Price Transparency Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

Payer comparison · HCPCS A9543 · WATERLOO, IA

A9543 — Y90 Ibritumomab, Rx

What each payer pays MERCYONE WATERLOO MEDICAL CENTER (CCN 160067) for this procedure, and where each sits versus the all-payer median at this facility. Find your plan to see whether you're above or below the market here.

$66,805 All-payer median here
$55,035 Cash / self-pay here
84 payer/plan-name variants
← This hospital National rates for A9543 →
Per-payer negotiated rate at this facility. Use the column headers to sort, the filter row to narrow results.
Payer / plan Median negotiated vs all-payer median Rate rows
   
CLAIMDOC $114,217 71.0% 1
NOVA $114,217 71.0% 1
Centene $95,465 42.9% 1
CENTIVO $94,329 41.2% 1
Oscar Health $87,209 30.5% 1
AMISH HOSPITAL AID $75,577 13.1% 1
GEHA (Government Employees Health Association) $69,326 3.8% 1
Anthem BCBS of New Hampshire $66,805 0.0% 1
Anthem BCBS of New York $66,805 0.0% 1
Anthem BCBS of Ohio $66,805 0.0% 1
Anthem BCBS of Virginia $66,805 0.0% 1
Anthem BCBS of Wisconsin $66,805 0.0% 1
Anthem Blue Cross CA $66,805 0.0% 1
Arkansas BCBS $66,805 0.0% 1
BCBS GENERIC $66,805 0.0% 1
BCBS of Alabama $66,805 0.0% 1
BCBS of Arizona $66,805 0.0% 1
BCBS of Illinois $66,805 0.0% 2
BCBS of Louisiana $66,805 0.0% 1
BCBS of Michigan $66,805 0.0% 1
BCBS of Minnesota $66,805 0.0% 1
BCBS of Nebraska $66,805 0.0% 1
BCBS of North Carolina $66,805 0.0% 1
BCBS of North Dakota $66,805 0.0% 1
BCBS of Oklahoma $66,805 0.0% 1
BCBS of South Carolina $66,805 0.0% 1
BCBS of Tennessee $66,805 0.0% 1
BCBS of Texas $66,805 0.0% 1
BCBS of Vermont $66,805 0.0% 1
BCBS of Wyoming $66,805 0.0% 1
BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS $66,805 0.0% 1
Blue Care Network HMO $66,805 0.0% 2
BLUE CROSS - FEDERAL $66,805 0.0% 1
BLUE CROSS - FL $66,805 0.0% 1
BLUE CROSS - GA (ANTHEM) $66,805 0.0% 1
BLUE CROSS - HI $66,805 0.0% 1
BLUE CROSS - ID $66,805 0.0% 1
BLUE CROSS - IN (ANTHEM) $66,805 0.0% 1
BLUE CROSS - MA $66,805 0.0% 1
BLUE CROSS - MS $66,805 0.0% 1
BLUE CROSS - MT $66,805 0.0% 1
BLUE CROSS - NM $66,805 0.0% 1
Blue Cross & Blue Shield of Rhode Island $66,805 0.0% 1
BLUE CROSS DOMESTIC $66,805 0.0% 1
Blue Cross of Idaho $66,805 0.0% 1
BLUE DISTINCTION TRANSPLANT $66,805 0.0% 1
BLUE SHIELD - PA (HIGHMARK) $66,805 0.0% 1
Blue Shield of California $66,805 0.0% 1
Capital BCBS $66,805 0.0% 1
CareFirst BCBS $66,805 0.0% 3
BCBS of Kansas $66,805 0.0% 1
Anthem BCBS of Colorado $66,805 0.0% 1
Anthem BCBS of Connecticut $66,805 0.0% 1
Anthem BCBS of Kentucky $66,805 0.0% 1
Anthem BCBS of Maine $66,805 0.0% 1
Anthem BCBS of Missouri $66,805 0.0% 1
Anthem BCBS of Nevada $66,805 0.0% 1
Excellus BCBS $66,805 0.0% 1
Highmark $66,805 0.0% 1
Highmark BCBS $66,805 0.0% 3
Horizon BCBS of NJ $66,805 0.0% 1
Independence BCBS $66,805 0.0% 1
Kaiser Permanente $66,805 0.0% 1
PRE-EMPLOYMENT $66,805 0.0% 1
Premera BCBS $66,805 0.0% 2
Regence BCBS $66,805 0.0% 3
WC DOMESTIC $66,805 0.0% 1
Wellmark BCBS $66,805 0.0% 3
WELLPOINT MEDICARE ADVANTAGE $57,961 -13.2% 1
HEALTH PARTNERS MEDICARE ADVANTAGE $57,393 -14.1% 1
BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE $56,245 -15.8% 1
UnitedHealthcare $55,918 -16.3% 4
MEDICARE MEDICAL ASSOCIATES HEALTH PLANS $55,688 -16.6% 1
MEDIGOLD MEDICARE ADVANTAGE $55,688 -16.6% 1
Aetna $55,688 -16.6% 1
IOWA DEPT OF PUBLIC HEALTH $55,035 -17.6% 1
Medica $39,075 -41.5% 1
MIDLANDS $39,075 -41.5% 1
Midlands Choice $39,075 -41.5% 1
Cigna Healthcare $39,075 -41.5% 2
AUXIANT $39,075 -41.5% 1
HealthPartners $36,103 -46.0% 1
Health Choices $12,933 -80.6% 1
MEDICAL ASSOCIATES $12,933 -80.6% 1

Median over current-blob negotiated rates (COALESCE of standard / median / min–max midpoint, $0.01–$5M sentinel guard). Payers are canonical-grouped where a mapping exists; unmapped regional-plan name variants may appear as separate rows.