CMS Price Transparency Data

X-ray, hip

Facility: Mercyone Waterloo Medical Center

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73502
  • Insurance Median: $39
  • Cash Discount Price: $119
  • vs. Medicare Baseline: 0.44x Medicare
The contracted insurance negotiated median rate for a X-ray, hip at Mercyone Waterloo Medical Center is $39. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $119. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.44x the Medicare baseline. Located in 3421 West Ninth Street, Waterloo, IA.
Cash / Self-Pay
$119

Average discount available for prompt cash payment at this facility.

Insurance Median
$39

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: $119 (134%)
Insurance Median: $39 (44%)
Cash: $119 (134% of Medicare)
Ins. Median: $39 (44% 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
Aetna $7 - $180 8%
Medicaid / KanCare $7 - $131 8%
Albany County Correctional Facility $10 - $36 11%
Align Senior Care $10 - $44 11%
Ally Align Care Adv $10 - $44 11%
Ambetter / Centene $10 - $141 11%
American Health Advantage Of Idaho $10 - $44 11%
American Health Plan $10 - $46 11%
Amish Mennonite $10 - $36 11%
Ascension St. Vincent Public Safety Medical $10 - $36 11%
Aurora Special Needs $10 - $44 11%
Bcccp-Michigan $10 - $36 11%
Bccp $10 - $36 11%
Blue Care Network Advantage $10 - $44 11%
Blue Cross Blue Shield $10 - $136 11%
Blue Shield - De (Highmark) Medciare Advantage $10 - $44 11%
Bmc Healthnet $10 - $36 11%
Breast Grant-Connecticut $10 - $36 11%
Broward County Dept Of Health $10 - $36 11%
California Health And Wellness $10 - $36 11%
Can Community Health Inc $10 - $36 11%
Cardinal Innovations Lme $10 - $36 11%
Care Connections Of Northern Iowa $10 - $36 11%
Care Dimensions $10 - $44 11%
Care Improvement Plus $10 - $44 11%
Care Oregon Ohp $10 - $36 11%
Care Resources Pace $10 - $44 11%
Careplus Health Plans $10 - $44 11%
Cca - Zing Health $10 - $44 11%
Cca Senior Care Options $10 - $44 11%
Cencal Health Plan $10 - $36 11%
Cenpatico $10 - $36 11%
Central Valley Medical Services Corp Pace $10 - $44 11%
Champion Health Plan Mcr Advantage $10 - $44 11%
Champva $10 - $43 11%
Chhuny $10 - $36 11%
Childrens Comm Health Plan $10 - $36 11%
Childrens Medical Services Title 19 $10 - $36 11%
Cigna $10 - $118 11%
City Of Philadelphia $10 - $36 11%
Clear Spring Health $10 - $44 11%
Clover Health $10 - $44 11%
Cmh Allegan County $10 - $36 11%
Cmh Ausable Valley $10 - $36 11%
Cmh Barry County $10 - $36 11%
Cmh Bay-Arenac County $10 - $36 11%
Cmh Berrien County $10 - $36 11%
Cmh Cass County $10 - $36 11%
Cmh Central Mi County $10 - $36 11%
Cmh Clinton-Eaton-Ingham County $10 - $36 11%
Cmh Detroit Wayne Integrated Health Network $10 - $36 11%
Cmh Genesee County $10 - $36 11%
Cmh Ionia County $10 - $36 11%
Cmh Jackson County/Lifeways $10 - $36 11%
Cmh Kalamazoo $10 - $36 11%
Cmh Kent County $10 - $36 11%
Cmh Lenawee County $10 - $36 11%
Cmh Livingston County $10 - $36 11%
Cmh Macomb $10 - $36 11%
Cmh Misc $10 - $36 11%
Cmh Monroe County $10 - $36 11%
Cmh Montcalm County $10 - $36 11%
Cmh Muskegon County $10 - $36 11%
Cmh Newaygo County $10 - $36 11%
Cmh North Country $10 - $36 11%
Cmh Northern Lakes County $10 - $36 11%
Cmh Oakland County $10 - $36 11%
Cmh Ottawa County $10 - $36 11%
Cmh Van Buren County $10 - $36 11%
Cmh Washtenaw County $10 - $36 11%
Cmh Wayne County/Carelink $10 - $36 11%
Cmh Wayne Cty/Com Liv Svcs $10 - $36 11%
Cmh West Mi County $10 - $36 11%
Commonwealth Care Alliance $10 - $44 11%
Community Benefit Health $10 - $36 11%
Community Care Behavorial Health $10 - $36 11%
Community Care Partners $10 - $36 11%
Community Health Choice $10 - $36 11%
Community Pace At Home $10 - $44 11%
Connections Csp $10 - $36 11%
County Coroner $10 - $36 11%
County Funding Generic $10 - $36 11%
Covid19 Hrsa Uninsured Testing And Treatment Fund $10 - $36 11%
Dean Wi Badgercare $10 - $36 11%
Delaware County Department Of Health $10 - $36 11%
Delaware First Health $10 - $36 11%
Delta Dental Nj $10 - $36 11%
Dph Tb Program $10 - $36 11%
Dscc $10 - $36 11%
Eastpointe Lme $10 - $36 11%
Eddy Senior Care-Pace $10 - $44 11%
Eddy Seniorcare Pace $10 - $44 11%
Elementcare $10 - $44 11%
Evercare $10 - $44 11%
Everence $10 - $44 11%
Family Health Network $10 - $36 11%
Freedom First Healthcare $10 - $36 11%
Fresno County Ccs $10 - $36 11%
Gateway Health Plan $10 - $44 11%
Genesys Pace Of Genesee County $10 - $44 11%
Georgia Health Advantage $10 - $44 11%
Ghc Scw Wi Badgercare $10 - $36 11%
Gold Advantage $10 - $44 11%
Gpa Croell Redi Mix $10 - $44 11%
Harbor Health $10 - $36 11%
Health America Advantra $10 - $44 11%
Health Safety Net $10 - $36 11%
Healthy Blue Ne $10 - $36 11%
Hennepin Health $10 - $36 11%
Highmark Health Options Dual Plan $10 - $44 11%
Hope Select Pace $10 - $44 11%
Horizon Nj Total Care $10 - $44 11%
Hudson Headwaters Pace $10 - $44 11%
Humana $10 - $72 11%
Huron Valley Pace $10 - $44 11%
Id County Ada $10 - $36 11%
Id County Canyon $10 - $36 11%
Id County Cat Fund $10 - $36 11%
Id County Other $10 - $36 11%
Id County Payette $10 - $36 11%
Idaho Dept Health And Wellfare $10 - $36 11%
Idaho Womens Health Check $10 - $36 11%
Indiana Breast Cervical Cancer $10 - $36 11%
Inland Empire Health Plan $10 - $36 11%
Innovative Integrated Health Community Plans $10 - $44 11%
Intercommunity Health Ohp $10 - $36 11%
Iowa Health Advantage $10 - $46 11%
Jai Medical System $10 - $36 11%
Johns Hopkins Advantage Md $10 - $44 11%
Kern Family Health Plan $10 - $36 11%
Keystone First $10 - $36 11%
Keystone First Chip $10 - $36 11%
La Care Health Plan $10 - $36 11%
Lakeland Care Inc $10 - $36 11%
Lasso Healthcare Msa $10 - $44 11%
Life St Marys Pace $10 - $44 11%
Lifecircles Pace $10 - $44 11%
Longevity Health Plan $10 - $44 11%
Longevity Ipa Of Michigan Llc Health Plan Isnp $10 - $44 11%
Managed Health Services - Indiana $10 - $36 11%
Martins Point Generations Advantage $10 - $44 11%
Maryland Breast & Cervical Program $10 - $36 11%
Maryland Healthy Smiles - Scion Dental $10 - $36 11%
Maryland Physicians Care $10 - $36 11%
Mass General Brigham Mcr Adv $10 - $44 11%
Massachusetts Behavioral Health Partnership $10 - $36 11%
Mdwise $10 - $36 11%
Medi-Cal $10 - $36 11%
Medi-Cal Healthnet $10 - $36 11%
Medicare (plans) $10 - $131 11%
Medipak Advantage $10 - $44 11%
Medstar Dc Healthy Family $10 - $36 11%
Medstar Md Health Choice $10 - $36 11%
Mercy Life $10 - $44 11%
Mercyone Cedar Valley $10 - $44 11%
Meridian Complete $10 - $44 11%
Michigan Complete Health $10 - $44 11%
Mo Home State Health Plan $10 - $36 11%
Molina Centennial Care $10 - $36 11%
Nascentia Health Options $10 - $36 11%
Nascentia Health Plus $10 - $44 11%
New Centry Health Careplus $10 - $44 11%
New York Cancer Services Program $10 - $36 11%
Nextlevel Health $10 - $36 11%
Oregon Screenwise $10 - $36 11%
Osu Prime Care Advantage $10 - $44 11%
Pace Cny $10 - $44 11%
Pace Iowa Immanuel Pathways $10 - $44 11%
Pace Of Southwest Michigan $10 - $44 11%
Pace Southeast $10 - $44 11%
Pace-Trinity Health $10 - $44 11%
Paramount Advantage $10 - $36 11%
Parkland Community Health Plan $10 - $36 11%
Partners Behavioral Lme $10 - $36 11%
Peach State Healthplan $10 - $36 11%
Peak Pace Solutions $10 - $44 11%
Perennial Advantage $10 - $44 11%
Philadelphia County Funding $10 - $36 11%
Preferred Care Partners $10 - $44 11%
Presbyterian Centennial Care $10 - $36 11%
Presbyterian Senior Plan $10 - $44 11%
Prestige Health Choice $10 - $36 11%
Priority Partners $10 - $36 11%
Provider Partners Health Plan Of Illinois $10 - $44 11%
Provider Partners Health Plan Of Indiana $10 - $44 11%
Pruitthealth Premier $10 - $44 11%
Reliance Community Care Partners Care Resources Pace $10 - $44 11%
Robert F Sing Program $10 - $36 11%
Rx 340B Pass Along $10 - $36 11%
Rx Allwin $10 - $44 11%
Rx Assistance/Rx Manufacturer Assistance 0 Copay $10 - $36 11%
Rx Grane Grnmedd $10 - $44 11%
Rx Medi-Cal $10 - $36 11%
Rx Meridian Rx $10 - $36 11%
Rx Retiree Rx Care $10 - $44 11%
Ryan White Florida Mssrp $10 - $36 11%
Sandhills Center Lme $10 - $36 11%
Scan Health Plan Mcr Ipa Meritage Oon $10 - $44 11%
Screening For Life $10 - $36 11%
Secure Horizons Ma Pffs $10 - $44 11%
Serenity Pace $10 - $44 11%
Siouxland Pace $10 - $44 11%
Solis Health Plans $10 - $44 11%
St Joseph County Hlth Dpt $10 - $36 11%
Sunnyview-Pace Finance Dept $10 - $44 11%
Sunshine State Health Plan $10 - $36 11%
Superior Health $10 - $36 11%
Tenncare $10 - $36 11%
Texan Plus $10 - $44 11%
Texas Children'S Health Plan $10 - $36 11%
The Health Plan $10 - $44 11%
Thome Pace $10 - $44 11%
Todays Options $10 - $44 11%
Tribute Health Plans $10 - $44 11%
Tricare $10 - $43 11%
Trillium Community Ohp $10 - $36 11%
Triwest Health Alliance $10 - $43 11%
Tufts Health Public Plans $10 - $36 11%
Um Health Advantage $10 - $44 11%
Union Health Service $10 - $44 11%
UnitedHealthcare $10 - $195 11%
Us Family Health Plan $10 - $43 11%
Vaya Health Lme $10 - $36 11%
Veterans Administration $10 - $45 11%
Veterans Eval Services $10 - $43 11%
Washtenaw Health Plan $10 - $36 11%
Wc Corvel $10 - $43 11%
Welbe Health $10 - $44 11%
Wellmed $10 - $44 11%
Wellsense Health Plan $10 - $36 11%
Wi Womens Wellness $10 - $36 11%
Iowa Total Care $11 - $128 12%
Stephenson Cty Health $11 - $50 12%
Wellpoint $11 - $37 12%
Amish Hospital Aid $14 - $111 16%
Amps $14 - $61 16%
Naphcare $14 - $61 16%
Naphcare Correctional $14 - $61 16%
Avera $16 - $72 18%
Medical Associates $17 - $75 19%
Preferred Health Choice $17 - $75 19%
Sanford Health Plan $17 - $78 19%
Bcn Domestic $18 - $136 20%
Blue Benefit Administrators Of Massachusetts $18 - $136 20%
Blue Care Network $18 - $136 20%
Blue Distinction Transplant $18 - $136 20%
Blue Shield - Ca $18 - $136 20%
Blue Shield - Id (Regence) $18 - $136 20%
Blue Shield - Ny Highmark Northeastern $18 - $136 20%
Blue Shield - Ny Highmark Western $18 - $136 20%
Blue Shield - Pa (Highmark) $18 - $136 20%
Blue Shield - Wa (Regence) $18 - $136 20%
Health Choices $18 - $118 20%
Kaiser Domestic $18 - $136 20%
Lucent Health $18 - $180 20%
Oscar $18 - $128 20%
Pre-Employment $18 - $136 20%
Ucare $18 - $87 20%
Wc Domestic $18 - $136 20%
Centivo $19 - $139 21%
Health Smart $19 - $83 21%
Meritain $19 - $180 21%
Health Partners $20 - $108 22%
Quiktrip $20 - $88 22%
Usa Managed Care $20 - $87 22%
Claimdoc $21 - $168 24%
Geha $21 - $195 24%
The Alliance $21 - $94 24%
Preferred One $22 - $92 25%
Global Excel $23 - $101 26%
Velocity $24 - $105 27%
Newton Correctional Facility $25 - $85 28%
Allied Benefit Systems $26 - $180 29%
Auxiant $26 - $118 29%
First Choice Health $26 - $118 29%
Group Administrators $26 - $118 29%
Midlands $26 - $118 29%
Midlands Choice $26 - $118 29%
Genex Wc $29 - $98 33%
Wc Align Network $31 - $105 35%
Wc Praxis Health Network $33 - $111 37%
Wc Reny Company $34 - $114 38%
Wc Velocity $34 - $114 38%
Auto Velocity $35 - $118 39%
Multiplan $35 - $118 39%
Wc O'Hara Corp $35 - $118 39%
Andrie Inc $39 - $131 44%
East Greenbush Central School District $39 - $131 44%
Healthsmart Workers Comp $39 - $131 44%
Iowa Dept Of Public Health $39 - $164 44%
Jag Source $39 - $131 44%
Nebraska Total Care $39 - $131 44%
New York State Insurance Fund $39 - $131 44%
Njm Insurance Group $39 - $131 44%
Rx Heatlhcomp $39 - $131 44%
Rx Restat $39 - $131 44%
Rx Saif Opdp Wc $39 - $131 44%
Rx Worker'S Comp $39 - $131 44%
Wc Accident Fund $39 - $131 44%
Wc Ace $39 - $131 44%
Wc Acs Federal Employees $39 - $131 44%
Wc Acuity $39 - $131 44%
Wc Advantage $39 - $131 44%
Wc Aegis $39 - $131 44%
Wc Aig $39 - $131 44%
Wc Aims $39 - $131 44%
Wc Alaska National Ins $39 - $131 44%
Wc Allied $39 - $131 44%
Wc Am Trust N America $39 - $131 44%
Wc American Claims Mgmt $39 - $131 44%
Wc Amerisure $39 - $131 44%
Wc Amtrust $39 - $131 44%
Wc Asu Risk Mgt $39 - $131 44%
Wc Benetech $39 - $131 44%
Wc Berkley Admin $39 - $131 44%
Wc Broadspire $39 - $131 44%
Wc Broward County $39 - $131 44%
Wc Bunch & Associates $39 - $131 44%
Wc California State Comp Ins $39 - $131 44%
Wc California State Ins Fund $39 - $131 44%
Wc Capitol Area Health Consortium $39 - $131 44%
Wc Ccmsi $39 - $131 44%
Wc Chartis $39 - $131 44%
Wc Chubb $39 - $131 44%
Wc Cirma $39 - $131 44%
Wc City Of Albany $39 - $131 44%
Wc City Of Sioux City $39 - $131 44%
Wc Claims Mgmt Inc $39 - $131 44%
Wc Cna $39 - $131 44%
Wc Comp One Admin C/O Manageability $39 - $131 44%
Wc Compone Admin $39 - $131 44%
Wc Ct Healthcare Trust $39 - $131 44%
Wc Donegal Insurance Group $39 - $131 44%
Wc Emc Insurance Company $39 - $131 44%
Wc Employee Mutual $39 - $131 44%
Wc Enablecomp $39 - $131 44%
Wc Encore Health Network $39 - $131 44%
Wc Erie $39 - $131 44%
Wc Esis $39 - $131 44%
Wc Evolutions $39 - $131 44%
Wc Fcci $39 - $131 44%
Wc Fed Ex $39 - $131 44%
Wc Federal Black Lung $39 - $131 44%
Wc Federated $39 - $131 44%
Wc Finley Occupational Health $39 - $131 44%
Wc First Agency/Occunet $39 - $131 44%
Wc Ford Motor $39 - $131 44%
Wc Fresno Unified Emp $39 - $131 44%
Wc Gallagher Bassett $39 - $131 44%
Wc General Motors $39 - $131 44%
Wc Generic $39 - $131 44%
Wc Genex Care For Ohio $39 - $131 44%
Wc Great West Casualty $39 - $131 44%
Wc Guarantee Insurance $39 - $131 44%
Wc Guard Insurance Company $39 - $131 44%
Wc Hab $39 - $131 44%
Wc Hartford $39 - $131 44%
Wc Hastings $39 - $131 44%
Wc Health Management $39 - $131 44%
Wc Heritage Summit $39 - $131 44%
Wc Hireright $39 - $131 44%
Wc Horizon $39 - $131 44%
Wc Icw Group $39 - $131 44%
Wc Idaho State Ins Fund $39 - $131 44%
Wc Intercare Insurance $39 - $131 44%
Wc Intermountain $39 - $131 44%
Wc Johns Eastern $39 - $131 44%
Wc Kemberton $39 - $131 44%
Wc Key Ins & Benefit Solutions $39 - $131 44%
Wc Liberty Mutual $39 - $131 44%
Wc Mac Risk Management $39 - $131 44%
Wc Massachusetts $39 - $131 44%
Wc Mdia $39 - $131 44%
Wc Meadowbrook Claim $39 - $131 44%
Wc Medical Administrators $39 - $131 44%
Wc Meijers $39 - $131 44%
Wc Memic $39 - $131 44%
Wc Mercy Workcare $39 - $131 44%
Wc Michigan $39 - $131 44%
Wc Michigan Millers Mutual $39 - $131 44%
Wc Mitchell Frankenmuth $39 - $131 44%
Wc Mra $39 - $131 44%
Wc Nationwide $39 - $131 44%
Wc Nca Comp $39 - $131 44%
Wc New York $39 - $131 44%
Wc New York Special Funds $39 - $131 44%
Wc North American Rishces $39 - $131 44%
Wc Northeast Health $39 - $131 44%
Wc Notre Dame $39 - $131 44%
Wc Novanet $39 - $131 44%
Wc Occ Health Allen $39 - $131 44%
Wc Ohio Bureau $39 - $131 44%
Wc One Call Medical $39 - $131 44%
Wc Paradigm $39 - $131 44%
Wc Peerless $39 - $131 44%
Wc Pma $39 - $131 44%
Wc Price Chopper $39 - $131 44%
Wc Procura Management $39 - $131 44%
Wc Qualcare $39 - $131 44%
Wc Quiktrip $39 - $131 44%
Wc Rev Claims $39 - $131 44%
Wc Risico $39 - $131 44%
Wc Rural Mutual $39 - $131 44%
Wc Saif Oregon $39 - $131 44%
Wc Secura $39 - $131 44%
Wc Sedgwick $39 - $131 44%
Wc Sentry $39 - $131 44%
Wc Sheakley Unicomp $39 - $131 44%
Wc Smile Lodge $39 - $131 44%
Wc Society $39 - $131 44%
Wc Srs $39 - $131 44%
Wc Taconic (Mro) $39 - $131 44%
Wc Taconic Farms $39 - $131 44%
Wc Travelers $39 - $131 44%
Wc Triad Group $39 - $131 44%
Wc Tristar $39 - $131 44%
Wc Troy Ny $39 - $131 44%
Wc Tyson $39 - $131 44%
Wc Unified Health Services $39 - $131 44%
Wc United Heartland $39 - $131 44%
Wc Us Dept Of Labor $39 - $131 44%
Wc Walmart $39 - $131 44%
Wc West Bend $39 - $131 44%
Wc West Bend Mutual/Argent $39 - $131 44%
Wc Winnebago Industries $39 - $131 44%
Wc Yankee Trails $39 - $131 44%
Wc York Risk $39 - $131 44%
Wc Zenith $39 - $131 44%
Wc Zurich $39 - $131 44%
Medica $116 130%
Nova $168 189%
Asr Health Benefits $180 202%
Christian Brother Services $180 202%
Coventry $180 202%
First Health $180 202%
Luminare Health $180 202%
Medical Mutual $180 202%
Webtpa $180 202%

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