CMS Price Transparency Data

Family therapy session

Facility: Mercyone Dubuque Medical Center

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90847
  • Insurance Median: $144
  • Cash Discount Price: $104
  • vs. Medicare Baseline: 0.79x Medicare
The contracted insurance negotiated median rate for a Family therapy session at Mercyone Dubuque Medical Center is $144. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $104. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.79x the Medicare baseline. Located in 250 Mercy Drive, Dubuque, IA.
Cash / Self-Pay
$104

Average discount available for prompt cash payment at this facility.

Insurance Median
$144

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$181.34

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $181.34 (100%)
Cash / Self-Pay: $104 (57%)
Insurance Median: $144 (79%)
Cash: $104 (57% of Medicare)
Ins. Median: $144 (79% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $181.34 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.

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
Preferred Health Choice $57 31%
Health Choices $59 33%
Midlands Choice $93 - $144 51%
Wps $96 53%
The Alliance $97 53%
Mhnet $128 71%
UnitedHealthcare $133 - $160 73%
1199 National Benefit Fund $134 74%
Aetna $134 74%
Allied Benefit Systems $134 74%
Asr Health Benefits $134 74%
Christian Brother Services $134 74%
Coventry $134 74%
First Health $134 74%
Lucent Health $134 74%
Luminare Health $134 74%
Medical Mutual $134 74%
Meritain $134 74%
Trustmark Small Business Benefits $134 74%
Webtpa $134 74%
Auxiant $144 79%
Cigna $144 79%
Medica $144 79%
Midlands $144 79%
Multiplan $144 79%
Unity $144 79%
Crime Victim Assistance $160 88%
Iowa Dept Of Public Health $160 88%
Stephenson Cty Health $160 88%
Bcn Domestic $181 100%
Blue Benefit Administrators Of Massachusetts $181 100%
Blue Care Network $181 100%
Blue Cross Blue Shield $181 100%
Blue Distinction Transplant $181 100%
Blue Shield - Ca $181 100%
Blue Shield - Id (Regence) $181 100%
Blue Shield - Ny Highmark Northeastern $181 100%
Blue Shield - Ny Highmark Western $181 100%
Blue Shield - Pa (Highmark) $181 100%
Blue Shield - Wa (Regence) $181 100%
Kaiser Domestic $181 100%
Pre-Employment $181 100%
Wc Domestic $181 100%

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