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Short Term Acute Care HospitalVoluntary Non-Profit - Private

Allen Memorial Hospital

Unitypoint Health · Waterloo, IA

1825 Logan Avenue, Waterloo, IA 50703(319) 235-3941

3 of 5

CMS star rating

200

Beds

11,172

Inpatient discharges a year

$417.4M

Net patient revenue a year

37

In-network payers

Photo 1: RifeIdeas, CC BY-SA 3.0, via Wikimedia Commons · Photo 2: Public domain (USGS NAIP, CONUS), via USGS National Map / USDA NAIP

About this hospital

Allen Memorial Hospital is a 200-bed voluntary non-profit - private hospital in Waterloo, IA, affiliated with Unitypoint Health. Below you'll find publicly disclosed negotiated rates and facility details, including 37 in-network payers and 213 disclosed rate categories.

  • Rural referral center
  • Reclassified as rural
  • Disproportionate share hospital
  • 340B participant
  • Helipad
CCN
160110
NPI
1336231091
Health system
Unitypoint Health
Teaching
Teaching hospital
County
Black Hawk County
Metro area
Waterloo-Cedar Falls, IA MSA
Medicare contractor
Jurisdiction 5, WPS Government Health Administrators (05001)
In Medicare since
1966
Last CMS survey
2017

Prices for common services

The 24 services Allen Memorial Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.

Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$7,062 - $8,349

from 2 insurers · median $7,705

Aetna$7,062
Insurer A*$8,349

CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$9,726 - $11,530

from 2 insurers · median $10,628

Aetna$9,726
Insurer A*$11,530

CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

Gynecology

Hysteroscopy with sampling of the uterine lining

CPT 58558

$4,674 - $7,203

from 2 insurers · median $5,939

UnitedHealthcare$4,674
Insurer A*$7,203
Medicare $2,955Nearby hospitals $5,15415% above nearby hospitals

17 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)

Medicine & Surgery

Laparoscopic cholecystectomy

CPT 47562

$8,729 - $12,457

from 2 insurers · median $10,593

Aetna$12,457
Insurer A*$8,729
Medicare $5,519Nearby hospitals $8,37926% above nearby hospitals

76 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)

How the insurers pay at Allen Memorial Hospital

Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*24
214%
116
Insurer B*13
182%
07
Insurer C*24
141%
316
Insurer D*1
-
10

How we chose these services: 6 appear in this hospital's own Medicare claims, 11 are common here based on CMS Medicare volume, and 7 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Allen Memorial Hospital, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
Ameri HealthAspirus Health PlanAvera Health PlansBanner HealthCenteneDean Health Plan

More about this hospital

  • Quality

    3 of 5 stars

    • 163 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.29%)
    See quality ratings
  • Doctors and services

    Teaching hospital

    • 46 services, including trauma care
    • 567 affiliated clinicians
    See doctors and services
  • Finances

    $417.4M net patient revenue

    • Operating margin on patient care 10.6%
    • $9.7M unreimbursed and uncompensated care
    • $44.6M net income
    See finances
  • Ownership and leadership

    Private (not for profit)

    • Jennifer A Friedly, chief executive
    • 340B drug pricing program participant
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Allen Memorial Hospital in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
42-0698265Allen Memorial Hospital Corporation65Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Aspirus Health Plan and 60 more1336231091 Allen Memorial Hospital Corporation1942584784 Allen Memorial Hospital Corporation1346292521 Allen Memorial Hospital Corporationand 14 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

1825 Logan Avenue, Waterloo, IA 50703

(319) 235-3941

Get directions

Frequently asked questions

About Allen Memorial Hospital's rates and hospital price transparency.

How much does a CT scan cost at Allen Memorial Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Allen Memorial Hospital range from $547 to $2,108 across 3 insurers. Cigna's rate is $2,108. The median at nearby comparable hospitals is $1,312. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Allen Memorial Hospital?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Allen Memorial Hospital range from $887 to $2,341 across 3 insurers. UnitedHealthcare's rate is $1,728. The median at nearby comparable hospitals is $2,579. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Allen Memorial Hospital?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Allen Memorial Hospital range from $7,062 to $8,349 across 2 insurers. Aetna's rate is $7,062. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Allen Memorial Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Allen Memorial Hospital range from $138 to $198 across 3 insurers. Cigna's rate is $198. The median at nearby comparable hospitals is $247. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Allen Memorial Hospital?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Allen Memorial Hospital range from $20,633 to $32,795 across 3 insurers. Aetna's rate is $20,633. The median at nearby comparable hospitals is $24,113. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Allen Memorial Hospital's CMS star rating?

Allen Memorial Hospital has a CMS overall hospital star rating of 3 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 42% of US hospitals.

Is Allen Memorial Hospital a teaching hospital?

Yes. CMS counts 0.03 Medicare-funded residents per bed at Allen Memorial Hospital for fiscal year 2027, so it is a teaching hospital.

Does Medicare penalize Allen Memorial Hospital for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Allen Memorial Hospital's base inpatient payments by an estimated 0.29% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Allen Memorial Hospital?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (208 discharges), psychoses (89 discharges), heart failure and shock with mcc (86 discharges).

What is Allen Memorial Hospital's case mix index?

Allen Memorial Hospital's Medicare case mix index is 1.94 for fiscal year 2027, higher than 74% of hospitals paid under the inpatient prospective payment system.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
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  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

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  • Missing, duplicate and outdated charge lines identified
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