CMS Price Transparency Data
Office visit, established patient (20-29 min)
Facility: Mercy Rehabilitation Hospital
Billing Code: 99213 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$99
about 1.0× the $95 Medicare rate · typically $59–$208
modeled estimate · not a bill or quote
Medicare pays $95 Fair price $99 Cash price $121 Hospital's list price $121
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 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 | $121 | 127% |
| Blue Cross Blue Shieldmajor | $121 | 127% |
| Aetnamajor | $121 | 127% |
| Cignamajor | $121 | 127% |
| Humanamajor | $121 | 127% |
| HealthPartners | $121 | 127% |
| Oscar Health | $121 | 127% |
| + 2 smaller / regional plans | $121 |
Government programs also on file: Medicare, Medicaid.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Mercy Rehabilitation Hospital
Compare: Office visit, established patient (20-29 min) at other IA hospitals
- Mercyone Newton Medical Center · Newton $31
- Sartori Memorial Hospital, Inc · Cedar Falls $31
- Mercyone Dubuque Medical Center · Dubuque $31
- Mercyone Oelwein Medical Center · Oelwein $31
- Dallas County Hospital · Perry $36
- Mercyone North Iowa Medical Center · Mason City $46
- Mercyone Waterloo Medical Center · Waterloo $46
- Mercy Medical Center-New Hampton · New Hampton $46
Insurance negotiated median for the same procedure, sorted lowest first.