CMS Price Transparency Data
Group therapy session
Facility: Mercyone Dubuque Medical Center
Billing Code: 90853 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 90853
- Insurance Median: $24
- Cash Discount Price: $133
- vs. Medicare Baseline: 0.23x Medicare
The contracted insurance negotiated median rate for a Group therapy session at Mercyone Dubuque Medical Center is $24. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $133. Compared to the federal Medicare reimbursement reference rate of $103.79, this hospital’s rate is 0.23x the Medicare baseline. Located in 250 Mercy Drive, Dubuque, IA.
Cash / Self-Pay
$133
Average discount available for prompt cash payment at this facility.
Insurance Median
$24
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$103.79
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $103.79 (100%)
Cash / Self-Pay: $133 (128%)
Insurance Median: $24 (23%)
Cash: $133 (128% of Medicare)
Ins. Median: $24 (23% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $103.79 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 |
|---|---|---|
| Albany County Correctional Facility | $10 | 10% |
| Ambetter / Centene | $10 - $41 | 10% |
| Amish Mennonite | $10 | 10% |
| Ascension St. Vincent Public Safety Medical | $10 | 10% |
| Bcccp-Michigan | $10 | 10% |
| Bccp | $10 | 10% |
| Blue Cross Blue Shield | $10 - $35 | 10% |
| Bmc Healthnet | $10 | 10% |
| Breast Grant-Connecticut | $10 | 10% |
| Broward County Dept Of Health | $10 | 10% |
| California Health And Wellness | $10 | 10% |
| Can Community Health Inc | $10 | 10% |
| Cardinal Innovations Lme | $10 | 10% |
| Care Connections Of Northern Iowa | $10 | 10% |
| Care Oregon Ohp | $10 | 10% |
| Cencal Health Plan | $10 | 10% |
| Cenpatico | $10 | 10% |
| Chhuny | $10 | 10% |
| Childrens Comm Health Plan | $10 | 10% |
| Childrens Medical Services Title 19 | $10 | 10% |
| Cigna | $10 - $364 | 10% |
| City Of Philadelphia | $10 | 10% |
| Cmh Allegan County | $10 | 10% |
| Cmh Ausable Valley | $10 | 10% |
| Cmh Barry County | $10 | 10% |
| Cmh Bay-Arenac County | $10 | 10% |
| Cmh Berrien County | $10 | 10% |
| Cmh Cass County | $10 | 10% |
| Cmh Central Mi County | $10 | 10% |
| Cmh Clinton-Eaton-Ingham County | $10 | 10% |
| Cmh Detroit Wayne Integrated Health Network | $10 | 10% |
| Cmh Genesee County | $10 | 10% |
| Cmh Ionia County | $10 | 10% |
| Cmh Jackson County/Lifeways | $10 | 10% |
| Cmh Kalamazoo | $10 | 10% |
| Cmh Kent County | $10 | 10% |
| Cmh Lenawee County | $10 | 10% |
| Cmh Livingston County | $10 | 10% |
| Cmh Macomb | $10 | 10% |
| Cmh Misc | $10 | 10% |
| Cmh Monroe County | $10 | 10% |
| Cmh Montcalm County | $10 | 10% |
| Cmh Muskegon County | $10 | 10% |
| Cmh Newaygo County | $10 | 10% |
| Cmh North Country | $10 | 10% |
| Cmh Northern Lakes County | $10 | 10% |
| Cmh Oakland County | $10 | 10% |
| Cmh Ottawa County | $10 | 10% |
| Cmh Van Buren County | $10 | 10% |
| Cmh Washtenaw County | $10 | 10% |
| Cmh Wayne County/Carelink | $10 | 10% |
| Cmh Wayne Cty/Com Liv Svcs | $10 | 10% |
| Cmh West Mi County | $10 | 10% |
| Community Benefit Health | $10 | 10% |
| Community Care Behavorial Health | $10 | 10% |
| Community Care Partners | $10 | 10% |
| Community Health Choice | $10 | 10% |
| Connections Csp | $10 | 10% |
| County Coroner | $10 | 10% |
| County Funding Generic | $10 | 10% |
| Covid19 Hrsa Uninsured Testing And Treatment Fund | $10 | 10% |
| Dean Wi Badgercare | $10 | 10% |
| Delaware County Department Of Health | $10 | 10% |
| Delaware First Health | $10 | 10% |
| Delta Dental Nj | $10 | 10% |
| Dph Tb Program | $10 | 10% |
| Dscc | $10 | 10% |
| Eastpointe Lme | $10 | 10% |
| Family Health Network | $10 | 10% |
| Freedom First Healthcare | $10 | 10% |
| Fresno County Ccs | $10 | 10% |
| Ghc Scw Wi Badgercare | $10 | 10% |
| Harbor Health | $10 | 10% |
| Health Safety Net | $10 | 10% |
| Healthy Blue Ne | $10 | 10% |
| Hennepin Health | $10 | 10% |
| Humana | $10 - $38 | 10% |
| Id County Ada | $10 | 10% |
| Id County Canyon | $10 | 10% |
| Id County Cat Fund | $10 | 10% |
| Id County Other | $10 | 10% |
| Id County Payette | $10 | 10% |
| Idaho Dept Health And Wellfare | $10 | 10% |
| Idaho Womens Health Check | $10 | 10% |
| Indiana Breast Cervical Cancer | $10 | 10% |
| Inland Empire Health Plan | $10 | 10% |
| Intercommunity Health Ohp | $10 | 10% |
| Iowa Total Care | $10 - $736 | 10% |
| Jai Medical System | $10 | 10% |
| Kern Family Health Plan | $10 | 10% |
| Keystone First | $10 | 10% |
| Keystone First Chip | $10 | 10% |
| La Care Health Plan | $10 | 10% |
| Lakeland Care Inc | $10 | 10% |
| Managed Health Services - Indiana | $10 | 10% |
| Maryland Breast & Cervical Program | $10 | 10% |
| Maryland Healthy Smiles - Scion Dental | $10 | 10% |
| Maryland Physicians Care | $10 | 10% |
| Massachusetts Behavioral Health Partnership | $10 | 10% |
| Mdwise | $10 | 10% |
| Medi-Cal | $10 | 10% |
| Medi-Cal Healthnet | $10 | 10% |
| Medicaid / KanCare | $10 - $325 | 10% |
| Medstar Dc Healthy Family | $10 | 10% |
| Medstar Md Health Choice | $10 | 10% |
| Mo Home State Health Plan | $10 | 10% |
| Molina Centennial Care | $10 | 10% |
| Nascentia Health Options | $10 | 10% |
| New York Cancer Services Program | $10 | 10% |
| Nextlevel Health | $10 | 10% |
| Oregon Screenwise | $10 | 10% |
| Pace Of Southwest Michigan | $10 - $24 | 10% |
| Paramount Advantage | $10 | 10% |
| Parkland Community Health Plan | $10 | 10% |
| Partners Behavioral Lme | $10 | 10% |
| Peach State Healthplan | $10 | 10% |
| Philadelphia County Funding | $10 | 10% |
| Presbyterian Centennial Care | $10 | 10% |
| Prestige Health Choice | $10 | 10% |
| Priority Partners | $10 | 10% |
| Robert F Sing Program | $10 | 10% |
| Rx 340B Pass Along | $10 | 10% |
| Rx Assistance/Rx Manufacturer Assistance 0 Copay | $10 | 10% |
| Rx Medi-Cal | $10 | 10% |
| Rx Meridian Rx | $10 | 10% |
| Ryan White Florida Mssrp | $10 | 10% |
| Sandhills Center Lme | $10 | 10% |
| Screening For Life | $10 | 10% |
| St Joseph County Hlth Dpt | $10 | 10% |
| Sunshine State Health Plan | $10 | 10% |
| Superior Health | $10 | 10% |
| Tenncare | $10 | 10% |
| Texas Children'S Health Plan | $10 | 10% |
| Trillium Community Ohp | $10 | 10% |
| Tufts Health Public Plans | $10 | 10% |
| UnitedHealthcare | $10 - $405 | 10% |
| Vaya Health Lme | $10 | 10% |
| Washtenaw Health Plan | $10 | 10% |
| Wellpoint | $10 | 10% |
| Wellsense Health Plan | $10 | 10% |
| Wi Womens Wellness | $10 | 10% |
| Wc Corvel | $23 | 22% |
| Aetna | $24 - $338 | 23% |
| Align Senior Care | $24 | 23% |
| Ally Align Care Adv | $24 | 23% |
| American Health Advantage Of Idaho | $24 | 23% |
| Aurora Special Needs | $24 | 23% |
| Blue Care Network Advantage | $24 | 23% |
| Blue Shield - De (Highmark) Medciare Advantage | $24 | 23% |
| Care Dimensions | $24 | 23% |
| Care Improvement Plus | $24 | 23% |
| Care Resources Pace | $24 | 23% |
| Careplus Health Plans | $24 | 23% |
| Cca - Zing Health | $24 | 23% |
| Cca Senior Care Options | $24 | 23% |
| Central Valley Medical Services Corp Pace | $24 | 23% |
| Champion Health Plan Mcr Advantage | $24 | 23% |
| Champva | $24 | 23% |
| Clear Spring Health | $24 | 23% |
| Clover Health | $24 | 23% |
| Commonwealth Care Alliance | $24 | 23% |
| Community Pace At Home | $24 | 23% |
| Eddy Senior Care-Pace | $24 | 23% |
| Eddy Seniorcare Pace | $24 | 23% |
| Elementcare | $24 | 23% |
| Evercare | $24 | 23% |
| Everence | $24 | 23% |
| Gateway Health Plan | $24 | 23% |
| Genesys Pace Of Genesee County | $24 | 23% |
| Georgia Health Advantage | $24 | 23% |
| Gold Advantage | $24 | 23% |
| Gpa Croell Redi Mix | $24 | 23% |
| Health America Advantra | $24 | 23% |
| Highmark Health Options Dual Plan | $24 | 23% |
| Hope Select Pace | $24 | 23% |
| Horizon Nj Total Care | $24 | 23% |
| Hudson Headwaters Pace | $24 | 23% |
| Huron Valley Pace | $24 | 23% |
| Innovative Integrated Health Community Plans | $24 | 23% |
| Johns Hopkins Advantage Md | $24 | 23% |
| Lasso Healthcare Msa | $24 | 23% |
| Life St Marys Pace | $24 | 23% |
| Lifecircles Pace | $24 | 23% |
| Longevity Health Plan | $24 | 23% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $24 | 23% |
| Martins Point Generations Advantage | $24 | 23% |
| Mass General Brigham Mcr Adv | $24 | 23% |
| Medicare (plans) | $24 - $25 | 23% |
| Medipak Advantage | $24 | 23% |
| Mercy Life | $24 | 23% |
| Mercyone Cedar Valley | $24 | 23% |
| Meridian Complete | $24 | 23% |
| Michigan Complete Health | $24 | 23% |
| Nascentia Health Plus | $24 | 23% |
| New Centry Health Careplus | $24 | 23% |
| Osu Prime Care Advantage | $24 | 23% |
| Pace Cny | $24 | 23% |
| Pace Iowa Immanuel Pathways | $24 | 23% |
| Pace Southeast | $24 | 23% |
| Pace-Trinity Health | $24 | 23% |
| Peak Pace Solutions | $24 | 23% |
| Perennial Advantage | $24 | 23% |
| Preferred Care Partners | $24 | 23% |
| Presbyterian Senior Plan | $24 | 23% |
| Provider Partners Health Plan Of Illinois | $24 | 23% |
| Provider Partners Health Plan Of Indiana | $24 | 23% |
| Pruitthealth Premier | $24 | 23% |
| Reliance Community Care Partners Care Resources Pace | $24 | 23% |
| Rx Allwin | $24 | 23% |
| Rx Grane Grnmedd | $24 | 23% |
| Rx Retiree Rx Care | $24 | 23% |
| Scan Health Plan Mcr Ipa Meritage Oon | $24 | 23% |
| Secure Horizons Ma Pffs | $24 | 23% |
| Serenity Pace | $24 | 23% |
| Siouxland Pace | $24 | 23% |
| Solis Health Plans | $24 | 23% |
| Sunnyview-Pace Finance Dept | $24 | 23% |
| Texan Plus | $24 | 23% |
| The Health Plan | $24 | 23% |
| Thome Pace | $24 | 23% |
| Todays Options | $24 | 23% |
| Tribute Health Plans | $24 | 23% |
| Tricare | $24 | 23% |
| Triwest Health Alliance | $24 | 23% |
| Um Health Advantage | $24 | 23% |
| Union Health Service | $24 | 23% |
| Us Family Health Plan | $24 | 23% |
| Veterans Administration | $24 | 23% |
| Veterans Eval Services | $24 | 23% |
| Welbe Health | $24 | 23% |
| Wellmed | $24 | 23% |
| American Health Plan | $25 | 24% |
| Iowa Health Advantage | $25 | 24% |
| Stephenson Cty Health | $31 - $405 | 30% |
| Amish Hospital Aid | $32 | 31% |
| Amps | $32 | 31% |
| Allied Benefit Systems | $34 - $338 | 33% |
| Auxiant | $34 - $364 | 33% |
| First Choice Health | $34 | 33% |
| Group Administrators | $34 | 33% |
| Health Choices | $34 - $148 | 33% |
| Midlands | $34 - $364 | 33% |
| Midlands Choice | $34 - $364 | 33% |
| Bcn Domestic | $35 | 34% |
| Blue Benefit Administrators Of Massachusetts | $35 | 34% |
| Blue Care Network | $35 | 34% |
| Blue Distinction Transplant | $35 | 34% |
| Blue Shield - Ca | $35 | 34% |
| Blue Shield - Id (Regence) | $35 | 34% |
| Blue Shield - Ny Highmark Northeastern | $35 | 34% |
| Blue Shield - Ny Highmark Western | $35 | 34% |
| Blue Shield - Pa (Highmark) | $35 | 34% |
| Blue Shield - Wa (Regence) | $35 | 34% |
| Kaiser Domestic | $35 | 34% |
| Medical Associates | $35 - $47 | 34% |
| Pre-Employment | $35 | 34% |
| Wc Domestic | $35 | 34% |
| Avera | $36 | 35% |
| Sanford Health Plan | $39 | 38% |
| Ucare | $42 | 40% |
| Lucent Health | $43 - $338 | 41% |
| Health Smart | $44 | 42% |
| Newton Correctional Facility | $45 - $49 | 43% |
| Centivo | $47 | 45% |
| Meritain | $47 - $338 | 45% |
| Preferred One | $47 | 45% |
| Usa Managed Care | $47 | 45% |
| Health Partners | $49 | 47% |
| Claimdoc | $50 | 48% |
| The Alliance | $50 - $245 | 48% |
| Nebraska Total Care | $52 - $69 | 50% |
| Global Excel | $54 | 52% |
| Multiplan | $54 - $364 | 52% |
| Genex Wc | $56 | 54% |
| Velocity | $56 | 54% |
| Quiktrip | $58 | 56% |
| Wc Align Network | $60 | 58% |
| Wc Praxis Health Network | $64 | 62% |
| Wc Reny Company | $65 | 63% |
| Wc Velocity | $65 | 63% |
| Geha | $67 | 65% |
| Auto Velocity | $68 | 66% |
| Wc O'Hara Corp | $68 | 66% |
| Iowa Dept Of Public Health | $69 - $405 | 66% |
| Oscar | $69 - $75 | 66% |
| Andrie Inc | $75 | 72% |
| East Greenbush Central School District | $75 | 72% |
| Healthsmart Workers Comp | $75 | 72% |
| Jag Source | $75 | 72% |
| New York State Insurance Fund | $75 | 72% |
| Njm Insurance Group | $75 | 72% |
| Rx Heatlhcomp | $75 | 72% |
| Rx Restat | $75 | 72% |
| Rx Saif Opdp Wc | $75 | 72% |
| Rx Worker'S Comp | $75 | 72% |
| Wc Accident Fund | $75 | 72% |
| Wc Ace | $75 | 72% |
| Wc Acs Federal Employees | $75 | 72% |
| Wc Acuity | $75 | 72% |
| Wc Advantage | $75 | 72% |
| Wc Aegis | $75 | 72% |
| Wc Aig | $75 | 72% |
| Wc Aims | $75 | 72% |
| Wc Alaska National Ins | $75 | 72% |
| Wc Allied | $75 | 72% |
| Wc Am Trust N America | $75 | 72% |
| Wc American Claims Mgmt | $75 | 72% |
| Wc Amerisure | $75 | 72% |
| Wc Amtrust | $75 | 72% |
| Wc Asu Risk Mgt | $75 | 72% |
| Wc Benetech | $75 | 72% |
| Wc Berkley Admin | $75 | 72% |
| Wc Broadspire | $75 | 72% |
| Wc Broward County | $75 | 72% |
| Wc Bunch & Associates | $75 | 72% |
| Wc California State Comp Ins | $75 | 72% |
| Wc California State Ins Fund | $75 | 72% |
| Wc Capitol Area Health Consortium | $75 | 72% |
| Wc Ccmsi | $75 | 72% |
| Wc Chartis | $75 | 72% |
| Wc Chubb | $75 | 72% |
| Wc Cirma | $75 | 72% |
| Wc City Of Albany | $75 | 72% |
| Wc City Of Sioux City | $75 | 72% |
| Wc Claims Mgmt Inc | $75 | 72% |
| Wc Cna | $75 | 72% |
| Wc Comp One Admin C/O Manageability | $75 | 72% |
| Wc Compone Admin | $75 | 72% |
| Wc Ct Healthcare Trust | $75 | 72% |
| Wc Donegal Insurance Group | $75 | 72% |
| Wc Emc Insurance Company | $75 | 72% |
| Wc Employee Mutual | $75 | 72% |
| Wc Enablecomp | $75 | 72% |
| Wc Encore Health Network | $75 | 72% |
| Wc Erie | $75 | 72% |
| Wc Esis | $75 | 72% |
| Wc Evolutions | $75 | 72% |
| Wc Fcci | $75 | 72% |
| Wc Fed Ex | $75 | 72% |
| Wc Federal Black Lung | $75 | 72% |
| Wc Federated | $75 | 72% |
| Wc Finley Occupational Health | $75 | 72% |
| Wc First Agency/Occunet | $75 | 72% |
| Wc Ford Motor | $75 | 72% |
| Wc Fresno Unified Emp | $75 | 72% |
| Wc Gallagher Bassett | $75 | 72% |
| Wc General Motors | $75 | 72% |
| Wc Generic | $75 | 72% |
| Wc Genex Care For Ohio | $75 | 72% |
| Wc Great West Casualty | $75 | 72% |
| Wc Guarantee Insurance | $75 | 72% |
| Wc Guard Insurance Company | $75 | 72% |
| Wc Hab | $75 | 72% |
| Wc Hartford | $75 | 72% |
| Wc Hastings | $75 | 72% |
| Wc Health Management | $75 | 72% |
| Wc Heritage Summit | $75 | 72% |
| Wc Hireright | $75 | 72% |
| Wc Horizon | $75 | 72% |
| Wc Icw Group | $75 | 72% |
| Wc Idaho State Ins Fund | $75 | 72% |
| Wc Intercare Insurance | $75 | 72% |
| Wc Intermountain | $75 | 72% |
| Wc Johns Eastern | $75 | 72% |
| Wc Kemberton | $75 | 72% |
| Wc Key Ins & Benefit Solutions | $75 | 72% |
| Wc Liberty Mutual | $75 | 72% |
| Wc Mac Risk Management | $75 | 72% |
| Wc Massachusetts | $75 | 72% |
| Wc Mdia | $75 | 72% |
| Wc Meadowbrook Claim | $75 | 72% |
| Wc Medical Administrators | $75 | 72% |
| Wc Meijers | $75 | 72% |
| Wc Memic | $75 | 72% |
| Wc Mercy Workcare | $75 | 72% |
| Wc Michigan | $75 | 72% |
| Wc Michigan Millers Mutual | $75 | 72% |
| Wc Mitchell Frankenmuth | $75 | 72% |
| Wc Mra | $75 | 72% |
| Wc Nationwide | $75 | 72% |
| Wc Nca Comp | $75 | 72% |
| Wc New York | $75 | 72% |
| Wc New York Special Funds | $75 | 72% |
| Wc North American Rishces | $75 | 72% |
| Wc Northeast Health | $75 | 72% |
| Wc Notre Dame | $75 | 72% |
| Wc Novanet | $75 | 72% |
| Wc Occ Health Allen | $75 | 72% |
| Wc Ohio Bureau | $75 | 72% |
| Wc One Call Medical | $75 | 72% |
| Wc Paradigm | $75 | 72% |
| Wc Peerless | $75 | 72% |
| Wc Pma | $75 | 72% |
| Wc Price Chopper | $75 | 72% |
| Wc Procura Management | $75 | 72% |
| Wc Qualcare | $75 | 72% |
| Wc Quiktrip | $75 | 72% |
| Wc Rev Claims | $75 | 72% |
| Wc Risico | $75 | 72% |
| Wc Rural Mutual | $75 | 72% |
| Wc Saif Oregon | $75 | 72% |
| Wc Secura | $75 | 72% |
| Wc Sedgwick | $75 | 72% |
| Wc Sentry | $75 | 72% |
| Wc Sheakley Unicomp | $75 | 72% |
| Wc Smile Lodge | $75 | 72% |
| Wc Society | $75 | 72% |
| Wc Srs | $75 | 72% |
| Wc Taconic (Mro) | $75 | 72% |
| Wc Taconic Farms | $75 | 72% |
| Wc Travelers | $75 | 72% |
| Wc Triad Group | $75 | 72% |
| Wc Tristar | $75 | 72% |
| Wc Troy Ny | $75 | 72% |
| Wc Tyson | $75 | 72% |
| Wc Unified Health Services | $75 | 72% |
| Wc United Heartland | $75 | 72% |
| Wc Us Dept Of Labor | $75 | 72% |
| Wc Walmart | $75 | 72% |
| Wc West Bend | $75 | 72% |
| Wc West Bend Mutual/Argent | $75 | 72% |
| Wc Winnebago Industries | $75 | 72% |
| Wc Yankee Trails | $75 | 72% |
| Wc York Risk | $75 | 72% |
| Wc Zenith | $75 | 72% |
| Wc Zurich | $75 | 72% |
| Preferred Health Choice | $105 - $145 | 101% |
| Wps | $177 - $243 | 171% |
| Mhnet | $236 - $324 | 227% |
| 1199 National Benefit Fund | $246 - $338 | 237% |
| Asr Health Benefits | $246 - $338 | 237% |
| Christian Brother Services | $246 - $338 | 237% |
| Coventry | $246 - $338 | 237% |
| First Health | $246 - $338 | 237% |
| Luminare Health | $246 - $338 | 237% |
| Medical Mutual | $246 - $338 | 237% |
| Trustmark Small Business Benefits | $246 - $338 | 237% |
| Webtpa | $246 - $338 | 237% |
| Medica | $266 - $364 | 256% |
| Unity | $266 - $364 | 256% |
| Crime Victim Assistance | $295 - $405 | 284% |