CMS Price Transparency Data

X-ray, hip

Facility: Mercyone Waterloo Medical Center

Billing Code: 73502 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$26
about 0.3× the $89 Medicare rate · typically $18–$48
modeled estimate · not a bill or quote
What this hospital charges insurers
$36
Above the fair price
about $10 over the fair price · 0.4× Medicare
Medicare pays $89 Fair price $26 This hospital $36 Cash price $119 Hospital's list price $131

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 $20 Priciest $36

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a X-ray, hip is about $26 (about 0.3× the $89 Medicare rate). Mercyone Waterloo Medical Center charges insurers about $36, or about $119 in cash — 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 $26. 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 $10 - $195 11%
Blue Cross Blue Shieldmajor $10 - $136 11%
Aetnamajor $7 - $180 8%
Cignamajor $10 - $118 11%
Humanamajor $10 - $72 11%
Kaiser Permanentemajor $18 - $136 20%
Ambetter (Centene) $10 - $141 11%
Clover Health $10 - $44 11%
GEHA $21 - $195 24%
Health Net $10 - $131 11%
HealthPartners $10 - $108 11%
Medica $116 130%
Medical Mutual $180 202%
Meridian $10 - $44 11%
Molina $10 - $36 11%
Oscar Health $18 - $128 20%
Paramount $10 - $36 11%
Presbyterian $10 - $44 11%
Sanford Health Plan $17 - $78 19%
Tufts Health Plan $10 - $36 11%
UCare $18 - $87 20%
WellMed $10 - $44 11%
WellSense $10 - $36 11%
+ 359 smaller / regional plans $10 - $180
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