CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Mercyone Dubuque Medical Center

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $320
  • Cash Discount Price: $344
  • vs. Medicare Baseline: 2.04x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Mercyone Dubuque Medical Center is $320. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $344. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 2.04x the Medicare baseline. Located in 250 Mercy Drive, Dubuque, IA.
Cash / Self-Pay
$344

Average discount available for prompt cash payment at this facility.

Insurance Median
$320

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$156.98

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $156.98 (100%)
Cash / Self-Pay: $344 (219%)
Insurance Median: $320 (204%)
Cash: $344 (219% of Medicare)
Ins. Median: $320 (204% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $156.98 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 204% of the Medicare baseline (a markup of 104%). 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
Aetna $99 - $442 63%
Medicare (plans) $99 - $103 63%
Blue Cross Blue Shield $100 64%
UnitedHealthcare $101 - $529 64%
Amish Hospital Aid $134 85%
Oscar $138 88%
Iowa Dept Of Public Health $142 90%
Iowa Total Care $144 92%
Medicaid / KanCare $145 - $146 92%
Centivo $158 101%
Stephenson Cty Health $159 101%
Ambetter / Centene $169 108%
Preferred Health Choice $189 120%
Health Choices $194 124%
Claimdoc $203 129%
Nova $203 129%
Geha $255 162%
Midlands Choice $307 - $476 196%
Wps $317 202%
The Alliance $320 204%
Mhnet $423 269%
1199 National Benefit Fund $442 282%
Allied Benefit Systems $442 282%
Asr Health Benefits $442 282%
Christian Brother Services $442 282%
Coventry $442 282%
First Health $442 282%
Lucent Health $442 282%
Luminare Health $442 282%
Medical Mutual $442 282%
Meritain $442 282%
Trustmark Small Business Benefits $442 282%
Webtpa $442 282%
Auxiant $476 303%
Cigna $476 303%
Medica $476 303%
Midlands $476 303%
Multiplan $476 303%
Unity $476 303%
Crime Victim Assistance $529 337%

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