CMS Price Transparency Data

X-ray, shoulder

Facility: Mercyone Waterloo Medical Center

Billing Code: 73030 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$22
about 0.2× the $89 Medicare rate · typically $18–$39
modeled estimate · not a bill or quote
What this hospital charges insurers
$28
Above the fair price
about $6 over the fair price · 0.3× Medicare
Medicare pays $89 Fair price $22 This hospital $28 Hospital's list price $146

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 $16 Priciest $28

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, shoulder is about $22 (about 0.2× the $89 Medicare rate). Mercyone Waterloo Medical Center charges insurers about $28 — 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 $22. 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 - $391 9%
Blue Cross Blue Shieldmajor $8 - $136 9%
Aetnamajor $8 - $265 9%
Cignamajor $8 - $277 9%
Humanamajor $8 - $105 9%
Kaiser Permanentemajor $15 - $136 17%
Ambetter (Centene) $9 - $169 10%
Clover Health $8 - $64 9%
GEHA $18 - $391 20%
Health Net $9 - $194 10%
HealthPartners $9 - $256 10%
Medica $184 - $277 207%
Medical Mutual $132 - $265 148%
Meridian $8 - $64 9%
Molina $9 - $42 10%
Oscar Health $15 - $154 17%
Paramount $9 - $42 10%
Presbyterian $8 - $64 9%
Sanford Health Plan $14 - $114 16%
Tufts Health Plan $9 - $42 10%
UCare $16 - $126 18%
WellMed $8 - $64 9%
WellSense $9 - $42 10%
+ 359 smaller / regional plans $8 - $390
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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 3421 West Ninth Street, Waterloo, IA 50702
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals