CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Mercyone Dubuque Medical Center

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $406
  • Cash Discount Price: $1,564
  • vs. Medicare Baseline: 2.27x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Mercyone Dubuque Medical Center is $406. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,564. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 2.27x the Medicare baseline. Located in 250 Mercy Drive, Dubuque, IA.
Cash / Self-Pay
$1,564

Average discount available for prompt cash payment at this facility.

Insurance Median
$406

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$179.2

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $179.2 (100%)
Cash / Self-Pay: $1,564 (873%)
Insurance Median: $406 (227%)
Cash: $1,564 (873% of Medicare)
Ins. Median: $406 (227% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $179.2 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 227% of the Medicare baseline (a markup of 127%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Iowa Total Care $157 88%
Medicaid / KanCare $159 - $160 89%
Aetna $171 - $2,009 95%
Medicare (plans) $171 - $178 95%
Blue Cross Blue Shield $173 - $179 97%
UnitedHealthcare $174 - $2,406 97%
Bcn Domestic $179 100%
Blue Benefit Administrators Of Massachusetts $179 100%
Blue Care Network $179 100%
Blue Distinction Transplant $179 100%
Blue Shield - Ca $179 100%
Blue Shield - Id (Regence) $179 100%
Blue Shield - Ny Highmark Northeastern $179 100%
Blue Shield - Ny Highmark Western $179 100%
Blue Shield - Pa (Highmark) $179 100%
Blue Shield - Wa (Regence) $179 100%
Kaiser Domestic $179 100%
Pre-Employment $179 100%
Wc Domestic $179 100%
Amish Hospital Aid $232 129%
Oscar $238 133%
Centivo $273 152%
Ambetter / Centene $293 164%
Claimdoc $350 195%
Nova $350 195%
Geha $406 227%
Preferred Health Choice $859 479%
Health Choices $881 492%
Midlands Choice $1,395 - $2,165 778%
Wps $1,441 804%
The Alliance $1,453 811%
Mhnet $1,925 1074%
1199 National Benefit Fund $2,009 1121%
Allied Benefit Systems $2,009 1121%
Asr Health Benefits $2,009 1121%
Christian Brother Services $2,009 1121%
Coventry $2,009 1121%
First Health $2,009 1121%
Lucent Health $2,009 1121%
Luminare Health $2,009 1121%
Medical Mutual $2,009 1121%
Meritain $2,009 1121%
Trustmark Small Business Benefits $2,009 1121%
Webtpa $2,009 1121%
Auxiant $2,165 1208%
Cigna $2,165 1208%
Medica $2,165 1208%
Midlands $2,165 1208%
Multiplan $2,165 1208%
Unity $2,165 1208%
Crime Victim Assistance $2,406 1343%
Iowa Dept Of Public Health $2,406 1343%
Stephenson Cty Health $2,406 1343%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 250 Mercy Drive, Dubuque, IA 52001
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals