Provider Partners Health Plan Of Illinois $3 95%
Provider Partners Health Plan Of Indiana $3 95%
Pruitthealth Premier $3 95%
Reliance Community Care Partners Care Resources Pace $3 95%
Rx Allwin $3 95%
Rx Grane Grnmedd $3 95%
Rx Retiree Rx Care $3 95%
Scan Health Plan Mcr Ipa Meritage Oon $3 95%
Secure Horizons Ma Pffs $3 95%
Serenity Pace $3 95%
Siouxland Pace $3 95%
Solis Health Plans $3 95%
Stephenson Cty Health $3 95%
Sunnyview-Pace Finance Dept $3 95%
Texan Plus $3 95%
The Health Plan $3 95%
Thome Pace $3 95%
Todays Options $3 95%
Tribute Health Plans $3 95%
Tricare $3 95%
Triwest Health Alliance $3 95%
Um Health Advantage $3 95%
Union Health Service $3 95%
UnitedHealthcare $3 - $182 95%
Us Family Health Plan $3 95%
Veterans Administration $3 95%
Veterans Eval Services $3 95%
Wc Corvel $3 95%
Wc Domestic $3 95%
Welbe Health $3 95%
Wellmed $3 95%
Albany County Correctional Facility $4 126%
Allied Benefit Systems $4 - $9 126%
Ambetter / Centene $4 - $5 126%
Amish Hospital Aid $4 126%
Amish Mennonite $4 126%
Amps $4 126%
Ascension St. Vincent Public Safety Medical $4 126%
Auxiant $4 - $129 126%
Bcccp-Michigan $4 126%
Bccp $4 126%
Bmc Healthnet $4 126%
Breast Grant-Connecticut $4 126%
Broward County Dept Of Health $4 126%
California Health And Wellness $4 126%
Can Community Health Inc $4 126%
Cardinal Innovations Lme $4 126%
Care Connections Of Northern Iowa $4 126%
Care Oregon Ohp $4 126%
Cencal Health Plan $4 126%
Cenpatico $4 126%
Chhuny $4 126%
Childrens Comm Health Plan $4 126%
Childrens Medical Services Title 19 $4 126%
City Of Philadelphia $4 126%
Cmh Allegan County $4 126%
Cmh Ausable Valley $4 126%
Cmh Barry County $4 126%
Cmh Bay-Arenac County $4 126%
Cmh Berrien County $4 126%
Cmh Cass County $4 126%
Cmh Central Mi County $4 126%
Cmh Clinton-Eaton-Ingham County $4 126%
Cmh Detroit Wayne Integrated Health Network $4 126%
Cmh Genesee County $4 126%
Cmh Ionia County $4 126%
Cmh Jackson County/Lifeways $4 126%
Cmh Kalamazoo $4 126%
Cmh Kent County $4 126%
Cmh Lenawee County $4 126%
Cmh Livingston County $4 126%
Cmh Macomb $4 126%
Cmh Misc $4 126%
Cmh Monroe County $4 126%
Cmh Montcalm County $4 126%
Cmh Muskegon County $4 126%
Cmh Newaygo County $4 126%
Cmh North Country $4 126%
Cmh Northern Lakes County $4 126%
Cmh Oakland County $4 126%
Cmh Ottawa County $4 126%
Cmh Van Buren County $4 126%
Cmh Washtenaw County $4 126%
Cmh Wayne County/Carelink $4 126%
Cmh Wayne Cty/Com Liv Svcs $4 126%
Cmh West Mi County $4 126%
Community Benefit Health $4 126%
Community Care Behavorial Health $4 126%
Community Care Partners $4 126%
Community Health Choice $4 126%
Connections Csp $4 126%
County Coroner $4 126%
County Funding Generic $4 126%
Covid19 Hrsa Uninsured Testing And Treatment Fund $4 126%
Dean Wi Badgercare $4 126%
Delaware County Department Of Health $4 126%
Delaware First Health $4 126%
Delta Dental Nj $4 126%
Dph Tb Program $4 126%
Dscc $4 126%
Eastpointe Lme $4 126%
Family Health Network $4 126%
First Choice Health $4 126%
Freedom First Healthcare $4 126%
Fresno County Ccs $4 126%
Ghc Scw Wi Badgercare $4 126%
Group Administrators $4 126%
Harbor Health $4 126%
Health Safety Net $4 126%
Healthy Blue Ne $4 126%
Hennepin Health $4 126%
Id County Ada $4 126%
Id County Canyon $4 126%
Id County Cat Fund $4 126%
Id County Other $4 126%
Id County Payette $4 126%
Idaho Dept Health And Wellfare $4 126%
Idaho Womens Health Check $4 126%
Indiana Breast Cervical Cancer $4 126%
Inland Empire Health Plan $4 126%
Intercommunity Health Ohp $4 126%
Jai Medical System $4 126%
Kern Family Health Plan $4 126%
Keystone First $4 126%
Keystone First Chip $4 126%
La Care Health Plan $4 126%
Lakeland Care Inc $4 126%
Managed Health Services - Indiana $4 126%
Maryland Breast & Cervical Program $4 126%
Maryland Healthy Smiles - Scion Dental $4 126%
Maryland Physicians Care $4 126%
Massachusetts Behavioral Health Partnership $4 126%
Mdwise $4 126%
Medi-Cal $4 126%
Medi-Cal Healthnet $4 126%
Medstar Dc Healthy Family $4 126%
Medstar Md Health Choice $4 126%
Midlands $4 - $129 126%
Midlands Choice $4 - $129 126%
Mo Home State Health Plan $4 126%
Molina Centennial Care $4 126%
Nascentia Health Options $4 126%
New York Cancer Services Program $4 126%
Nextlevel Health $4 126%
Oregon Screenwise $4 126%
Paramount Advantage $4 126%
Parkland Community Health Plan $4 126%
Partners Behavioral Lme $4 126%
Peach State Healthplan $4 126%
Philadelphia County Funding $4 126%
Preferred One $4 126%
Presbyterian Centennial Care $4 126%
Prestige Health Choice $4 126%
Priority Partners $4 126%
Robert F Sing Program $4 126%
Rx 340B Pass Along $4 126%
Rx Assistance/Rx Manufacturer Assistance 0 Copay $4 126%
Rx Medi-Cal $4 126%
Rx Meridian Rx $4 126%
Ryan White Florida Mssrp $4 126%
Sandhills Center Lme $4 126%
Screening For Life $4 126%
St Joseph County Hlth Dpt $4 126%
Sunshine State Health Plan $4 126%
Superior Health $4 126%
Tenncare $4 126%
Texas Children'S Health Plan $4 126%
Trillium Community Ohp $4 126%
Tufts Health Public Plans $4 126%
Vaya Health Lme $4 126%
Washtenaw Health Plan $4 126%
Wellsense Health Plan $4 126%
Wi Womens Wellness $4 126%
Avera $5 158%
Genex Wc $5 - $16 158%
Medical Associates $5 - $43 158%
Meritain $5 - $9 158%
Newton Correctional Facility $5 - $14 158%
Sanford Health Plan $5 158%
Ucare $5 158%
Wellpoint $5 158%
Auto Velocity $6 - $19 189%
Claimdoc $6 - $7 189%
Health Smart $6 189%
Lucent Health $6 - $9 189%
Multiplan $6 - $19 189%
Nova $6 189%
Quiktrip $6 189%
Usa Managed Care $6 189%
Wc Align Network $6 - $17 189%
Wc O'Hara Corp $6 - $19 189%
Wc Praxis Health Network $6 - $18 189%
Wc Reny Company $6 - $18 189%
Wc Velocity $6 - $18 189%
Andrie Inc $7 - $21 221%
East Greenbush Central School District $7 - $21 221%
Global Excel $7 221%
Healthsmart Workers Comp $7 - $21 221%
Iowa Dept Of Public Health $7 - $182 221%
Jag Source $7 - $21 221%
Nebraska Total Care $7 - $21 221%
New York State Insurance Fund $7 - $21 221%
Njm Insurance Group $7 - $21 221%
Rx Heatlhcomp $7 - $21 221%
Rx Restat $7 - $21 221%
Rx Saif Opdp Wc $7 - $21 221%
Rx Worker'S Comp $7 - $21 221%
The Alliance $7 221%
Velocity $7 221%
Wc Accident Fund $7 - $21 221%
Wc Ace $7 - $21 221%
Wc Acs Federal Employees $7 - $21 221%
Wc Acuity $7 - $21 221%
Wc Advantage $7 - $21 221%
Wc Aegis $7 - $21 221%
Wc Aig $7 - $21 221%
Wc Aims $7 - $21 221%
Wc Alaska National Ins $7 - $21 221%
Wc Allied $7 - $21 221%
Wc Am Trust N America $7 - $21 221%
Wc American Claims Mgmt $7 - $21 221%
Wc Amerisure $7 - $21 221%
Wc Amtrust $7 - $21 221%
Wc Asu Risk Mgt $7 - $21 221%
Wc Benetech $7 - $21 221%
Wc Berkley Admin $7 - $21 221%
Wc Broadspire $7 - $21 221%
Wc Broward County $7 - $21 221%
Wc Bunch & Associates $7 - $21 221%
Wc California State Comp Ins $7 - $21 221%
Wc California State Ins Fund $7 - $21 221%
Wc Capitol Area Health Consortium $7 - $21 221%
Wc Ccmsi $7 - $21 221%
Wc Chartis $7 - $21 221%
Wc Chubb $7 - $21 221%
Wc Cirma $7 - $21 221%
Wc City Of Albany $7 - $21 221%
Wc City Of Sioux City $7 - $21 221%
Wc Claims Mgmt Inc $7 - $21 221%
Wc Cna $7 - $21 221%
Wc Comp One Admin C/O Manageability $7 - $21 221%
Wc Compone Admin $7 - $21 221%
Wc Ct Healthcare Trust $7 - $21 221%
Wc Donegal Insurance Group $7 - $21 221%
Wc Emc Insurance Company $7 - $21 221%
Wc Employee Mutual $7 - $21 221%
Wc Enablecomp $7 - $21 221%
Wc Encore Health Network $7 - $21 221%
Wc Erie $7 - $21 221%
Wc Esis $7 - $21 221%
Wc Evolutions $7 - $21 221%
Wc Fcci $7 - $21 221%
Wc Fed Ex $7 - $21 221%
Wc Federal Black Lung $7 - $21 221%
Wc Federated $7 - $21 221%
Wc Finley Occupational Health $7 - $21 221%
Wc First Agency/Occunet $7 - $21 221%
Wc Ford Motor $7 - $21 221%
Wc Fresno Unified Emp $7 - $21 221%
Wc Gallagher Bassett $7 - $21 221%
Wc General Motors $7 - $21 221%
Wc Generic $7 - $21 221%
Wc Genex Care For Ohio $7 - $21 221%
Wc Great West Casualty $7 - $21 221%
Wc Guarantee Insurance $7 - $21 221%
Wc Guard Insurance Company $7 - $21 221%
Wc Hab $7 - $21 221%
Wc Hartford $7 - $21 221%
Wc Hastings $7 - $21 221%
Wc Health Management $7 - $21 221%
Wc Heritage Summit $7 - $21 221%
Wc Hireright $7 - $21 221%
Wc Horizon $7 - $21 221%
Wc Icw Group $7 - $21 221%
Wc Idaho State Ins Fund $7 - $21 221%
Wc Intercare Insurance $7 - $21 221%
Wc Intermountain $7 - $21 221%
Wc Johns Eastern $7 - $21 221%
Wc Kemberton $7 - $21 221%
Wc Key Ins & Benefit Solutions $7 - $21 221%
Wc Liberty Mutual $7 - $21 221%
Wc Mac Risk Management $7 - $21 221%
Wc Massachusetts $7 - $21 221%
Wc Mdia $7 - $21 221%
Wc Meadowbrook Claim $7 - $21 221%
Wc Medical Administrators $7 - $21 221%
Wc Meijers $7 - $21 221%
Wc Memic $7 - $21 221%
Wc Mercy Workcare $7 - $21 221%
Wc Michigan $7 - $21 221%
Wc Michigan Millers Mutual $7 - $21 221%
Wc Mitchell Frankenmuth $7 - $21 221%
Wc Mra $7 - $21 221%
Wc Nationwide $7 - $21 221%
Wc Nca Comp $7 - $21 221%
Wc New York $7 - $21 221%
Wc New York Special Funds $7 - $21 221%
Wc North American Rishces $7 - $21 221%
Wc Northeast Health $7 - $21 221%
Wc Notre Dame $7 - $21 221%
Wc Novanet $7 - $21 221%
Wc Occ Health Allen $7 - $21 221%
Wc Ohio Bureau $7 - $21 221%
Wc One Call Medical $7 - $21 221%
Wc Paradigm $7 - $21 221%
Wc Peerless $7 - $21 221%
Wc Pma $7 - $21 221%
Wc Price Chopper $7 - $21 221%
Wc Procura Management $7 - $21 221%
Wc Qualcare $7 - $21 221%
Wc Quiktrip $7 - $21 221%
Wc Rev Claims $7 - $21 221%
Wc Risico $7 - $21 221%
Wc Rural Mutual $7 - $21 221%
Wc Saif Oregon $7 - $21 221%
Wc Secura $7 - $21 221%
Wc Sedgwick $7 - $21 221%
Wc Sentry $7 - $21 221%
Wc Sheakley Unicomp $7 - $21 221%
Wc Smile Lodge $7 - $21 221%
Wc Society $7 - $21 221%
Wc Srs $7 - $21 221%
Wc Taconic (Mro) $7 - $21 221%
Wc Taconic Farms $7 - $21 221%
Wc Travelers $7 - $21 221%
Wc Triad Group $7 - $21 221%
Wc Tristar $7 - $21 221%
Wc Troy Ny $7 - $21 221%
Wc Tyson $7 - $21 221%
Wc Unified Health Services $7 - $21 221%
Wc United Heartland $7 - $21 221%
Wc Us Dept Of Labor $7 - $21 221%
Wc Walmart $7 - $21 221%
Wc West Bend $7 - $21 221%
Wc West Bend Mutual/Argent $7 - $21 221%
Wc Winnebago Industries $7 - $21 221%
Wc Yankee Trails $7 - $21 221%
Wc York Risk $7 - $21 221%
Wc Zenith $7 - $21 221%
Wc Zurich $7 - $21 221%
Asr Health Benefits $9 284%
Christian Brother Services $9 284%
Coventry $9 284%
First Health $9 284%
Luminare Health $9 284%
Medical Mutual $9 284%
Webtpa $9 284%
Medica $129 4069%

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