CMS Price Transparency Data

X-ray, pelvis

Facility: Mercyone Waterloo Medical Center

Billing Code: 72170 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$21
about 0.2× the $107 Medicare rate · typically $15–$48
modeled estimate · not a bill or quote
What this hospital charges insurers
$26
Above the fair price
about $5 over the fair price · 0.2× Medicare
Medicare pays $107 Fair price $21 This hospital $26 Hospital's list price $78

How we calculate the fair BaseRate →

How this hospital compares to other IA hospitals

A typical price — 0 charge more and 5 charge less, among the 9 IA hospitals compared.

Cheapest $20 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, pelvis is about $21 (about 0.2× the $107 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 $21. 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 $8 - $694 7%
Blue Cross Blue Shieldmajor $8 - $314 7%
Aetnamajor $8 - $289 7%
Cignamajor $8 - $493 7%
Humanamajor $8 - $59 7%
Kaiser Permanentemajor $14 - $314 13%
Ambetter (Centene) $8 - $496 7%
Clover Health $8 - $36 7%
GEHA $17 - $240 16%
Health Net $8 - $109 7%
HealthPartners $8 - $455 7%
Medica $493 462%
Medical Mutual $107 100%
Meridian $8 - $36 7%
Molina $8 - $31 7%
Oscar Health $14 - $453 13%
Paramount $8 - $31 7%
Presbyterian $8 - $36 7%
Sanford Health Plan $13 - $65 12%
Tufts Health Plan $8 - $31 7%
UCare $14 - $73 13%
WellMed $8 - $36 7%
WellSense $8 - $31 7%
+ 359 smaller / regional plans $8 - $694
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