CMS Price Transparency Data

X-ray, hand

Facility: Mercyone Waterloo Medical Center

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73130
  • Insurance Median: $26
  • Cash Discount Price: $103
  • vs. Medicare Baseline: 0.29x Medicare
The contracted insurance negotiated median rate for a X-ray, hand at Mercyone Waterloo Medical Center is $26. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $103. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.29x the Medicare baseline. Located in 3421 West Ninth Street, Waterloo, IA.
Cash / Self-Pay
$103

Average discount available for prompt cash payment at this facility.

Insurance Median
$26

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: $103 (116%)
Insurance Median: $26 (29%)
Cash: $103 (116% of Medicare)
Ins. Median: $26 (29% 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 $6 - $129 7%
Aetna $7 - $141 8%
Albany County Correctional Facility $7 - $26 8%
Align Senior Care $7 - $35 8%
Ally Align Care Adv $7 - $35 8%
Ambetter / Centene $7 - $141 8%
American Health Advantage Of Idaho $7 - $35 8%
American Health Plan $7 - $36 8%
Amish Mennonite $7 - $26 8%
Ascension St. Vincent Public Safety Medical $7 - $26 8%
Aurora Special Needs $7 - $35 8%
Bcccp-Michigan $7 - $26 8%
Bccp $7 - $26 8%
Blue Care Network Advantage $7 - $35 8%
Blue Cross Blue Shield $7 - $136 8%
Blue Shield - De (Highmark) Medciare Advantage $7 - $35 8%
Bmc Healthnet $7 - $26 8%
Breast Grant-Connecticut $7 - $26 8%
Broward County Dept Of Health $7 - $26 8%
California Health And Wellness $7 - $26 8%
Can Community Health Inc $7 - $26 8%
Cardinal Innovations Lme $7 - $26 8%
Care Connections Of Northern Iowa $7 - $26 8%
Care Dimensions $7 - $35 8%
Care Improvement Plus $7 - $35 8%
Care Oregon Ohp $7 - $26 8%
Care Resources Pace $7 - $35 8%
Careplus Health Plans $7 - $35 8%
Cca - Zing Health $7 - $35 8%
Cca Senior Care Options $7 - $35 8%
Cencal Health Plan $7 - $26 8%
Cenpatico $7 - $26 8%
Central Valley Medical Services Corp Pace $7 - $35 8%
Champion Health Plan Mcr Advantage $7 - $35 8%
Champva $7 - $33 8%
Chhuny $7 - $26 8%
Childrens Comm Health Plan $7 - $26 8%
Childrens Medical Services Title 19 $7 - $26 8%
Cigna $7 - $366 8%
City Of Philadelphia $7 - $26 8%
Clear Spring Health $7 - $35 8%
Clover Health $7 - $35 8%
Cmh Allegan County $7 - $26 8%
Cmh Ausable Valley $7 - $26 8%
Cmh Barry County $7 - $26 8%
Cmh Bay-Arenac County $7 - $26 8%
Cmh Berrien County $7 - $26 8%
Cmh Cass County $7 - $26 8%
Cmh Central Mi County $7 - $26 8%
Cmh Clinton-Eaton-Ingham County $7 - $26 8%
Cmh Detroit Wayne Integrated Health Network $7 - $26 8%
Cmh Genesee County $7 - $26 8%
Cmh Ionia County $7 - $26 8%
Cmh Jackson County/Lifeways $7 - $26 8%
Cmh Kalamazoo $7 - $26 8%
Cmh Kent County $7 - $26 8%
Cmh Lenawee County $7 - $26 8%
Cmh Livingston County $7 - $26 8%
Cmh Macomb $7 - $26 8%
Cmh Misc $7 - $26 8%
Cmh Monroe County $7 - $26 8%
Cmh Montcalm County $7 - $26 8%
Cmh Muskegon County $7 - $26 8%
Cmh Newaygo County $7 - $26 8%
Cmh North Country $7 - $26 8%
Cmh Northern Lakes County $7 - $26 8%
Cmh Oakland County $7 - $26 8%
Cmh Ottawa County $7 - $26 8%
Cmh Van Buren County $7 - $26 8%
Cmh Washtenaw County $7 - $26 8%
Cmh Wayne County/Carelink $7 - $26 8%
Cmh Wayne Cty/Com Liv Svcs $7 - $26 8%
Cmh West Mi County $7 - $26 8%
Commonwealth Care Alliance $7 - $35 8%
Community Benefit Health $7 - $26 8%
Community Care Behavorial Health $7 - $26 8%
Community Care Partners $7 - $26 8%
Community Health Choice $7 - $26 8%
Community Pace At Home $7 - $35 8%
Connections Csp $7 - $26 8%
County Coroner $7 - $26 8%
County Funding Generic $7 - $26 8%
Covid19 Hrsa Uninsured Testing And Treatment Fund $7 - $26 8%
Dean Wi Badgercare $7 - $26 8%
Delaware County Department Of Health $7 - $26 8%
Delaware First Health $7 - $26 8%
Delta Dental Nj $7 - $26 8%
Dph Tb Program $7 - $26 8%
Dscc $7 - $26 8%
Eastpointe Lme $7 - $26 8%
Eddy Senior Care-Pace $7 - $35 8%
Eddy Seniorcare Pace $7 - $35 8%
Elementcare $7 - $35 8%
Evercare $7 - $35 8%
Everence $7 - $35 8%
Family Health Network $7 - $26 8%
Freedom First Healthcare $7 - $26 8%
Fresno County Ccs $7 - $26 8%
Gateway Health Plan $7 - $35 8%
Genesys Pace Of Genesee County $7 - $35 8%
Georgia Health Advantage $7 - $35 8%
Ghc Scw Wi Badgercare $7 - $26 8%
Gold Advantage $7 - $35 8%
Gpa Croell Redi Mix $7 - $35 8%
Harbor Health $7 - $26 8%
Health America Advantra $7 - $35 8%
Health Safety Net $7 - $26 8%
Healthy Blue Ne $7 - $26 8%
Hennepin Health $7 - $26 8%
Highmark Health Options Dual Plan $7 - $35 8%
Hope Select Pace $7 - $35 8%
Horizon Nj Total Care $7 - $35 8%
Hudson Headwaters Pace $7 - $35 8%
Humana $7 - $56 8%
Huron Valley Pace $7 - $35 8%
Id County Ada $7 - $26 8%
Id County Canyon $7 - $26 8%
Id County Cat Fund $7 - $26 8%
Id County Other $7 - $26 8%
Id County Payette $7 - $26 8%
Idaho Dept Health And Wellfare $7 - $26 8%
Idaho Womens Health Check $7 - $26 8%
Indiana Breast Cervical Cancer $7 - $26 8%
Inland Empire Health Plan $7 - $26 8%
Innovative Integrated Health Community Plans $7 - $35 8%
Intercommunity Health Ohp $7 - $26 8%
Iowa Health Advantage $7 - $36 8%
Iowa Total Care $7 - $128 8%
Jai Medical System $7 - $26 8%
Johns Hopkins Advantage Md $7 - $35 8%
Kern Family Health Plan $7 - $26 8%
Keystone First $7 - $26 8%
Keystone First Chip $7 - $26 8%
La Care Health Plan $7 - $26 8%
Lakeland Care Inc $7 - $26 8%
Lasso Healthcare Msa $7 - $35 8%
Life St Marys Pace $7 - $35 8%
Lifecircles Pace $7 - $35 8%
Longevity Health Plan $7 - $35 8%
Longevity Ipa Of Michigan Llc Health Plan Isnp $7 - $35 8%
Managed Health Services - Indiana $7 - $26 8%
Martins Point Generations Advantage $7 - $35 8%
Maryland Breast & Cervical Program $7 - $26 8%
Maryland Healthy Smiles - Scion Dental $7 - $26 8%
Maryland Physicians Care $7 - $26 8%
Mass General Brigham Mcr Adv $7 - $35 8%
Massachusetts Behavioral Health Partnership $7 - $26 8%
Mdwise $7 - $26 8%
Medi-Cal $7 - $26 8%
Medi-Cal Healthnet $7 - $26 8%
Medicare (plans) $7 - $131 8%
Medipak Advantage $7 - $35 8%
Medstar Dc Healthy Family $7 - $26 8%
Medstar Md Health Choice $7 - $26 8%
Mercy Life $7 - $35 8%
Mercyone Cedar Valley $7 - $35 8%
Meridian Complete $7 - $35 8%
Michigan Complete Health $7 - $35 8%
Mo Home State Health Plan $7 - $26 8%
Molina Centennial Care $7 - $26 8%
Nascentia Health Options $7 - $26 8%
Nascentia Health Plus $7 - $35 8%
New Centry Health Careplus $7 - $35 8%
New York Cancer Services Program $7 - $26 8%
Nextlevel Health $7 - $26 8%
Oregon Screenwise $7 - $26 8%
Osu Prime Care Advantage $7 - $35 8%
Pace Cny $7 - $35 8%
Pace Iowa Immanuel Pathways $7 - $35 8%
Pace Of Southwest Michigan $7 - $35 8%
Pace Southeast $7 - $35 8%
Pace-Trinity Health $7 - $35 8%
Paramount Advantage $7 - $26 8%
Parkland Community Health Plan $7 - $26 8%
Partners Behavioral Lme $7 - $26 8%
Peach State Healthplan $7 - $26 8%
Peak Pace Solutions $7 - $35 8%
Perennial Advantage $7 - $35 8%
Philadelphia County Funding $7 - $26 8%
Preferred Care Partners $7 - $35 8%
Presbyterian Centennial Care $7 - $26 8%
Presbyterian Senior Plan $7 - $35 8%
Prestige Health Choice $7 - $26 8%
Priority Partners $7 - $26 8%
Provider Partners Health Plan Of Illinois $7 - $35 8%
Provider Partners Health Plan Of Indiana $7 - $35 8%
Pruitthealth Premier $7 - $35 8%
Reliance Community Care Partners Care Resources Pace $7 - $35 8%
Robert F Sing Program $7 - $26 8%
Rx 340B Pass Along $7 - $26 8%
Rx Allwin $7 - $35 8%
Rx Assistance/Rx Manufacturer Assistance 0 Copay $7 - $26 8%
Rx Grane Grnmedd $7 - $35 8%
Rx Medi-Cal $7 - $26 8%
Rx Meridian Rx $7 - $26 8%
Rx Retiree Rx Care $7 - $35 8%
Ryan White Florida Mssrp $7 - $26 8%
Sandhills Center Lme $7 - $26 8%
Scan Health Plan Mcr Ipa Meritage Oon $7 - $35 8%
Screening For Life $7 - $26 8%
Secure Horizons Ma Pffs $7 - $35 8%
Serenity Pace $7 - $35 8%
Siouxland Pace $7 - $35 8%
Solis Health Plans $7 - $35 8%
St Joseph County Hlth Dpt $7 - $26 8%
Sunnyview-Pace Finance Dept $7 - $35 8%
Sunshine State Health Plan $7 - $26 8%
Superior Health $7 - $26 8%
Tenncare $7 - $26 8%
Texan Plus $7 - $35 8%
Texas Children'S Health Plan $7 - $26 8%
The Health Plan $7 - $35 8%
Thome Pace $7 - $35 8%
Todays Options $7 - $35 8%
Tribute Health Plans $7 - $35 8%
Tricare $7 - $33 8%
Trillium Community Ohp $7 - $26 8%
Triwest Health Alliance $7 - $33 8%
Tufts Health Public Plans $7 - $26 8%
Um Health Advantage $7 - $35 8%
Union Health Service $7 - $35 8%
UnitedHealthcare $7 - $515 8%
Us Family Health Plan $7 - $33 8%
Vaya Health Lme $7 - $26 8%
Veterans Administration $7 - $35 8%
Veterans Eval Services $7 - $33 8%
Washtenaw Health Plan $7 - $26 8%
Welbe Health $7 - $35 8%
Wellmed $7 - $35 8%
Wellpoint $7 - $27 8%
Wellsense Health Plan $7 - $26 8%
Wi Womens Wellness $7 - $26 8%
Wc Corvel $8 - $34 9%
Amish Hospital Aid $9 - $111 10%
Amps $9 - $48 10%
Naphcare $9 - $48 10%
Naphcare Correctional $9 - $48 10%
Stephenson Cty Health $9 - $39 10%
Multiplan $10 - $64 11%
Avera $11 - $57 12%
Medical Associates $12 - $121 13%
Preferred Health Choice $12 - $59 13%
Sanford Health Plan $12 - $61 13%
Health Partners $13 - $338 15%
Health Smart $13 - $65 15%
Lucent Health $13 - $141 15%
Meritain $13 - $141 15%
Oscar $13 - $128 15%
Ucare $13 - $68 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%
Geha $14 - $391 16%
Health Choices $14 - $121 16%
Kaiser Domestic $14 - $136 16%
Pre-Employment $14 - $136 16%
Preferred One $14 - $72 16%
Quiktrip $14 - $69 16%
Usa Managed Care $14 - $68 16%
Wc Domestic $14 - $136 16%
Claimdoc $15 - $168 17%
The Alliance $15 - $74 17%
Centivo $16 - $139 18%
Global Excel $16 - $80 18%
Newton Correctional Facility $16 - $67 18%
Velocity $16 - $83 18%
Genex Wc $18 - $77 20%
Wc Align Network $19 - $82 21%
Wc Praxis Health Network $20 - $88 22%
Allied Benefit Systems $21 - $141 24%
Auxiant $21 - $366 24%
First Choice Health $21 - $92 24%
Group Administrators $21 - $92 24%
Midlands $21 - $366 24%
Midlands Choice $21 - $366 24%
Wc Reny Company $21 - $90 24%
Wc Velocity $21 - $90 24%
Auto Velocity $22 - $93 25%
Wc O'Hara Corp $22 - $93 25%
Andrie Inc $24 - $103 27%
East Greenbush Central School District $24 - $103 27%
Healthsmart Workers Comp $24 - $103 27%
Iowa Dept Of Public Health $24 - $515 27%
Jag Source $24 - $103 27%
Nebraska Total Care $24 - $103 27%
New York State Insurance Fund $24 - $103 27%
Njm Insurance Group $24 - $103 27%
Rx Heatlhcomp $24 - $103 27%
Rx Restat $24 - $103 27%
Rx Saif Opdp Wc $24 - $103 27%
Rx Worker'S Comp $24 - $103 27%
Wc Accident Fund $24 - $103 27%
Wc Ace $24 - $103 27%
Wc Acs Federal Employees $24 - $103 27%
Wc Acuity $24 - $103 27%
Wc Advantage $24 - $103 27%
Wc Aegis $24 - $103 27%
Wc Aig $24 - $103 27%
Wc Aims $24 - $103 27%
Wc Alaska National Ins $24 - $103 27%
Wc Allied $24 - $103 27%
Wc Am Trust N America $24 - $103 27%
Wc American Claims Mgmt $24 - $103 27%
Wc Amerisure $24 - $103 27%
Wc Amtrust $24 - $103 27%
Wc Asu Risk Mgt $24 - $103 27%
Wc Benetech $24 - $103 27%
Wc Berkley Admin $24 - $103 27%
Wc Broadspire $24 - $103 27%
Wc Broward County $24 - $103 27%
Wc Bunch & Associates $24 - $103 27%
Wc California State Comp Ins $24 - $103 27%
Wc California State Ins Fund $24 - $103 27%
Wc Capitol Area Health Consortium $24 - $103 27%
Wc Ccmsi $24 - $103 27%
Wc Chartis $24 - $103 27%
Wc Chubb $24 - $103 27%
Wc Cirma $24 - $103 27%
Wc City Of Albany $24 - $103 27%
Wc City Of Sioux City $24 - $103 27%
Wc Claims Mgmt Inc $24 - $103 27%
Wc Cna $24 - $103 27%
Wc Comp One Admin C/O Manageability $24 - $103 27%
Wc Compone Admin $24 - $103 27%
Wc Ct Healthcare Trust $24 - $103 27%
Wc Donegal Insurance Group $24 - $103 27%
Wc Emc Insurance Company $24 - $103 27%
Wc Employee Mutual $24 - $103 27%
Wc Enablecomp $24 - $103 27%
Wc Encore Health Network $24 - $103 27%
Wc Erie $24 - $103 27%
Wc Esis $24 - $103 27%
Wc Evolutions $24 - $103 27%
Wc Fcci $24 - $103 27%
Wc Fed Ex $24 - $103 27%
Wc Federal Black Lung $24 - $103 27%
Wc Federated $24 - $103 27%
Wc Finley Occupational Health $24 - $103 27%
Wc First Agency/Occunet $24 - $103 27%
Wc Ford Motor $24 - $103 27%
Wc Fresno Unified Emp $24 - $103 27%
Wc Gallagher Bassett $24 - $103 27%
Wc General Motors $24 - $103 27%
Wc Generic $24 - $103 27%
Wc Genex Care For Ohio $24 - $103 27%
Wc Great West Casualty $24 - $103 27%
Wc Guarantee Insurance $24 - $103 27%
Wc Guard Insurance Company $24 - $103 27%
Wc Hab $24 - $103 27%
Wc Hartford $24 - $103 27%
Wc Hastings $24 - $103 27%
Wc Health Management $24 - $103 27%
Wc Heritage Summit $24 - $103 27%
Wc Hireright $24 - $103 27%
Wc Horizon $24 - $103 27%
Wc Icw Group $24 - $103 27%
Wc Idaho State Ins Fund $24 - $103 27%
Wc Intercare Insurance $24 - $103 27%
Wc Intermountain $24 - $103 27%
Wc Johns Eastern $24 - $103 27%
Wc Kemberton $24 - $103 27%
Wc Key Ins & Benefit Solutions $24 - $103 27%
Wc Liberty Mutual $24 - $103 27%
Wc Mac Risk Management $24 - $103 27%
Wc Massachusetts $24 - $103 27%
Wc Mdia $24 - $103 27%
Wc Meadowbrook Claim $24 - $103 27%
Wc Medical Administrators $24 - $103 27%
Wc Meijers $24 - $103 27%
Wc Memic $24 - $103 27%
Wc Mercy Workcare $24 - $103 27%
Wc Michigan $24 - $103 27%
Wc Michigan Millers Mutual $24 - $103 27%
Wc Mitchell Frankenmuth $24 - $103 27%
Wc Mra $24 - $103 27%
Wc Nationwide $24 - $103 27%
Wc Nca Comp $24 - $103 27%
Wc New York $24 - $103 27%
Wc New York Special Funds $24 - $103 27%
Wc North American Rishces $24 - $103 27%
Wc Northeast Health $24 - $103 27%
Wc Notre Dame $24 - $103 27%
Wc Novanet $24 - $103 27%
Wc Occ Health Allen $24 - $103 27%
Wc Ohio Bureau $24 - $103 27%
Wc One Call Medical $24 - $103 27%
Wc Paradigm $24 - $103 27%
Wc Peerless $24 - $103 27%
Wc Pma $24 - $103 27%
Wc Price Chopper $24 - $103 27%
Wc Procura Management $24 - $103 27%
Wc Qualcare $24 - $103 27%
Wc Quiktrip $24 - $103 27%
Wc Rev Claims $24 - $103 27%
Wc Risico $24 - $103 27%
Wc Rural Mutual $24 - $103 27%
Wc Saif Oregon $24 - $103 27%
Wc Secura $24 - $103 27%
Wc Sedgwick $24 - $103 27%
Wc Sentry $24 - $103 27%
Wc Sheakley Unicomp $24 - $103 27%
Wc Smile Lodge $24 - $103 27%
Wc Society $24 - $103 27%
Wc Srs $24 - $103 27%
Wc Taconic (Mro) $24 - $103 27%
Wc Taconic Farms $24 - $103 27%
Wc Travelers $24 - $103 27%
Wc Triad Group $24 - $103 27%
Wc Tristar $24 - $103 27%
Wc Troy Ny $24 - $103 27%
Wc Tyson $24 - $103 27%
Wc Unified Health Services $24 - $103 27%
Wc United Heartland $24 - $103 27%
Wc Us Dept Of Labor $24 - $103 27%
Wc Walmart $24 - $103 27%
Wc West Bend $24 - $103 27%
Wc West Bend Mutual/Argent $24 - $103 27%
Wc Winnebago Industries $24 - $103 27%
Wc Yankee Trails $24 - $103 27%
Wc York Risk $24 - $103 27%
Wc Zenith $24 - $103 27%
Wc Zurich $24 - $103 27%
Asr Health Benefits $141 159%
Christian Brother Services $141 159%
Coventry $141 159%
First Health $141 159%
Luminare Health $141 159%
Medical Mutual $141 159%
Webtpa $141 159%
Nova $168 189%
Medica $244 - $366 274%

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