CMS Price Transparency Data

X-ray, foot

Facility: Mercyone Waterloo Medical Center

Billing Code: 73630 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$20
about 0.2× the $89 Medicare rate · typically $17–$38
modeled estimate · not a bill or quote
What this hospital charges insurers
$26
Above the fair price
about $6 over the fair price · 0.3× Medicare
Medicare pays $89 Fair price $20 This hospital $26 Hospital's list price $146

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 $16 Priciest $26

Black dot = this hospital, among the 9 IA hospitals with a price for this procedure. Full list below.

A fair price for a X-ray, foot is about $20 (about 0.2× the $89 Medicare rate). Mercyone Waterloo Medical Center charges insurers about $26 — 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 $20. 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 $7 - $608 8%
Blue Cross Blue Shieldmajor $7 - $136 8%
Aetnamajor $7 - $194 8%
Cignamajor $7 - $432 8%
Humanamajor $7 - $100 8%
Kaiser Permanentemajor $14 - $136 16%
Ambetter (Centene) $8 - $141 9%
Clover Health $7 - $61 8%
GEHA $16 - $391 18%
Health Net $8 - $194 9%
HealthPartners $8 - $399 9%
Medica $288 - $432 324%
Medical Mutual $131 147%
Meridian $7 - $61 8%
Molina $8 - $39 9%
Oscar Health $14 - $128 16%
Paramount $8 - $39 9%
Presbyterian $7 - $61 8%
Sanford Health Plan $13 - $109 15%
Tufts Health Plan $8 - $39 9%
UCare $14 - $120 16%
WellMed $7 - $61 8%
WellSense $8 - $39 9%
+ 359 smaller / regional plans $7 - $608
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 17 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