CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Mercyone Waterloo Medical Center

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72040
  • Insurance Median: $26
  • Cash Discount Price: $59
  • vs. Medicare Baseline: 0.29x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Mercyone Waterloo Medical Center is $26. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $59. 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
$59

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: $59 (66%)
Insurance Median: $26 (29%)
Cash: $59 (66% 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 $7 - $85 8%
Wc Corvel $9 - $25 10%
Aetna $10 - $152 11%
Align Senior Care $10 - $26 11%
Ally Align Care Adv $10 - $26 11%
American Health Advantage Of Idaho $10 - $26 11%
American Health Plan $10 - $27 11%
Aurora Special Needs $10 - $26 11%
Blue Care Network Advantage $10 - $26 11%
Blue Cross Blue Shield $10 - $89 11%
Blue Shield - De (Highmark) Medciare Advantage $10 - $26 11%
Care Dimensions $10 - $26 11%
Care Improvement Plus $10 - $26 11%
Care Resources Pace $10 - $26 11%
Careplus Health Plans $10 - $26 11%
Cca - Zing Health $10 - $26 11%
Cca Senior Care Options $10 - $26 11%
Central Valley Medical Services Corp Pace $10 - $26 11%
Champion Health Plan Mcr Advantage $10 - $26 11%
Champva $10 - $26 11%
Cigna $10 - $141 11%
Clear Spring Health $10 - $26 11%
Clover Health $10 - $26 11%
Commonwealth Care Alliance $10 - $26 11%
Community Pace At Home $10 - $26 11%
Eddy Senior Care-Pace $10 - $26 11%
Eddy Seniorcare Pace $10 - $26 11%
Elementcare $10 - $26 11%
Evercare $10 - $26 11%
Everence $10 - $26 11%
Gateway Health Plan $10 - $26 11%
Genesys Pace Of Genesee County $10 - $26 11%
Georgia Health Advantage $10 - $26 11%
Gold Advantage $10 - $26 11%
Gpa Croell Redi Mix $10 - $26 11%
Health America Advantra $10 - $26 11%
Highmark Health Options Dual Plan $10 - $26 11%
Hope Select Pace $10 - $26 11%
Horizon Nj Total Care $10 - $26 11%
Hudson Headwaters Pace $10 - $26 11%
Humana $10 - $43 11%
Huron Valley Pace $10 - $26 11%
Innovative Integrated Health Community Plans $10 - $26 11%
Iowa Health Advantage $10 - $27 11%
Johns Hopkins Advantage Md $10 - $26 11%
Lasso Healthcare Msa $10 - $26 11%
Life St Marys Pace $10 - $26 11%
Lifecircles Pace $10 - $26 11%
Longevity Health Plan $10 - $26 11%
Longevity Ipa Of Michigan Llc Health Plan Isnp $10 - $26 11%
Martins Point Generations Advantage $10 - $26 11%
Mass General Brigham Mcr Adv $10 - $26 11%
Medicare (plans) $10 - $85 11%
Medipak Advantage $10 - $26 11%
Mercy Life $10 - $26 11%
Mercyone Cedar Valley $10 - $26 11%
Meridian Complete $10 - $26 11%
Michigan Complete Health $10 - $26 11%
Nascentia Health Plus $10 - $26 11%
New Centry Health Careplus $10 - $26 11%
Osu Prime Care Advantage $10 - $26 11%
Pace Cny $10 - $26 11%
Pace Iowa Immanuel Pathways $10 - $26 11%
Pace Of Southwest Michigan $10 - $26 11%
Pace Southeast $10 - $26 11%
Pace-Trinity Health $10 - $26 11%
Peak Pace Solutions $10 - $26 11%
Perennial Advantage $10 - $26 11%
Preferred Care Partners $10 - $26 11%
Presbyterian Senior Plan $10 - $26 11%
Provider Partners Health Plan Of Illinois $10 - $26 11%
Provider Partners Health Plan Of Indiana $10 - $26 11%
Pruitthealth Premier $10 - $26 11%
Reliance Community Care Partners Care Resources Pace $10 - $26 11%
Rx Allwin $10 - $26 11%
Rx Grane Grnmedd $10 - $26 11%
Rx Retiree Rx Care $10 - $26 11%
Scan Health Plan Mcr Ipa Meritage Oon $10 - $26 11%
Secure Horizons Ma Pffs $10 - $26 11%
Serenity Pace $10 - $26 11%
Siouxland Pace $10 - $26 11%
Solis Health Plans $10 - $26 11%
Sunnyview-Pace Finance Dept $10 - $26 11%
Texan Plus $10 - $26 11%
The Health Plan $10 - $26 11%
Thome Pace $10 - $26 11%
Todays Options $10 - $26 11%
Tribute Health Plans $10 - $26 11%
Tricare $10 - $26 11%
Triwest Health Alliance $10 - $26 11%
Um Health Advantage $10 - $26 11%
Union Health Service $10 - $26 11%
UnitedHealthcare $10 - $198 11%
Us Family Health Plan $10 - $26 11%
Veterans Administration $10 - $27 11%
Veterans Eval Services $10 - $26 11%
Welbe Health $10 - $26 11%
Wellmed $10 - $26 11%
Albany County Correctional Facility $11 - $20 12%
Ambetter / Centene $11 - $141 12%
Amish Mennonite $11 - $20 12%
Ascension St. Vincent Public Safety Medical $11 - $20 12%
Bcccp-Michigan $11 - $20 12%
Bccp $11 - $20 12%
Bmc Healthnet $11 - $20 12%
Breast Grant-Connecticut $11 - $20 12%
Broward County Dept Of Health $11 - $20 12%
California Health And Wellness $11 - $20 12%
Can Community Health Inc $11 - $20 12%
Cardinal Innovations Lme $11 - $20 12%
Care Connections Of Northern Iowa $11 - $20 12%
Care Oregon Ohp $11 - $20 12%
Cencal Health Plan $11 - $20 12%
Cenpatico $11 - $20 12%
Chhuny $11 - $20 12%
Childrens Comm Health Plan $11 - $20 12%
Childrens Medical Services Title 19 $11 - $20 12%
City Of Philadelphia $11 - $20 12%
Cmh Allegan County $11 - $20 12%
Cmh Ausable Valley $11 - $20 12%
Cmh Barry County $11 - $20 12%
Cmh Bay-Arenac County $11 - $20 12%
Cmh Berrien County $11 - $20 12%
Cmh Cass County $11 - $20 12%
Cmh Central Mi County $11 - $20 12%
Cmh Clinton-Eaton-Ingham County $11 - $20 12%
Cmh Detroit Wayne Integrated Health Network $11 - $20 12%
Cmh Genesee County $11 - $20 12%
Cmh Ionia County $11 - $20 12%
Cmh Jackson County/Lifeways $11 - $20 12%
Cmh Kalamazoo $11 - $20 12%
Cmh Kent County $11 - $20 12%
Cmh Lenawee County $11 - $20 12%
Cmh Livingston County $11 - $20 12%
Cmh Macomb $11 - $20 12%
Cmh Misc $11 - $20 12%
Cmh Monroe County $11 - $20 12%
Cmh Montcalm County $11 - $20 12%
Cmh Muskegon County $11 - $20 12%
Cmh Newaygo County $11 - $20 12%
Cmh North Country $11 - $20 12%
Cmh Northern Lakes County $11 - $20 12%
Cmh Oakland County $11 - $20 12%
Cmh Ottawa County $11 - $20 12%
Cmh Van Buren County $11 - $20 12%
Cmh Washtenaw County $11 - $20 12%
Cmh Wayne County/Carelink $11 - $20 12%
Cmh Wayne Cty/Com Liv Svcs $11 - $20 12%
Cmh West Mi County $11 - $20 12%
Community Benefit Health $11 - $20 12%
Community Care Behavorial Health $11 - $20 12%
Community Care Partners $11 - $20 12%
Community Health Choice $11 - $20 12%
Connections Csp $11 - $20 12%
County Coroner $11 - $20 12%
County Funding Generic $11 - $20 12%
Covid19 Hrsa Uninsured Testing And Treatment Fund $11 - $20 12%
Dean Wi Badgercare $11 - $20 12%
Delaware County Department Of Health $11 - $20 12%
Delaware First Health $11 - $20 12%
Delta Dental Nj $11 - $20 12%
Dph Tb Program $11 - $20 12%
Dscc $11 - $20 12%
Eastpointe Lme $11 - $20 12%
Family Health Network $11 - $20 12%
Freedom First Healthcare $11 - $20 12%
Fresno County Ccs $11 - $20 12%
Ghc Scw Wi Badgercare $11 - $20 12%
Harbor Health $11 - $20 12%
Health Safety Net $11 - $20 12%
Healthy Blue Ne $11 - $20 12%
Hennepin Health $11 - $20 12%
Id County Ada $11 - $20 12%
Id County Canyon $11 - $20 12%
Id County Cat Fund $11 - $20 12%
Id County Other $11 - $20 12%
Id County Payette $11 - $20 12%
Idaho Dept Health And Wellfare $11 - $20 12%
Idaho Womens Health Check $11 - $20 12%
Indiana Breast Cervical Cancer $11 - $20 12%
Inland Empire Health Plan $11 - $20 12%
Intercommunity Health Ohp $11 - $20 12%
Iowa Total Care $11 - $83 12%
Jai Medical System $11 - $20 12%
Kern Family Health Plan $11 - $20 12%
Keystone First $11 - $20 12%
Keystone First Chip $11 - $20 12%
La Care Health Plan $11 - $20 12%
Lakeland Care Inc $11 - $20 12%
Managed Health Services - Indiana $11 - $20 12%
Maryland Breast & Cervical Program $11 - $20 12%
Maryland Healthy Smiles - Scion Dental $11 - $20 12%
Maryland Physicians Care $11 - $20 12%
Massachusetts Behavioral Health Partnership $11 - $20 12%
Mdwise $11 - $20 12%
Medi-Cal $11 - $20 12%
Medi-Cal Healthnet $11 - $20 12%
Medstar Dc Healthy Family $11 - $20 12%
Medstar Md Health Choice $11 - $20 12%
Mo Home State Health Plan $11 - $20 12%
Molina Centennial Care $11 - $20 12%
Nascentia Health Options $11 - $20 12%
New York Cancer Services Program $11 - $20 12%
Nextlevel Health $11 - $20 12%
Oregon Screenwise $11 - $20 12%
Paramount Advantage $11 - $20 12%
Parkland Community Health Plan $11 - $20 12%
Partners Behavioral Lme $11 - $20 12%
Peach State Healthplan $11 - $20 12%
Philadelphia County Funding $11 - $20 12%
Presbyterian Centennial Care $11 - $20 12%
Prestige Health Choice $11 - $20 12%
Priority Partners $11 - $20 12%
Robert F Sing Program $11 - $20 12%
Rx 340B Pass Along $11 - $20 12%
Rx Assistance/Rx Manufacturer Assistance 0 Copay $11 - $20 12%
Rx Medi-Cal $11 - $20 12%
Rx Meridian Rx $11 - $20 12%
Ryan White Florida Mssrp $11 - $20 12%
Sandhills Center Lme $11 - $20 12%
Screening For Life $11 - $20 12%
St Joseph County Hlth Dpt $11 - $20 12%
Stephenson Cty Health $11 - $30 12%
Sunshine State Health Plan $11 - $20 12%
Superior Health $11 - $20 12%
Tenncare $11 - $20 12%
Texas Children'S Health Plan $11 - $20 12%
Trillium Community Ohp $11 - $20 12%
Tufts Health Public Plans $11 - $20 12%
Vaya Health Lme $11 - $20 12%
Washtenaw Health Plan $11 - $20 12%
Wellpoint $11 - $21 12%
Wellsense Health Plan $11 - $20 12%
Wi Womens Wellness $11 - $20 12%
Amish Hospital Aid $13 - $111 15%
Amps $13 - $36 15%
Avera $15 - $44 17%
Medical Associates $17 - $47 19%
Nebraska Total Care $17 - $81 19%
Sanford Health Plan $17 - $47 19%
Bcn Domestic $18 - $89 20%
Blue Benefit Administrators Of Massachusetts $18 - $89 20%
Blue Care Network $18 - $89 20%
Blue Distinction Transplant $18 - $89 20%
Blue Shield - Ca $18 - $89 20%
Blue Shield - Id (Regence) $18 - $89 20%
Blue Shield - Ny Highmark Northeastern $18 - $89 20%
Blue Shield - Ny Highmark Western $18 - $89 20%
Blue Shield - Pa (Highmark) $18 - $89 20%
Blue Shield - Wa (Regence) $18 - $89 20%
Health Choices $18 - $72 20%
Health Smart $18 - $49 20%
Kaiser Domestic $18 - $89 20%
Lucent Health $18 - $152 20%
Oscar $18 - $128 20%
Pre-Employment $18 - $89 20%
Ucare $18 - $52 20%
Wc Domestic $18 - $89 20%
Centivo $19 - $139 21%
Meritain $19 - $152 21%
Quiktrip $19 - $52 21%
Usa Managed Care $19 - $52 21%
Health Partners $20 - $130 22%
Claimdoc $21 - $168 24%
Geha $21 - $195 24%
The Alliance $21 - $56 24%
Global Excel $22 - $60 25%
Preferred One $22 - $56 25%
Newton Correctional Facility $23 - $53 26%
Velocity $23 - $63 26%
Multiplan $25 - $52 28%
Allied Benefit Systems $26 - $152 29%
Auxiant $26 - $141 29%
First Choice Health $26 - $72 29%
Genex Wc $26 - $61 29%
Group Administrators $26 - $72 29%
Midlands $26 - $141 29%
Midlands Choice $26 - $141 29%
Wc Align Network $28 - $65 31%
Wc Praxis Health Network $30 - $69 34%
Wc Reny Company $30 - $70 34%
Wc Velocity $30 - $70 34%
Auto Velocity $32 - $73 36%
Wc O'Hara Corp $32 - $73 36%
Andrie Inc $35 - $81 39%
East Greenbush Central School District $35 - $81 39%
Healthsmart Workers Comp $35 - $81 39%
Iowa Dept Of Public Health $35 - $198 39%
Jag Source $35 - $81 39%
New York State Insurance Fund $35 - $81 39%
Njm Insurance Group $35 - $81 39%
Rx Heatlhcomp $35 - $81 39%
Rx Restat $35 - $81 39%
Rx Saif Opdp Wc $35 - $81 39%
Rx Worker'S Comp $35 - $81 39%
Wc Accident Fund $35 - $81 39%
Wc Ace $35 - $81 39%
Wc Acs Federal Employees $35 - $81 39%
Wc Acuity $35 - $81 39%
Wc Advantage $35 - $81 39%
Wc Aegis $35 - $81 39%
Wc Aig $35 - $81 39%
Wc Aims $35 - $81 39%
Wc Alaska National Ins $35 - $81 39%
Wc Allied $35 - $81 39%
Wc Am Trust N America $35 - $81 39%
Wc American Claims Mgmt $35 - $81 39%
Wc Amerisure $35 - $81 39%
Wc Amtrust $35 - $81 39%
Wc Asu Risk Mgt $35 - $81 39%
Wc Benetech $35 - $81 39%
Wc Berkley Admin $35 - $81 39%
Wc Broadspire $35 - $81 39%
Wc Broward County $35 - $81 39%
Wc Bunch & Associates $35 - $81 39%
Wc California State Comp Ins $35 - $81 39%
Wc California State Ins Fund $35 - $81 39%
Wc Capitol Area Health Consortium $35 - $81 39%
Wc Ccmsi $35 - $81 39%
Wc Chartis $35 - $81 39%
Wc Chubb $35 - $81 39%
Wc Cirma $35 - $81 39%
Wc City Of Albany $35 - $81 39%
Wc City Of Sioux City $35 - $81 39%
Wc Claims Mgmt Inc $35 - $81 39%
Wc Cna $35 - $81 39%
Wc Comp One Admin C/O Manageability $35 - $81 39%
Wc Compone Admin $35 - $81 39%
Wc Ct Healthcare Trust $35 - $81 39%
Wc Donegal Insurance Group $35 - $81 39%
Wc Emc Insurance Company $35 - $81 39%
Wc Employee Mutual $35 - $81 39%
Wc Enablecomp $35 - $81 39%
Wc Encore Health Network $35 - $81 39%
Wc Erie $35 - $81 39%
Wc Esis $35 - $81 39%
Wc Evolutions $35 - $81 39%
Wc Fcci $35 - $81 39%
Wc Fed Ex $35 - $81 39%
Wc Federal Black Lung $35 - $81 39%
Wc Federated $35 - $81 39%
Wc Finley Occupational Health $35 - $81 39%
Wc First Agency/Occunet $35 - $81 39%
Wc Ford Motor $35 - $81 39%
Wc Fresno Unified Emp $35 - $81 39%
Wc Gallagher Bassett $35 - $81 39%
Wc General Motors $35 - $81 39%
Wc Generic $35 - $81 39%
Wc Genex Care For Ohio $35 - $81 39%
Wc Great West Casualty $35 - $81 39%
Wc Guarantee Insurance $35 - $81 39%
Wc Guard Insurance Company $35 - $81 39%
Wc Hab $35 - $81 39%
Wc Hartford $35 - $81 39%
Wc Hastings $35 - $81 39%
Wc Health Management $35 - $81 39%
Wc Heritage Summit $35 - $81 39%
Wc Hireright $35 - $81 39%
Wc Horizon $35 - $81 39%
Wc Icw Group $35 - $81 39%
Wc Idaho State Ins Fund $35 - $81 39%
Wc Intercare Insurance $35 - $81 39%
Wc Intermountain $35 - $81 39%
Wc Johns Eastern $35 - $81 39%
Wc Kemberton $35 - $81 39%
Wc Key Ins & Benefit Solutions $35 - $81 39%
Wc Liberty Mutual $35 - $81 39%
Wc Mac Risk Management $35 - $81 39%
Wc Massachusetts $35 - $81 39%
Wc Mdia $35 - $81 39%
Wc Meadowbrook Claim $35 - $81 39%
Wc Medical Administrators $35 - $81 39%
Wc Meijers $35 - $81 39%
Wc Memic $35 - $81 39%
Wc Mercy Workcare $35 - $81 39%
Wc Michigan $35 - $81 39%
Wc Michigan Millers Mutual $35 - $81 39%
Wc Mitchell Frankenmuth $35 - $81 39%
Wc Mra $35 - $81 39%
Wc Nationwide $35 - $81 39%
Wc Nca Comp $35 - $81 39%
Wc New York $35 - $81 39%
Wc New York Special Funds $35 - $81 39%
Wc North American Rishces $35 - $81 39%
Wc Northeast Health $35 - $81 39%
Wc Notre Dame $35 - $81 39%
Wc Novanet $35 - $81 39%
Wc Occ Health Allen $35 - $81 39%
Wc Ohio Bureau $35 - $81 39%
Wc One Call Medical $35 - $81 39%
Wc Paradigm $35 - $81 39%
Wc Peerless $35 - $81 39%
Wc Pma $35 - $81 39%
Wc Price Chopper $35 - $81 39%
Wc Procura Management $35 - $81 39%
Wc Qualcare $35 - $81 39%
Wc Quiktrip $35 - $81 39%
Wc Rev Claims $35 - $81 39%
Wc Risico $35 - $81 39%
Wc Rural Mutual $35 - $81 39%
Wc Saif Oregon $35 - $81 39%
Wc Secura $35 - $81 39%
Wc Sedgwick $35 - $81 39%
Wc Sentry $35 - $81 39%
Wc Sheakley Unicomp $35 - $81 39%
Wc Smile Lodge $35 - $81 39%
Wc Society $35 - $81 39%
Wc Srs $35 - $81 39%
Wc Taconic (Mro) $35 - $81 39%
Wc Taconic Farms $35 - $81 39%
Wc Travelers $35 - $81 39%
Wc Triad Group $35 - $81 39%
Wc Tristar $35 - $81 39%
Wc Troy Ny $35 - $81 39%
Wc Tyson $35 - $81 39%
Wc Unified Health Services $35 - $81 39%
Wc United Heartland $35 - $81 39%
Wc Us Dept Of Labor $35 - $81 39%
Wc Walmart $35 - $81 39%
Wc West Bend $35 - $81 39%
Wc West Bend Mutual/Argent $35 - $81 39%
Wc Winnebago Industries $35 - $81 39%
Wc Yankee Trails $35 - $81 39%
Wc York Risk $35 - $81 39%
Wc Zenith $35 - $81 39%
Wc Zurich $35 - $81 39%
Naphcare $36 40%
Naphcare Correctional $36 40%
Preferred Health Choice $45 51%
Medica $141 159%
Asr Health Benefits $152 171%
Christian Brother Services $152 171%
Coventry $152 171%
First Health $152 171%
Luminare Health $152 171%
Medical Mutual $152 171%
Webtpa $152 171%
Nova $168 189%

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