CMS Price Transparency Data

Vaginal delivery (full package)

Facility: Mercyone Waterloo Medical Center

Billing Code: 59400 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 59400
  • Insurance Median: $955
  • Cash Discount Price: $6,388
  • vs. Medicare Baseline: 0.43x Medicare
The contracted insurance negotiated median rate for a Vaginal delivery (full package) at Mercyone Waterloo Medical Center is $955. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,388. Compared to the federal Medicare reimbursement reference rate of $2,214.42, this hospital’s rate is 0.43x the Medicare baseline. Located in 3421 West Ninth Street, Waterloo, IA.
Cash / Self-Pay
$6,388

Average discount available for prompt cash payment at this facility.

Insurance Median
$955

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$2,214.42

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $2,214.42 (100%)
Cash / Self-Pay: $6,388 (288%)
Insurance Median: $955 (43%)
Cash: $6,388 (288% of Medicare)
Ins. Median: $955 (43% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $2,214.42 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
Albany County Correctional Facility $648 - $682 29%
Ambetter / Centene $648 - $1,656 29%
Amish Mennonite $648 - $682 29%
Ascension St. Vincent Public Safety Medical $648 - $682 29%
Bcccp-Michigan $648 - $682 29%
Bccp $648 - $682 29%
Blue Cross Blue Shield $648 - $1,784 29%
Bmc Healthnet $648 - $682 29%
Breast Grant-Connecticut $648 - $682 29%
Broward County Dept Of Health $648 - $682 29%
California Health And Wellness $648 - $682 29%
Can Community Health Inc $648 - $682 29%
Cardinal Innovations Lme $648 - $682 29%
Care Connections Of Northern Iowa $648 - $682 29%
Care Oregon Ohp $648 - $682 29%
Cencal Health Plan $648 - $682 29%
Cenpatico $648 - $682 29%
Chhuny $648 - $682 29%
Childrens Comm Health Plan $648 - $682 29%
Childrens Medical Services Title 19 $648 - $682 29%
Cigna $648 - $2,100 29%
City Of Philadelphia $648 - $682 29%
Cmh Allegan County $648 - $682 29%
Cmh Ausable Valley $648 - $682 29%
Cmh Barry County $648 - $682 29%
Cmh Bay-Arenac County $648 - $682 29%
Cmh Berrien County $648 - $682 29%
Cmh Cass County $648 - $682 29%
Cmh Central Mi County $648 - $682 29%
Cmh Clinton-Eaton-Ingham County $648 - $682 29%
Cmh Detroit Wayne Integrated Health Network $648 - $682 29%
Cmh Genesee County $648 - $682 29%
Cmh Ionia County $648 - $682 29%
Cmh Jackson County/Lifeways $648 - $682 29%
Cmh Kalamazoo $648 - $682 29%
Cmh Kent County $648 - $682 29%
Cmh Lenawee County $648 - $682 29%
Cmh Livingston County $648 - $682 29%
Cmh Macomb $648 - $682 29%
Cmh Misc $648 - $682 29%
Cmh Monroe County $648 - $682 29%
Cmh Montcalm County $648 - $682 29%
Cmh Muskegon County $648 - $682 29%
Cmh Newaygo County $648 - $682 29%
Cmh North Country $648 - $682 29%
Cmh Northern Lakes County $648 - $682 29%
Cmh Oakland County $648 - $682 29%
Cmh Ottawa County $648 - $682 29%
Cmh Van Buren County $648 - $682 29%
Cmh Washtenaw County $648 - $682 29%
Cmh Wayne County/Carelink $648 - $682 29%
Cmh Wayne Cty/Com Liv Svcs $648 - $682 29%
Cmh West Mi County $648 - $682 29%
Community Benefit Health $648 - $682 29%
Community Care Behavorial Health $648 - $682 29%
Community Care Partners $648 - $682 29%
Community Health Choice $648 - $682 29%
Connections Csp $648 - $682 29%
County Coroner $648 - $682 29%
County Funding Generic $648 - $682 29%
Covid19 Hrsa Uninsured Testing And Treatment Fund $648 - $682 29%
Dean Wi Badgercare $648 - $682 29%
Delaware County Department Of Health $648 - $682 29%
Delaware First Health $648 - $682 29%
Delta Dental Nj $648 - $682 29%
Dph Tb Program $648 - $682 29%
Dscc $648 - $682 29%
Eastpointe Lme $648 - $682 29%
Family Health Network $648 - $682 29%
Freedom First Healthcare $648 - $682 29%
Fresno County Ccs $648 - $682 29%
Ghc Scw Wi Badgercare $648 - $682 29%
Harbor Health $648 - $682 29%
Health Safety Net $648 - $682 29%
Healthy Blue Ne $648 - $682 29%
Hennepin Health $648 - $682 29%
Humana $648 - $1,559 29%
Id County Ada $648 - $682 29%
Id County Canyon $648 - $682 29%
Id County Cat Fund $648 - $682 29%
Id County Other $648 - $682 29%
Id County Payette $648 - $682 29%
Idaho Dept Health And Wellfare $648 - $682 29%
Idaho Womens Health Check $648 - $682 29%
Indiana Breast Cervical Cancer $648 - $682 29%
Inland Empire Health Plan $648 - $682 29%
Intercommunity Health Ohp $648 - $682 29%
Jai Medical System $648 - $682 29%
Kern Family Health Plan $648 - $682 29%
Keystone First $648 - $682 29%
Keystone First Chip $648 - $682 29%
La Care Health Plan $648 - $682 29%
Lakeland Care Inc $648 - $682 29%
Managed Health Services - Indiana $648 - $682 29%
Maryland Breast & Cervical Program $648 - $682 29%
Maryland Healthy Smiles - Scion Dental $648 - $682 29%
Maryland Physicians Care $648 - $682 29%
Massachusetts Behavioral Health Partnership $648 - $682 29%
Mdwise $648 - $682 29%
Medi-Cal $648 - $682 29%
Medi-Cal Healthnet $648 - $682 29%
Medicaid / KanCare $648 - $3,750 29%
Medstar Dc Healthy Family $648 - $682 29%
Medstar Md Health Choice $648 - $682 29%
Mo Home State Health Plan $648 - $682 29%
Molina Centennial Care $648 - $682 29%
Nascentia Health Options $648 - $682 29%
New York Cancer Services Program $648 - $682 29%
Nextlevel Health $648 - $682 29%
Oregon Screenwise $648 - $682 29%
Pace Of Southwest Michigan $648 - $955 29%
Paramount Advantage $648 - $682 29%
Parkland Community Health Plan $648 - $682 29%
Partners Behavioral Lme $648 - $682 29%
Peach State Healthplan $648 - $682 29%
Philadelphia County Funding $648 - $682 29%
Presbyterian Centennial Care $648 - $682 29%
Prestige Health Choice $648 - $682 29%
Priority Partners $648 - $682 29%
Robert F Sing Program $648 - $682 29%
Rx 340B Pass Along $648 - $682 29%
Rx Assistance/Rx Manufacturer Assistance 0 Copay $648 - $682 29%
Rx Medi-Cal $648 - $682 29%
Rx Meridian Rx $648 - $682 29%
Ryan White Florida Mssrp $648 - $682 29%
Sandhills Center Lme $648 - $682 29%
Screening For Life $648 - $682 29%
St Joseph County Hlth Dpt $648 - $682 29%
Sunshine State Health Plan $648 - $682 29%
Superior Health $648 - $682 29%
Tenncare $648 - $682 29%
Texas Children'S Health Plan $648 - $682 29%
Trillium Community Ohp $648 - $682 29%
Tufts Health Public Plans $648 - $682 29%
UnitedHealthcare $648 - $3,750 29%
Vaya Health Lme $648 - $682 29%
Washtenaw Health Plan $648 - $682 29%
Wellsense Health Plan $648 - $682 29%
Wi Womens Wellness $648 - $682 29%
Iowa Total Care $661 - $696 30%
Wellpoint $667 - $703 30%
Aetna $812 - $7,499 37%
Medicare (plans) $836 - $1,011 38%
American Health Plan $852 - $1,003 38%
Wc Corvel $926 42%
Align Senior Care $955 43%
Ally Align Care Adv $955 43%
American Health Advantage Of Idaho $955 43%
Aurora Special Needs $955 43%
Blue Care Network Advantage $955 43%
Blue Shield - De (Highmark) Medciare Advantage $955 43%
Care Dimensions $955 43%
Care Improvement Plus $955 43%
Care Resources Pace $955 43%
Careplus Health Plans $955 43%
Cca - Zing Health $955 43%
Cca Senior Care Options $955 43%
Central Valley Medical Services Corp Pace $955 43%
Champion Health Plan Mcr Advantage $955 43%
Clear Spring Health $955 43%
Clover Health $955 43%
Commonwealth Care Alliance $955 43%
Community Pace At Home $955 43%
Eddy Senior Care-Pace $955 43%
Eddy Seniorcare Pace $955 43%
Elementcare $955 43%
Evercare $955 43%
Everence $955 43%
Gateway Health Plan $955 43%
Genesys Pace Of Genesee County $955 43%
Georgia Health Advantage $955 43%
Gold Advantage $955 43%
Gpa Croell Redi Mix $955 43%
Health America Advantra $955 43%
Highmark Health Options Dual Plan $955 43%
Hope Select Pace $955 43%
Horizon Nj Total Care $955 43%
Hudson Headwaters Pace $955 43%
Huron Valley Pace $955 43%
Innovative Integrated Health Community Plans $955 43%
Johns Hopkins Advantage Md $955 43%
Lasso Healthcare Msa $955 43%
Life St Marys Pace $955 43%
Lifecircles Pace $955 43%
Longevity Health Plan $955 43%
Longevity Ipa Of Michigan Llc Health Plan Isnp $955 43%
Martins Point Generations Advantage $955 43%
Mass General Brigham Mcr Adv $955 43%
Medipak Advantage $955 43%
Mercy Life $955 43%
Mercyone Cedar Valley $955 43%
Meridian Complete $955 43%
Michigan Complete Health $955 43%
Nascentia Health Plus $955 43%
New Centry Health Careplus $955 43%
Osu Prime Care Advantage $955 43%
Pace Cny $955 43%
Pace Iowa Immanuel Pathways $955 43%
Pace Southeast $955 43%
Pace-Trinity Health $955 43%
Peak Pace Solutions $955 43%
Perennial Advantage $955 43%
Preferred Care Partners $955 43%
Presbyterian Senior Plan $955 43%
Provider Partners Health Plan Of Illinois $955 43%
Provider Partners Health Plan Of Indiana $955 43%
Pruitthealth Premier $955 43%
Reliance Community Care Partners Care Resources Pace $955 43%
Rx Allwin $955 43%
Rx Grane Grnmedd $955 43%
Rx Retiree Rx Care $955 43%
Scan Health Plan Mcr Ipa Meritage Oon $955 43%
Secure Horizons Ma Pffs $955 43%
Serenity Pace $955 43%
Siouxland Pace $955 43%
Solis Health Plans $955 43%
Sunnyview-Pace Finance Dept $955 43%
Texan Plus $955 43%
The Health Plan $955 43%
Thome Pace $955 43%
Todays Options $955 43%
Tribute Health Plans $955 43%
Um Health Advantage $955 43%
Union Health Service $955 43%
Welbe Health $955 43%
Wellmed $955 43%
Veterans Administration $974 44%
Iowa Health Advantage $1,003 45%
Amps $1,052 - $1,315 48%
Champva $1,053 48%
Tricare $1,053 48%
Triwest Health Alliance $1,053 48%
Us Family Health Plan $1,053 48%
Veterans Eval Services $1,053 48%
Amish Hospital Aid $1,296 59%
Stephenson Cty Health $1,341 61%
Health Partners $1,401 - $1,991 63%
Avera $1,485 67%
Bcn Domestic $1,516 68%
Blue Benefit Administrators Of Massachusetts $1,516 68%
Blue Care Network $1,516 68%
Blue Distinction Transplant $1,516 68%
Blue Shield - Ca $1,516 68%
Blue Shield - Id (Regence) $1,516 68%
Blue Shield - Ny Highmark Northeastern $1,516 68%
Blue Shield - Ny Highmark Western $1,516 68%
Blue Shield - Pa (Highmark) $1,516 68%
Blue Shield - Wa (Regence) $1,516 68%
Health Choices $1,516 - $2,100 68%
Kaiser Domestic $1,516 68%
Pre-Employment $1,516 68%
Wc Domestic $1,516 68%
Oscar $1,549 - $1,823 70%
Usa Managed Care $1,607 - $1,890 73%
Medical Associates $1,627 73%
Ucare $1,737 78%
The Alliance $1,739 - $2,046 79%
Lucent Health $1,754 79%
Sanford Health Plan $1,771 80%
Health Smart $1,803 81%
Quiktrip $1,900 86%
Centivo $1,952 88%
Preferred One $2,025 - $2,382 91%
Claimdoc $2,036 92%
Allied Benefit Systems $2,100 95%
Auxiant $2,100 95%
First Choice Health $2,100 95%
Group Administrators $2,100 95%
Midlands $2,100 95%
Midlands Choice $2,100 95%
Global Excel $2,202 99%
Multiplan $2,283 103%
Geha $2,287 - $2,693 103%
Velocity $2,290 103%
Iowa Dept Of Public Health $2,638 - $3,750 119%
Nebraska Total Care $2,638 - $3,750 119%
Meritain $2,873 - $3,380 130%
Newton Correctional Facility $3,430 - $4,874 155%
Genex Wc $3,958 - $5,624 179%
Wc Align Network $4,222 - $5,999 191%
Wc Praxis Health Network $4,485 - $6,374 203%
Wc Reny Company $4,591 - $6,524 207%
Wc Velocity $4,591 - $6,524 207%
Auto Velocity $4,749 - $6,749 214%
Wc O'Hara Corp $4,749 - $6,749 214%
Andrie Inc $5,277 - $7,499 238%
East Greenbush Central School District $5,277 - $7,499 238%
Healthsmart Workers Comp $5,277 - $7,499 238%
Jag Source $5,277 - $7,499 238%
New York State Insurance Fund $5,277 - $7,499 238%
Njm Insurance Group $5,277 - $7,499 238%
Rx Heatlhcomp $5,277 - $7,499 238%
Rx Restat $5,277 - $7,499 238%
Rx Saif Opdp Wc $5,277 - $7,499 238%
Rx Worker'S Comp $5,277 - $7,499 238%
Wc Accident Fund $5,277 - $7,499 238%
Wc Ace $5,277 - $7,499 238%
Wc Acs Federal Employees $5,277 - $7,499 238%
Wc Acuity $5,277 - $7,499 238%
Wc Advantage $5,277 - $7,499 238%
Wc Aegis $5,277 - $7,499 238%
Wc Aig $5,277 - $7,499 238%
Wc Aims $5,277 - $7,499 238%
Wc Alaska National Ins $5,277 - $7,499 238%
Wc Allied $5,277 - $7,499 238%
Wc Am Trust N America $5,277 - $7,499 238%
Wc American Claims Mgmt $5,277 - $7,499 238%
Wc Amerisure $5,277 - $7,499 238%
Wc Amtrust $5,277 - $7,499 238%
Wc Asu Risk Mgt $5,277 - $7,499 238%
Wc Benetech $5,277 - $7,499 238%
Wc Berkley Admin $5,277 - $7,499 238%
Wc Broadspire $5,277 - $7,499 238%
Wc Broward County $5,277 - $7,499 238%
Wc Bunch & Associates $5,277 - $7,499 238%
Wc California State Comp Ins $5,277 - $7,499 238%
Wc California State Ins Fund $5,277 - $7,499 238%
Wc Capitol Area Health Consortium $5,277 - $7,499 238%
Wc Ccmsi $5,277 - $7,499 238%
Wc Chartis $5,277 - $7,499 238%
Wc Chubb $5,277 - $7,499 238%
Wc Cirma $5,277 - $7,499 238%
Wc City Of Albany $5,277 - $7,499 238%
Wc City Of Sioux City $5,277 - $7,499 238%
Wc Claims Mgmt Inc $5,277 - $7,499 238%
Wc Cna $5,277 - $7,499 238%
Wc Comp One Admin C/O Manageability $5,277 - $7,499 238%
Wc Compone Admin $5,277 - $7,499 238%
Wc Ct Healthcare Trust $5,277 - $7,499 238%
Wc Donegal Insurance Group $5,277 - $7,499 238%
Wc Emc Insurance Company $5,277 - $7,499 238%
Wc Employee Mutual $5,277 - $7,499 238%
Wc Enablecomp $5,277 - $7,499 238%
Wc Encore Health Network $5,277 - $7,499 238%
Wc Erie $5,277 - $7,499 238%
Wc Esis $5,277 - $7,499 238%
Wc Evolutions $5,277 - $7,499 238%
Wc Fcci $5,277 - $7,499 238%
Wc Fed Ex $5,277 - $7,499 238%
Wc Federal Black Lung $5,277 - $7,499 238%
Wc Federated $5,277 - $7,499 238%
Wc Finley Occupational Health $5,277 - $7,499 238%
Wc First Agency/Occunet $5,277 - $7,499 238%
Wc Ford Motor $5,277 - $7,499 238%
Wc Fresno Unified Emp $5,277 - $7,499 238%
Wc Gallagher Bassett $5,277 - $7,499 238%
Wc General Motors $5,277 - $7,499 238%
Wc Generic $5,277 - $7,499 238%
Wc Genex Care For Ohio $5,277 - $7,499 238%
Wc Great West Casualty $5,277 - $7,499 238%
Wc Guarantee Insurance $5,277 - $7,499 238%
Wc Guard Insurance Company $5,277 - $7,499 238%
Wc Hab $5,277 - $7,499 238%
Wc Hartford $5,277 - $7,499 238%
Wc Hastings $5,277 - $7,499 238%
Wc Health Management $5,277 - $7,499 238%
Wc Heritage Summit $5,277 - $7,499 238%
Wc Hireright $5,277 - $7,499 238%
Wc Horizon $5,277 - $7,499 238%
Wc Icw Group $5,277 - $7,499 238%
Wc Idaho State Ins Fund $5,277 - $7,499 238%
Wc Intercare Insurance $5,277 - $7,499 238%
Wc Intermountain $5,277 - $7,499 238%
Wc Johns Eastern $5,277 - $7,499 238%
Wc Kemberton $5,277 - $7,499 238%
Wc Key Ins & Benefit Solutions $5,277 - $7,499 238%
Wc Liberty Mutual $5,277 - $7,499 238%
Wc Mac Risk Management $5,277 - $7,499 238%
Wc Massachusetts $5,277 - $7,499 238%
Wc Mdia $5,277 - $7,499 238%
Wc Meadowbrook Claim $5,277 - $7,499 238%
Wc Medical Administrators $5,277 - $7,499 238%
Wc Meijers $5,277 - $7,499 238%
Wc Memic $5,277 - $7,499 238%
Wc Mercy Workcare $5,277 - $7,499 238%
Wc Michigan $5,277 - $7,499 238%
Wc Michigan Millers Mutual $5,277 - $7,499 238%
Wc Mitchell Frankenmuth $5,277 - $7,499 238%
Wc Mra $5,277 - $7,499 238%
Wc Nationwide $5,277 - $7,499 238%
Wc Nca Comp $5,277 - $7,499 238%
Wc New York $5,277 - $7,499 238%
Wc New York Special Funds $5,277 - $7,499 238%
Wc North American Rishces $5,277 - $7,499 238%
Wc Northeast Health $5,277 - $7,499 238%
Wc Notre Dame $5,277 - $7,499 238%
Wc Novanet $5,277 - $7,499 238%
Wc Occ Health Allen $5,277 - $7,499 238%
Wc Ohio Bureau $5,277 - $7,499 238%
Wc One Call Medical $5,277 - $7,499 238%
Wc Paradigm $5,277 - $7,499 238%
Wc Peerless $5,277 - $7,499 238%
Wc Pma $5,277 - $7,499 238%
Wc Price Chopper $5,277 - $7,499 238%
Wc Procura Management $5,277 - $7,499 238%
Wc Qualcare $5,277 - $7,499 238%
Wc Quiktrip $5,277 - $7,499 238%
Wc Rev Claims $5,277 - $7,499 238%
Wc Risico $5,277 - $7,499 238%
Wc Rural Mutual $5,277 - $7,499 238%
Wc Saif Oregon $5,277 - $7,499 238%
Wc Secura $5,277 - $7,499 238%
Wc Sedgwick $5,277 - $7,499 238%
Wc Sentry $5,277 - $7,499 238%
Wc Sheakley Unicomp $5,277 - $7,499 238%
Wc Smile Lodge $5,277 - $7,499 238%
Wc Society $5,277 - $7,499 238%
Wc Srs $5,277 - $7,499 238%
Wc Taconic (Mro) $5,277 - $7,499 238%
Wc Taconic Farms $5,277 - $7,499 238%
Wc Travelers $5,277 - $7,499 238%
Wc Triad Group $5,277 - $7,499 238%
Wc Tristar $5,277 - $7,499 238%
Wc Troy Ny $5,277 - $7,499 238%
Wc Tyson $5,277 - $7,499 238%
Wc Unified Health Services $5,277 - $7,499 238%
Wc United Heartland $5,277 - $7,499 238%
Wc Us Dept Of Labor $5,277 - $7,499 238%
Wc Walmart $5,277 - $7,499 238%
Wc West Bend $5,277 - $7,499 238%
Wc West Bend Mutual/Argent $5,277 - $7,499 238%
Wc Winnebago Industries $5,277 - $7,499 238%
Wc Yankee Trails $5,277 - $7,499 238%
Wc York Risk $5,277 - $7,499 238%
Wc Zenith $5,277 - $7,499 238%
Wc Zurich $5,277 - $7,499 238%

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