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Short Term Acute Care HospitalVoluntary Non-Profit - Church

Mercyone Cedar Falls Medical Center

MercyOne · Cedar Falls, IA

515 College Street, Cedar Falls, IA 50613(319) 268-3000

Not rated by CMS

CMS star rating

35

Beds

348

Inpatient discharges a year

$43.2M

Net patient revenue a year

32

In-network payers

About this hospital

Mercyone Cedar Falls Medical Center is a 35-bed voluntary non-profit - church hospital in Cedar Falls, IA, affiliated with MercyOne. Below you'll find publicly disclosed negotiated rates and facility details, including 32 in-network payers and 170 disclosed rate categories.

  • Helipad
CCN
160040
NPI
1942241955
Website
mercyone.org
Health system
MercyOne
Teaching
No Medicare-funded residents
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
2007

Prices for common services

The 24 services Mercyone Cedar Falls Medical Center 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.

Medicine & Surgery · Inpatient

Major lower-extremity joint replacement without MCC

MS-DRG 470

$17,076 - $23,536

from 3 insurers · median $22,509

Aetna$23,536
Insurer A*$17,076
Insurer B*$22,509
Medicare $9,181Nearby hospitals $20,54410% above nearby hospitals

56 Medicare discharges for this DRG in CMS hospital data

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$356 - $4,975

from 4 insurers · median $2,411

Blue Cross$356
Insurer A*$941
Insurer B*$3,882
Insurer C*$4,975
Medicare $319Nearby hospitals $1,24194% above nearby hospitals

Common here, based on CMS Medicare volume

Medicine & Surgery

Cataract removal with lens insertion

CPT 66984

$1,346 - $5,358

from 3 insurers · median $2,358

Aetna$5,358
Insurer A*$1,346
Insurer B*$2,358
Medicare $2,108Nearby hospitals $4,12843% below nearby hospitals

462 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)

Digestive procedures

Upper GI endoscopy with biopsy

CPT 43239

$927 - $4,880

from 3 insurers · median $3,901

Aetna$3,901
Insurer A*$927
Insurer B*$4,880
Medicare $829Nearby hospitals $2,14582% above nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at Mercyone Cedar Falls Medical Center

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*12
1183%
110
Insurer B*21
389%
154
Insurer C*24
227%
1012
Insurer D*16
100%
114

How we chose these services: 4 appear in this hospital's own Medicare claims, 14 are common here based on CMS Medicare volume, and 6 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 Mercyone Cedar Falls Medical Center, 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 HealthCenteneEMI Health

More about this hospital

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Mercyone Cedar Falls Medical Center in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
42-0758901Sartori Memorial Hospital INC55Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 50 more1942241955 Sartori Memorial Hospital Inc1710928734 Sartori Memorial Hospital Inc1396786307 Sartori Memorial Hospital Incand 1 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

515 College Street, Cedar Falls, IA 50613

(319) 268-3000

Get directions

Frequently asked questions

About Mercyone Cedar Falls Medical Center's rates and hospital price transparency.

How much does an MRI cost at Mercyone Cedar Falls Medical Center?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Mercyone Cedar Falls Medical Center range from $356 to $4,641 across 4 insurers. Cigna's rate is $3,621. The median at nearby comparable hospitals is $1,058. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Mercyone Cedar Falls Medical Center?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Mercyone Cedar Falls Medical Center range from $356 to $4,975 across 4 insurers. Blue Cross Blue Shield's rate is $356. The median at nearby comparable hospitals is $1,241. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Mercyone Cedar Falls Medical Center?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Mercyone Cedar Falls Medical Center range from $1,223 to $2,906 across 2 insurers. Aetna's rate is $2,906. The median at nearby comparable hospitals is $2,231. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Mercyone Cedar Falls Medical Center?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Mercyone Cedar Falls Medical Center range from $327 to $345 across 3 insurers. Cigna's rate is $332. The median at nearby comparable hospitals is $196. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Mercyone Cedar Falls Medical Center?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Mercyone Cedar Falls Medical Center range from $17,076 to $23,536 across 3 insurers. Aetna's rate is $23,536. The median at nearby comparable hospitals is $20,544. What a patient pays depends on their plan's deductible, coinsurance and network status.

Is Mercyone Cedar Falls Medical Center a teaching hospital?

CMS reports no Medicare-funded interns or residents at Mercyone Cedar Falls Medical Center for fiscal year 2027.

Does Medicare penalize Mercyone Cedar Falls Medical Center for readmissions?

No. Mercyone Cedar Falls Medical Center has no Hospital Readmissions Reduction Program penalty in fiscal year 2027.

What are the most common Medicare inpatient stays at Mercyone Cedar Falls Medical Center?

In 2024, the most common were major hip and knee joint replacement or reattachment of lower extremity without mcc (25 discharges).

What is Mercyone Cedar Falls Medical Center's case mix index?

Mercyone Cedar Falls Medical Center's Medicare case mix index is 1.59 for fiscal year 2027, higher than 39% of hospitals paid under the inpatient prospective payment system.

How many patients does Mercyone Cedar Falls Medical Center admit?

Mercyone Cedar Falls Medical Center reported 348 inpatient discharges and 1,296 inpatient days from Jul 1, 2024 to Jun 30, 2025.

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.

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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
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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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