CMS Price Transparency Data

X-ray, foot

Facility: Mercyone Waterloo Medical Center

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73630
  • Insurance Median: $31
  • Cash Discount Price: $229
  • vs. Medicare Baseline: 0.35x Medicare
The contracted insurance negotiated median rate for a X-ray, foot at Mercyone Waterloo Medical Center is $31. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $229. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.35x the Medicare baseline. Located in 3421 West Ninth Street, Waterloo, IA.
Cash / Self-Pay
$229

Average discount available for prompt cash payment at this facility.

Insurance Median
$31

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$88.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $88.91 (100%)
Cash / Self-Pay: $229 (258%)
Insurance Median: $31 (35%)
Cash: $229 (258% of Medicare)
Ins. Median: $31 (35% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $88.91 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
Medicaid / KanCare $5 - $194 6%
Aetna $7 - $194 8%
Align Senior Care $7 - $61 8%
Ally Align Care Adv $7 - $61 8%
American Health Advantage Of Idaho $7 - $61 8%
Aurora Special Needs $7 - $61 8%
Blue Care Network Advantage $7 - $61 8%
Blue Cross Blue Shield $7 - $136 8%
Blue Shield - De (Highmark) Medciare Advantage $7 - $61 8%
Care Dimensions $7 - $61 8%
Care Improvement Plus $7 - $61 8%
Care Resources Pace $7 - $61 8%
Careplus Health Plans $7 - $61 8%
Cca - Zing Health $7 - $61 8%
Cca Senior Care Options $7 - $61 8%
Central Valley Medical Services Corp Pace $7 - $61 8%
Champion Health Plan Mcr Advantage $7 - $61 8%
Champva $7 - $45 8%
Cigna $7 - $432 8%
Clear Spring Health $7 - $61 8%
Clover Health $7 - $61 8%
Commonwealth Care Alliance $7 - $61 8%
Community Pace At Home $7 - $61 8%
Eddy Senior Care-Pace $7 - $61 8%
Eddy Seniorcare Pace $7 - $61 8%
Elementcare $7 - $61 8%
Evercare $7 - $61 8%
Everence $7 - $61 8%
Gateway Health Plan $7 - $61 8%
Genesys Pace Of Genesee County $7 - $61 8%
Georgia Health Advantage $7 - $61 8%
Gold Advantage $7 - $61 8%
Gpa Croell Redi Mix $7 - $61 8%
Health America Advantra $7 - $61 8%
Highmark Health Options Dual Plan $7 - $61 8%
Hope Select Pace $7 - $61 8%
Horizon Nj Total Care $7 - $61 8%
Hudson Headwaters Pace $7 - $61 8%
Humana $7 - $100 8%
Huron Valley Pace $7 - $61 8%
Innovative Integrated Health Community Plans $7 - $61 8%
Johns Hopkins Advantage Md $7 - $61 8%
Lasso Healthcare Msa $7 - $61 8%
Life St Marys Pace $7 - $61 8%
Lifecircles Pace $7 - $61 8%
Longevity Health Plan $7 - $61 8%
Longevity Ipa Of Michigan Llc Health Plan Isnp $7 - $61 8%
Martins Point Generations Advantage $7 - $61 8%
Mass General Brigham Mcr Adv $7 - $61 8%
Medicare (plans) $7 - $131 8%
Medipak Advantage $7 - $61 8%
Mercy Life $7 - $61 8%
Mercyone Cedar Valley $7 - $61 8%
Meridian Complete $7 - $61 8%
Michigan Complete Health $7 - $61 8%
Nascentia Health Plus $7 - $61 8%
New Centry Health Careplus $7 - $61 8%
Osu Prime Care Advantage $7 - $61 8%
Pace Cny $7 - $61 8%
Pace Iowa Immanuel Pathways $7 - $61 8%
Pace Of Southwest Michigan $7 - $61 8%
Pace Southeast $7 - $61 8%
Pace-Trinity Health $7 - $61 8%
Peak Pace Solutions $7 - $61 8%
Perennial Advantage $7 - $61 8%
Preferred Care Partners $7 - $61 8%
Presbyterian Senior Plan $7 - $61 8%
Provider Partners Health Plan Of Illinois $7 - $61 8%
Provider Partners Health Plan Of Indiana $7 - $61 8%
Pruitthealth Premier $7 - $61 8%
Reliance Community Care Partners Care Resources Pace $7 - $61 8%
Rx Allwin $7 - $61 8%
Rx Grane Grnmedd $7 - $61 8%
Rx Retiree Rx Care $7 - $61 8%
Scan Health Plan Mcr Ipa Meritage Oon $7 - $61 8%
Secure Horizons Ma Pffs $7 - $61 8%
Serenity Pace $7 - $61 8%
Siouxland Pace $7 - $61 8%
Solis Health Plans $7 - $61 8%
Sunnyview-Pace Finance Dept $7 - $61 8%
Texan Plus $7 - $61 8%
The Health Plan $7 - $61 8%
Thome Pace $7 - $61 8%
Todays Options $7 - $61 8%
Tribute Health Plans $7 - $61 8%
Tricare $7 - $45 8%
Triwest Health Alliance $7 - $45 8%
Um Health Advantage $7 - $61 8%
Union Health Service $7 - $61 8%
UnitedHealthcare $7 - $608 8%
Us Family Health Plan $7 - $45 8%
Veterans Eval Services $7 - $45 8%
Wc Corvel $7 - $59 8%
Welbe Health $7 - $61 8%
Wellmed $7 - $61 8%
Albany County Correctional Facility $8 - $39 9%
Ambetter / Centene $8 - $141 9%
American Health Plan $8 - $64 9%
Amish Mennonite $8 - $39 9%
Ascension St. Vincent Public Safety Medical $8 - $39 9%
Bcccp-Michigan $8 - $39 9%
Bccp $8 - $39 9%
Bmc Healthnet $8 - $39 9%
Breast Grant-Connecticut $8 - $39 9%
Broward County Dept Of Health $8 - $39 9%
California Health And Wellness $8 - $39 9%
Can Community Health Inc $8 - $39 9%
Cardinal Innovations Lme $8 - $39 9%
Care Connections Of Northern Iowa $8 - $39 9%
Care Oregon Ohp $8 - $39 9%
Cencal Health Plan $8 - $39 9%
Cenpatico $8 - $39 9%
Chhuny $8 - $39 9%
Childrens Comm Health Plan $8 - $39 9%
Childrens Medical Services Title 19 $8 - $39 9%
City Of Philadelphia $8 - $39 9%
Cmh Allegan County $8 - $39 9%
Cmh Ausable Valley $8 - $39 9%
Cmh Barry County $8 - $39 9%
Cmh Bay-Arenac County $8 - $39 9%
Cmh Berrien County $8 - $39 9%
Cmh Cass County $8 - $39 9%
Cmh Central Mi County $8 - $39 9%
Cmh Clinton-Eaton-Ingham County $8 - $39 9%
Cmh Detroit Wayne Integrated Health Network $8 - $39 9%
Cmh Genesee County $8 - $39 9%
Cmh Ionia County $8 - $39 9%
Cmh Jackson County/Lifeways $8 - $39 9%
Cmh Kalamazoo $8 - $39 9%
Cmh Kent County $8 - $39 9%
Cmh Lenawee County $8 - $39 9%
Cmh Livingston County $8 - $39 9%
Cmh Macomb $8 - $39 9%
Cmh Misc $8 - $39 9%
Cmh Monroe County $8 - $39 9%
Cmh Montcalm County $8 - $39 9%
Cmh Muskegon County $8 - $39 9%
Cmh Newaygo County $8 - $39 9%
Cmh North Country $8 - $39 9%
Cmh Northern Lakes County $8 - $39 9%
Cmh Oakland County $8 - $39 9%
Cmh Ottawa County $8 - $39 9%
Cmh Van Buren County $8 - $39 9%
Cmh Washtenaw County $8 - $39 9%
Cmh Wayne County/Carelink $8 - $39 9%
Cmh Wayne Cty/Com Liv Svcs $8 - $39 9%
Cmh West Mi County $8 - $39 9%
Community Benefit Health $8 - $39 9%
Community Care Behavorial Health $8 - $39 9%
Community Care Partners $8 - $39 9%
Community Health Choice $8 - $39 9%
Connections Csp $8 - $39 9%
County Coroner $8 - $39 9%
County Funding Generic $8 - $39 9%
Covid19 Hrsa Uninsured Testing And Treatment Fund $8 - $39 9%
Dean Wi Badgercare $8 - $39 9%
Delaware County Department Of Health $8 - $39 9%
Delaware First Health $8 - $39 9%
Delta Dental Nj $8 - $39 9%
Dph Tb Program $8 - $39 9%
Dscc $8 - $39 9%
Eastpointe Lme $8 - $39 9%
Family Health Network $8 - $39 9%
Freedom First Healthcare $8 - $39 9%
Fresno County Ccs $8 - $39 9%
Ghc Scw Wi Badgercare $8 - $39 9%
Harbor Health $8 - $39 9%
Health Safety Net $8 - $39 9%
Healthy Blue Ne $8 - $39 9%
Hennepin Health $8 - $39 9%
Id County Ada $8 - $39 9%
Id County Canyon $8 - $39 9%
Id County Cat Fund $8 - $39 9%
Id County Other $8 - $39 9%
Id County Payette $8 - $39 9%
Idaho Dept Health And Wellfare $8 - $39 9%
Idaho Womens Health Check $8 - $39 9%
Indiana Breast Cervical Cancer $8 - $39 9%
Inland Empire Health Plan $8 - $39 9%
Intercommunity Health Ohp $8 - $39 9%
Iowa Health Advantage $8 - $64 9%
Jai Medical System $8 - $39 9%
Kern Family Health Plan $8 - $39 9%
Keystone First $8 - $39 9%
Keystone First Chip $8 - $39 9%
La Care Health Plan $8 - $39 9%
Lakeland Care Inc $8 - $39 9%
Managed Health Services - Indiana $8 - $39 9%
Maryland Breast & Cervical Program $8 - $39 9%
Maryland Healthy Smiles - Scion Dental $8 - $39 9%
Maryland Physicians Care $8 - $39 9%
Massachusetts Behavioral Health Partnership $8 - $39 9%
Mdwise $8 - $39 9%
Medi-Cal $8 - $39 9%
Medi-Cal Healthnet $8 - $39 9%
Medstar Dc Healthy Family $8 - $39 9%
Medstar Md Health Choice $8 - $39 9%
Mo Home State Health Plan $8 - $39 9%
Molina Centennial Care $8 - $39 9%
Nascentia Health Options $8 - $39 9%
New York Cancer Services Program $8 - $39 9%
Nextlevel Health $8 - $39 9%
Oregon Screenwise $8 - $39 9%
Paramount Advantage $8 - $39 9%
Parkland Community Health Plan $8 - $39 9%
Partners Behavioral Lme $8 - $39 9%
Peach State Healthplan $8 - $39 9%
Philadelphia County Funding $8 - $39 9%
Presbyterian Centennial Care $8 - $39 9%
Prestige Health Choice $8 - $39 9%
Priority Partners $8 - $39 9%
Robert F Sing Program $8 - $39 9%
Rx 340B Pass Along $8 - $39 9%
Rx Assistance/Rx Manufacturer Assistance 0 Copay $8 - $39 9%
Rx Medi-Cal $8 - $39 9%
Rx Meridian Rx $8 - $39 9%
Ryan White Florida Mssrp $8 - $39 9%
Sandhills Center Lme $8 - $39 9%
Screening For Life $8 - $39 9%
St Joseph County Hlth Dpt $8 - $39 9%
Stephenson Cty Health $8 - $70 9%
Sunshine State Health Plan $8 - $39 9%
Superior Health $8 - $39 9%
Tenncare $8 - $39 9%
Texas Children'S Health Plan $8 - $39 9%
Trillium Community Ohp $8 - $39 9%
Tufts Health Public Plans $8 - $39 9%
Vaya Health Lme $8 - $39 9%
Veterans Administration $8 - $63 9%
Washtenaw Health Plan $8 - $39 9%
Wellsense Health Plan $8 - $39 9%
Wi Womens Wellness $8 - $39 9%
Iowa Total Care $9 - $128 10%
Wellpoint $9 - $41 10%
Amish Hospital Aid $10 - $111 11%
Amps $10 - $85 11%
Multiplan $10 - $64 11%
Naphcare $10 - $85 11%
Naphcare Correctional $10 - $85 11%
Avera $12 - $101 13%
Medical Associates $13 - $143 15%
Preferred Health Choice $13 - $105 15%
Sanford Health Plan $13 - $109 15%
Bcn Domestic $14 - $136 16%
Blue Benefit Administrators Of Massachusetts $14 - $136 16%
Blue Care Network $14 - $136 16%
Blue Distinction Transplant $14 - $136 16%
Blue Shield - Ca $14 - $136 16%
Blue Shield - Id (Regence) $14 - $136 16%
Blue Shield - Ny Highmark Northeastern $14 - $136 16%
Blue Shield - Ny Highmark Western $14 - $136 16%
Blue Shield - Pa (Highmark) $14 - $136 16%
Blue Shield - Wa (Regence) $14 - $136 16%
Centivo $14 - $139 16%
Health Choices $14 - $143 16%
Health Smart $14 - $116 16%
Kaiser Domestic $14 - $136 16%
Lucent Health $14 - $131 16%
Meritain $14 - $131 16%
Oscar $14 - $128 16%
Pre-Employment $14 - $136 16%
Ucare $14 - $120 16%
Wc Domestic $14 - $136 16%
Health Partners $15 - $399 17%
Quiktrip $15 - $122 17%
Usa Managed Care $15 - $121 17%
Claimdoc $16 - $168 18%
Geha $16 - $391 18%
Preferred One $16 - $102 18%
The Alliance $16 - $132 18%
Global Excel $17 - $142 19%
Newton Correctional Facility $18 - $126 20%
Velocity $18 - $147 20%
Allied Benefit Systems $20 - $131 22%
Auxiant $20 - $432 22%
First Choice Health $20 - $130 22%
Genex Wc $20 - $146 22%
Group Administrators $20 - $130 22%
Midlands $20 - $432 22%
Midlands Choice $20 - $432 22%
Wc Align Network $22 - $155 25%
Wc Praxis Health Network $23 - $165 26%
Wc Reny Company $23 - $169 26%
Wc Velocity $23 - $169 26%
Auto Velocity $24 - $175 27%
Wc O'Hara Corp $24 - $175 27%
Andrie Inc $27 - $194 30%
East Greenbush Central School District $27 - $194 30%
Healthsmart Workers Comp $27 - $194 30%
Iowa Dept Of Public Health $27 - $608 30%
Jag Source $27 - $194 30%
Nebraska Total Care $27 - $194 30%
New York State Insurance Fund $27 - $194 30%
Njm Insurance Group $27 - $194 30%
Rx Heatlhcomp $27 - $194 30%
Rx Restat $27 - $194 30%
Rx Saif Opdp Wc $27 - $194 30%
Rx Worker'S Comp $27 - $194 30%
Wc Accident Fund $27 - $194 30%
Wc Ace $27 - $194 30%
Wc Acs Federal Employees $27 - $194 30%
Wc Acuity $27 - $194 30%
Wc Advantage $27 - $194 30%
Wc Aegis $27 - $194 30%
Wc Aig $27 - $194 30%
Wc Aims $27 - $194 30%
Wc Alaska National Ins $27 - $194 30%
Wc Allied $27 - $194 30%
Wc Am Trust N America $27 - $194 30%
Wc American Claims Mgmt $27 - $194 30%
Wc Amerisure $27 - $194 30%
Wc Amtrust $27 - $194 30%
Wc Asu Risk Mgt $27 - $194 30%
Wc Benetech $27 - $194 30%
Wc Berkley Admin $27 - $194 30%
Wc Broadspire $27 - $194 30%
Wc Broward County $27 - $194 30%
Wc Bunch & Associates $27 - $194 30%
Wc California State Comp Ins $27 - $194 30%
Wc California State Ins Fund $27 - $194 30%
Wc Capitol Area Health Consortium $27 - $194 30%
Wc Ccmsi $27 - $194 30%
Wc Chartis $27 - $194 30%
Wc Chubb $27 - $194 30%
Wc Cirma $27 - $194 30%
Wc City Of Albany $27 - $194 30%
Wc City Of Sioux City $27 - $194 30%
Wc Claims Mgmt Inc $27 - $194 30%
Wc Cna $27 - $194 30%
Wc Comp One Admin C/O Manageability $27 - $194 30%
Wc Compone Admin $27 - $194 30%
Wc Ct Healthcare Trust $27 - $194 30%
Wc Donegal Insurance Group $27 - $194 30%
Wc Emc Insurance Company $27 - $194 30%
Wc Employee Mutual $27 - $194 30%
Wc Enablecomp $27 - $194 30%
Wc Encore Health Network $27 - $194 30%
Wc Erie $27 - $194 30%
Wc Esis $27 - $194 30%
Wc Evolutions $27 - $194 30%
Wc Fcci $27 - $194 30%
Wc Fed Ex $27 - $194 30%
Wc Federal Black Lung $27 - $194 30%
Wc Federated $27 - $194 30%
Wc Finley Occupational Health $27 - $194 30%
Wc First Agency/Occunet $27 - $194 30%
Wc Ford Motor $27 - $194 30%
Wc Fresno Unified Emp $27 - $194 30%
Wc Gallagher Bassett $27 - $194 30%
Wc General Motors $27 - $194 30%
Wc Generic $27 - $194 30%
Wc Genex Care For Ohio $27 - $194 30%
Wc Great West Casualty $27 - $194 30%
Wc Guarantee Insurance $27 - $194 30%
Wc Guard Insurance Company $27 - $194 30%
Wc Hab $27 - $194 30%
Wc Hartford $27 - $194 30%
Wc Hastings $27 - $194 30%
Wc Health Management $27 - $194 30%
Wc Heritage Summit $27 - $194 30%
Wc Hireright $27 - $194 30%
Wc Horizon $27 - $194 30%
Wc Icw Group $27 - $194 30%
Wc Idaho State Ins Fund $27 - $194 30%
Wc Intercare Insurance $27 - $194 30%
Wc Intermountain $27 - $194 30%
Wc Johns Eastern $27 - $194 30%
Wc Kemberton $27 - $194 30%
Wc Key Ins & Benefit Solutions $27 - $194 30%
Wc Liberty Mutual $27 - $194 30%
Wc Mac Risk Management $27 - $194 30%
Wc Massachusetts $27 - $194 30%
Wc Mdia $27 - $194 30%
Wc Meadowbrook Claim $27 - $194 30%
Wc Medical Administrators $27 - $194 30%
Wc Meijers $27 - $194 30%
Wc Memic $27 - $194 30%
Wc Mercy Workcare $27 - $194 30%
Wc Michigan $27 - $194 30%
Wc Michigan Millers Mutual $27 - $194 30%
Wc Mitchell Frankenmuth $27 - $194 30%
Wc Mra $27 - $194 30%
Wc Nationwide $27 - $194 30%
Wc Nca Comp $27 - $194 30%
Wc New York $27 - $194 30%
Wc New York Special Funds $27 - $194 30%
Wc North American Rishces $27 - $194 30%
Wc Northeast Health $27 - $194 30%
Wc Notre Dame $27 - $194 30%
Wc Novanet $27 - $194 30%
Wc Occ Health Allen $27 - $194 30%
Wc Ohio Bureau $27 - $194 30%
Wc One Call Medical $27 - $194 30%
Wc Paradigm $27 - $194 30%
Wc Peerless $27 - $194 30%
Wc Pma $27 - $194 30%
Wc Price Chopper $27 - $194 30%
Wc Procura Management $27 - $194 30%
Wc Qualcare $27 - $194 30%
Wc Quiktrip $27 - $194 30%
Wc Rev Claims $27 - $194 30%
Wc Risico $27 - $194 30%
Wc Rural Mutual $27 - $194 30%
Wc Saif Oregon $27 - $194 30%
Wc Secura $27 - $194 30%
Wc Sedgwick $27 - $194 30%
Wc Sentry $27 - $194 30%
Wc Sheakley Unicomp $27 - $194 30%
Wc Smile Lodge $27 - $194 30%
Wc Society $27 - $194 30%
Wc Srs $27 - $194 30%
Wc Taconic (Mro) $27 - $194 30%
Wc Taconic Farms $27 - $194 30%
Wc Travelers $27 - $194 30%
Wc Triad Group $27 - $194 30%
Wc Tristar $27 - $194 30%
Wc Troy Ny $27 - $194 30%
Wc Tyson $27 - $194 30%
Wc Unified Health Services $27 - $194 30%
Wc United Heartland $27 - $194 30%
Wc Us Dept Of Labor $27 - $194 30%
Wc Walmart $27 - $194 30%
Wc West Bend $27 - $194 30%
Wc West Bend Mutual/Argent $27 - $194 30%
Wc Winnebago Industries $27 - $194 30%
Wc Yankee Trails $27 - $194 30%
Wc York Risk $27 - $194 30%
Wc Zenith $27 - $194 30%
Wc Zurich $27 - $194 30%
Asr Health Benefits $131 147%
Christian Brother Services $131 147%
Coventry $131 147%
First Health $131 147%
Luminare Health $131 147%
Medical Mutual $131 147%
Webtpa $131 147%
Nova $168 189%
Medica $288 - $432 324%

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