CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Mercyone Oelwein Medical Center

Billing Code: 99213 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 99213
  • Insurance Median: $31
  • Cash Discount Price: $129
  • vs. Medicare Baseline: 0.33x Medicare
The contracted insurance negotiated median rate for a Office visit, established patient (20-29 min) at Mercyone Oelwein Medical Center is $31. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $129. Compared to the federal Medicare reimbursement reference rate of $95.19, this hospital’s rate is 0.33x the Medicare baseline. Located in 201 Eighth Avenue Se, Oelwein, IA.
Cash / Self-Pay
$129

Average discount available for prompt cash payment at this facility.

Insurance Median
$31

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$95.19

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $95.19 (100%)
Cash / Self-Pay: $129 (136%)
Insurance Median: $31 (33%)
Cash: $129 (136% of Medicare)
Ins. Median: $31 (33% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $95.19 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
Champva $10 - $60 11%
Humana $10 - $88 11%
Tricare $10 - $60 11%
Triwest Health Alliance $10 - $60 11%
Us Family Health Plan $10 - $60 11%
Veterans Eval Services $10 - $60 11%
Medicaid / KanCare $11 - $72 12%
Amish Hospital Aid $12 - $99 13%
Amps $12 - $74 13%
Avera $13 - $83 14%
Multiplan $13 - $177 14%
Health Partners $14 - $175 15%
Ambetter / Centene $15 - $125 16%
Bcn Domestic $15 - $93 16%
Blue Benefit Administrators Of Massachusetts $15 - $93 16%
Blue Care Network $15 - $93 16%
Blue Cross Blue Shield $15 - $93 16%
Blue Distinction Transplant $15 - $93 16%
Blue Shield - Ca $15 - $93 16%
Blue Shield - Id (Regence) $15 - $93 16%
Blue Shield - Ny Highmark Northeastern $15 - $93 16%
Blue Shield - Ny Highmark Western $15 - $93 16%
Blue Shield - Pa (Highmark) $15 - $93 16%
Blue Shield - Wa (Regence) $15 - $93 16%
Health Choices $15 - $134 16%
Kaiser Domestic $15 - $93 16%
Medical Associates $15 - $134 16%
Newton Correctional Facility $15 - $92 16%
Pre-Employment $15 - $93 16%
Sanford Health Plan $15 - $92 16%
Wc Domestic $15 - $93 16%
Health Smart $16 - $101 17%
Lucent Health $16 - $167 17%
Oscar $16 - $101 17%
Stephenson Cty Health $16 - $100 17%
Ucare $16 - $97 17%
Centivo $17 - $112 18%
Geha $17 - $157 18%
Genex Wc $17 - $106 18%
UnitedHealthcare $17 - $157 18%
Usa Managed Care $17 - $106 18%
Claimdoc $18 - $150 19%
The Alliance $18 - $115 19%
Wc Align Network $18 - $113 19%
Aetna $19 - $167 20%
Meritain $19 - $167 20%
Wc Praxis Health Network $19 - $120 20%
Wc Reny Company $19 - $123 20%
Wc Velocity $19 - $123 20%
Auto Velocity $20 - $127 21%
Global Excel $20 - $124 21%
Wc O'Hara Corp $20 - $127 21%
Preferred One $21 - $132 22%
Velocity $21 - $129 22%
Allied Benefit Systems $22 - $167 23%
Andrie Inc $22 - $141 23%
Auxiant $22 - $178 23%
Cigna $22 - $178 23%
East Greenbush Central School District $22 - $141 23%
First Choice Health $22 - $112 23%
Group Administrators $22 - $112 23%
Healthsmart Workers Comp $22 - $141 23%
Iowa Dept Of Public Health $22 - $60 23%
Jag Source $22 - $141 23%
Midlands $22 - $178 23%
Midlands Choice $22 - $178 23%
Nebraska Total Care $22 - $50 23%
New York State Insurance Fund $22 - $141 23%
Njm Insurance Group $22 - $141 23%
Quiktrip $22 - $141 23%
Rx Heatlhcomp $22 - $141 23%
Rx Restat $22 - $141 23%
Rx Saif Opdp Wc $22 - $141 23%
Rx Worker'S Comp $22 - $141 23%
Wc Accident Fund $22 - $141 23%
Wc Ace $22 - $141 23%
Wc Acs Federal Employees $22 - $141 23%
Wc Acuity $22 - $141 23%
Wc Advantage $22 - $141 23%
Wc Aegis $22 - $141 23%
Wc Aig $22 - $141 23%
Wc Aims $22 - $141 23%
Wc Alaska National Ins $22 - $141 23%
Wc Allied $22 - $141 23%
Wc Am Trust N America $22 - $141 23%
Wc American Claims Mgmt $22 - $141 23%
Wc Amerisure $22 - $141 23%
Wc Amtrust $22 - $141 23%
Wc Asu Risk Mgt $22 - $141 23%
Wc Benetech $22 - $141 23%
Wc Berkley Admin $22 - $141 23%
Wc Broadspire $22 - $141 23%
Wc Broward County $22 - $141 23%
Wc Bunch & Associates $22 - $141 23%
Wc California State Comp Ins $22 - $141 23%
Wc California State Ins Fund $22 - $141 23%
Wc Capitol Area Health Consortium $22 - $141 23%
Wc Ccmsi $22 - $141 23%
Wc Chartis $22 - $141 23%
Wc Chubb $22 - $141 23%
Wc Cirma $22 - $141 23%
Wc City Of Albany $22 - $141 23%
Wc City Of Sioux City $22 - $141 23%
Wc Claims Mgmt Inc $22 - $141 23%
Wc Cna $22 - $141 23%
Wc Comp One Admin C/O Manageability $22 - $141 23%
Wc Compone Admin $22 - $141 23%
Wc Ct Healthcare Trust $22 - $141 23%
Wc Donegal Insurance Group $22 - $141 23%
Wc Emc Insurance Company $22 - $141 23%
Wc Employee Mutual $22 - $141 23%
Wc Enablecomp $22 - $141 23%
Wc Encore Health Network $22 - $141 23%
Wc Erie $22 - $141 23%
Wc Esis $22 - $141 23%
Wc Evolutions $22 - $141 23%
Wc Fcci $22 - $141 23%
Wc Fed Ex $22 - $141 23%
Wc Federal Black Lung $22 - $141 23%
Wc Federated $22 - $141 23%
Wc Finley Occupational Health $22 - $141 23%
Wc First Agency/Occunet $22 - $141 23%
Wc Ford Motor $22 - $141 23%
Wc Fresno Unified Emp $22 - $141 23%
Wc Gallagher Bassett $22 - $141 23%
Wc General Motors $22 - $141 23%
Wc Generic $22 - $141 23%
Wc Genex Care For Ohio $22 - $141 23%
Wc Great West Casualty $22 - $141 23%
Wc Guarantee Insurance $22 - $141 23%
Wc Guard Insurance Company $22 - $141 23%
Wc Hab $22 - $141 23%
Wc Hartford $22 - $141 23%
Wc Hastings $22 - $141 23%
Wc Health Management $22 - $141 23%
Wc Heritage Summit $22 - $141 23%
Wc Hireright $22 - $141 23%
Wc Horizon $22 - $141 23%
Wc Icw Group $22 - $141 23%
Wc Idaho State Ins Fund $22 - $141 23%
Wc Intercare Insurance $22 - $141 23%
Wc Intermountain $22 - $141 23%
Wc Johns Eastern $22 - $141 23%
Wc Kemberton $22 - $141 23%
Wc Key Ins & Benefit Solutions $22 - $141 23%
Wc Liberty Mutual $22 - $141 23%
Wc Mac Risk Management $22 - $141 23%
Wc Massachusetts $22 - $141 23%
Wc Mdia $22 - $141 23%
Wc Meadowbrook Claim $22 - $141 23%
Wc Medical Administrators $22 - $141 23%
Wc Meijers $22 - $141 23%
Wc Memic $22 - $141 23%
Wc Mercy Workcare $22 - $141 23%
Wc Michigan $22 - $141 23%
Wc Michigan Millers Mutual $22 - $141 23%
Wc Mitchell Frankenmuth $22 - $141 23%
Wc Mra $22 - $141 23%
Wc Nationwide $22 - $141 23%
Wc Nca Comp $22 - $141 23%
Wc New York $22 - $141 23%
Wc New York Special Funds $22 - $141 23%
Wc North American Rishces $22 - $141 23%
Wc Northeast Health $22 - $141 23%
Wc Notre Dame $22 - $141 23%
Wc Novanet $22 - $141 23%
Wc Occ Health Allen $22 - $141 23%
Wc Ohio Bureau $22 - $141 23%
Wc One Call Medical $22 - $141 23%
Wc Paradigm $22 - $141 23%
Wc Peerless $22 - $141 23%
Wc Pma $22 - $141 23%
Wc Price Chopper $22 - $141 23%
Wc Procura Management $22 - $141 23%
Wc Qualcare $22 - $141 23%
Wc Quiktrip $22 - $141 23%
Wc Rev Claims $22 - $141 23%
Wc Risico $22 - $141 23%
Wc Rural Mutual $22 - $141 23%
Wc Saif Oregon $22 - $141 23%
Wc Secura $22 - $141 23%
Wc Sedgwick $22 - $141 23%
Wc Sentry $22 - $141 23%
Wc Sheakley Unicomp $22 - $141 23%
Wc Smile Lodge $22 - $141 23%
Wc Society $22 - $141 23%
Wc Srs $22 - $141 23%
Wc Taconic (Mro) $22 - $141 23%
Wc Taconic Farms $22 - $141 23%
Wc Travelers $22 - $141 23%
Wc Triad Group $22 - $141 23%
Wc Tristar $22 - $141 23%
Wc Troy Ny $22 - $141 23%
Wc Tyson $22 - $141 23%
Wc Unified Health Services $22 - $141 23%
Wc United Heartland $22 - $141 23%
Wc Us Dept Of Labor $22 - $141 23%
Wc Walmart $22 - $141 23%
Wc West Bend $22 - $141 23%
Wc West Bend Mutual/Argent $22 - $141 23%
Wc Winnebago Industries $22 - $141 23%
Wc Yankee Trails $22 - $141 23%
Wc York Risk $22 - $141 23%
Wc Zenith $22 - $141 23%
Wc Zurich $22 - $141 23%
Albany County Correctional Facility $31 33%
Amish Mennonite $31 33%
Ascension St. Vincent Public Safety Medical $31 33%
Bcccp-Michigan $31 33%
Bccp $31 33%
Bmc Healthnet $31 33%
Breast Grant-Connecticut $31 33%
Broward County Dept Of Health $31 33%
California Health And Wellness $31 33%
Can Community Health Inc $31 33%
Cardinal Innovations Lme $31 33%
Care Connections Of Northern Iowa $31 33%
Care Oregon Ohp $31 33%
Cencal Health Plan $31 33%
Cenpatico $31 33%
Chhuny $31 33%
Childrens Comm Health Plan $31 33%
Childrens Medical Services Title 19 $31 33%
City Of Philadelphia $31 33%
Cmh Allegan County $31 33%
Cmh Ausable Valley $31 33%
Cmh Barry County $31 33%
Cmh Bay-Arenac County $31 33%
Cmh Berrien County $31 33%
Cmh Cass County $31 33%
Cmh Central Mi County $31 33%
Cmh Clinton-Eaton-Ingham County $31 33%
Cmh Detroit Wayne Integrated Health Network $31 33%
Cmh Genesee County $31 33%
Cmh Ionia County $31 33%
Cmh Jackson County/Lifeways $31 33%
Cmh Kalamazoo $31 33%
Cmh Kent County $31 33%
Cmh Lenawee County $31 33%
Cmh Livingston County $31 33%
Cmh Macomb $31 33%
Cmh Misc $31 33%
Cmh Monroe County $31 33%
Cmh Montcalm County $31 33%
Cmh Muskegon County $31 33%
Cmh Newaygo County $31 33%
Cmh North Country $31 33%
Cmh Northern Lakes County $31 33%
Cmh Oakland County $31 33%
Cmh Ottawa County $31 33%
Cmh Van Buren County $31 33%
Cmh Washtenaw County $31 33%
Cmh Wayne County/Carelink $31 33%
Cmh Wayne Cty/Com Liv Svcs $31 33%
Cmh West Mi County $31 33%
Community Benefit Health $31 33%
Community Care Behavorial Health $31 33%
Community Care Partners $31 33%
Community Health Choice $31 33%
Connections Csp $31 33%
County Coroner $31 33%
County Funding Generic $31 33%
Covid19 Hrsa Uninsured Testing And Treatment Fund $31 33%
Dean Wi Badgercare $31 33%
Delaware County Department Of Health $31 33%
Delaware First Health $31 33%
Delta Dental Nj $31 33%
Dph Tb Program $31 33%
Dscc $31 33%
Eastpointe Lme $31 33%
Family Health Network $31 33%
Freedom First Healthcare $31 33%
Fresno County Ccs $31 33%
Ghc Scw Wi Badgercare $31 33%
Harbor Health $31 33%
Health Safety Net $31 33%
Healthy Blue Ne $31 33%
Hennepin Health $31 33%
Id County Ada $31 33%
Id County Canyon $31 33%
Id County Cat Fund $31 33%
Id County Other $31 33%
Id County Payette $31 33%
Idaho Dept Health And Wellfare $31 33%
Idaho Womens Health Check $31 33%
Indiana Breast Cervical Cancer $31 33%
Inland Empire Health Plan $31 33%
Intercommunity Health Ohp $31 33%
Iowa Total Care $31 - $71 33%
Jai Medical System $31 33%
Kern Family Health Plan $31 33%
Keystone First $31 33%
Keystone First Chip $31 33%
La Care Health Plan $31 33%
Lakeland Care Inc $31 33%
Managed Health Services - Indiana $31 33%
Maryland Breast & Cervical Program $31 33%
Maryland Healthy Smiles - Scion Dental $31 33%
Maryland Physicians Care $31 33%
Massachusetts Behavioral Health Partnership $31 33%
Mdwise $31 33%
Medi-Cal $31 33%
Medi-Cal Healthnet $31 33%
Medstar Dc Healthy Family $31 33%
Medstar Md Health Choice $31 33%
Mo Home State Health Plan $31 33%
Molina Centennial Care $31 33%
Nascentia Health Options $31 33%
New York Cancer Services Program $31 33%
Nextlevel Health $31 33%
Oregon Screenwise $31 33%
Pace Of Southwest Michigan $31 - $54 33%
Paramount Advantage $31 33%
Parkland Community Health Plan $31 33%
Partners Behavioral Lme $31 33%
Peach State Healthplan $31 33%
Philadelphia County Funding $31 33%
Presbyterian Centennial Care $31 33%
Prestige Health Choice $31 33%
Priority Partners $31 33%
Robert F Sing Program $31 33%
Rx 340B Pass Along $31 33%
Rx Assistance/Rx Manufacturer Assistance 0 Copay $31 33%
Rx Medi-Cal $31 33%
Rx Meridian Rx $31 33%
Ryan White Florida Mssrp $31 33%
Sandhills Center Lme $31 33%
Screening For Life $31 33%
St Joseph County Hlth Dpt $31 33%
Sunshine State Health Plan $31 33%
Superior Health $31 33%
Tenncare $31 33%
Texas Children'S Health Plan $31 33%
Trillium Community Ohp $31 33%
Tufts Health Public Plans $31 33%
Vaya Health Lme $31 33%
Washtenaw Health Plan $31 33%
Wellsense Health Plan $31 33%
Wi Womens Wellness $31 33%
Wellpoint $32 34%
Wc Corvel $52 55%
Align Senior Care $54 57%
Ally Align Care Adv $54 57%
American Health Advantage Of Idaho $54 57%
Aurora Special Needs $54 57%
Blue Care Network Advantage $54 57%
Blue Shield - De (Highmark) Medciare Advantage $54 57%
Care Dimensions $54 57%
Care Improvement Plus $54 57%
Care Resources Pace $54 57%
Careplus Health Plans $54 57%
Cca - Zing Health $54 57%
Cca Senior Care Options $54 57%
Central Valley Medical Services Corp Pace $54 57%
Champion Health Plan Mcr Advantage $54 57%
Clear Spring Health $54 57%
Clover Health $54 57%
Commonwealth Care Alliance $54 57%
Community Pace At Home $54 57%
Eddy Senior Care-Pace $54 57%
Eddy Seniorcare Pace $54 57%
Elementcare $54 57%
Evercare $54 57%
Everence $54 57%
Gateway Health Plan $54 57%
Genesys Pace Of Genesee County $54 57%
Georgia Health Advantage $54 57%
Gold Advantage $54 57%
Gpa Croell Redi Mix $54 57%
Health America Advantra $54 57%
Highmark Health Options Dual Plan $54 57%
Hope Select Pace $54 57%
Horizon Nj Total Care $54 57%
Hudson Headwaters Pace $54 57%
Huron Valley Pace $54 57%
Innovative Integrated Health Community Plans $54 57%
Johns Hopkins Advantage Md $54 57%
Lasso Healthcare Msa $54 57%
Life St Marys Pace $54 57%
Lifecircles Pace $54 57%
Longevity Health Plan $54 57%
Longevity Ipa Of Michigan Llc Health Plan Isnp $54 57%
Martins Point Generations Advantage $54 57%
Mass General Brigham Mcr Adv $54 57%
Medicare (plans) $54 - $78 57%
Medipak Advantage $54 57%
Mercy Life $54 57%
Mercyone Cedar Valley $54 57%
Meridian Complete $54 57%
Michigan Complete Health $54 57%
Nascentia Health Plus $54 57%
New Centry Health Careplus $54 57%
Osu Prime Care Advantage $54 57%
Pace Cny $54 57%
Pace Iowa Immanuel Pathways $54 57%
Pace Southeast $54 57%
Pace-Trinity Health $54 57%
Peak Pace Solutions $54 57%
Perennial Advantage $54 57%
Preferred Care Partners $54 57%
Presbyterian Senior Plan $54 57%
Provider Partners Health Plan Of Illinois $54 57%
Provider Partners Health Plan Of Indiana $54 57%
Pruitthealth Premier $54 57%
Reliance Community Care Partners Care Resources Pace $54 57%
Rx Allwin $54 57%
Rx Grane Grnmedd $54 57%
Rx Retiree Rx Care $54 57%
Scan Health Plan Mcr Ipa Meritage Oon $54 57%
Secure Horizons Ma Pffs $54 57%
Serenity Pace $54 57%
Siouxland Pace $54 57%
Solis Health Plans $54 57%
Sunnyview-Pace Finance Dept $54 57%
Texan Plus $54 57%
The Health Plan $54 57%
Thome Pace $54 57%
Todays Options $54 57%
Tribute Health Plans $54 57%
Um Health Advantage $54 57%
Union Health Service $54 57%
Welbe Health $54 57%
Wellmed $54 57%
Veterans Administration $55 58%
American Health Plan $56 59%
Iowa Health Advantage $56 59%
Nova $150 158%
1199 National Benefit Fund $167 175%
Asr Health Benefits $167 175%
Christian Brother Services $167 175%
Coventry $167 175%
First Health $167 175%
Luminare Health $167 175%
Medical Mutual $167 175%
Trustmark Small Business Benefits $167 175%
Webtpa $167 175%
Medica $178 187%
Crime Victim Assistance $182 191%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 201 Eighth Avenue Se, Oelwein, IA 50662
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals