CMS Price Transparency Data

Diagnostic procedure preparation

Facility: Veterans Memorial Hospital

Billing Code: G0279 (HCPCS)

The BaseRate · fair price low confidence
A fair price for this
$43
about 1.1× the $40 Medicare rate · typically $15–$143
modeled estimate · not a bill or quote
What this hospital charges insurers
$37
Below the fair price — a good deal
about $6 under the fair price · 0.9× Medicare
Medicare pays $40 Fair price $43 This hospital $37 Cash price $56 Hospital's list price $99

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 $12 Priciest $37

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

A fair price for a Diagnostic procedure preparation is about $43 (about 1.1× the $40 Medicare rate). Veterans Memorial Hospital charges insurers about $37, or about $56 in cash — below the fair price — a good deal. Located in Waukon, IA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 $27 - $53 67%
Blue Cross Blue Shieldmajor $53 131%
Aetnamajor $27 - $41 67%
Humanamajor $27 - $46 67%
Amerigroup $27 - $50 67%
Medica $27 - $199 67%
Molina $27 - $50 67%
Quartz $27 - $92 67%
+ 4 smaller / regional plans $27 - $50
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 40 1St Street Se, Waukon, IA 52172
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals