CMS Price Transparency Data

Group therapy session

Facility: Mercyone Dubuque Medical Center

Billing Code: 90853 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$26
about 0.3× the $104 Medicare rate · typically $21–$73
modeled estimate · not a bill or quote
What this hospital charges insurers
$24
About the fair price
about $2 under the fair price · 0.2× Medicare
Medicare pays $104 Fair price $26 This hospital $24 Cash price $133 Hospital's list price $295

How we calculate the fair BaseRate →

How this hospital compares to other IA hospitals

One of the lower prices — 5 of 8 other IA hospitals charge more for the same procedure.

Cheapest $18 Priciest $38

Black dot = this hospital, among the 9 IA hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Group therapy session is about $26 (about 0.3× the $104 Medicare rate). Mercyone Dubuque Medical Center charges insurers about $24, or about $133 in cash — about the fair price. Located in Dubuque, IA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $10 - $405 10%
Blue Cross Blue Shieldmajor $10 - $35 10%
Aetnamajor $24 - $338 23%
Cignamajor $10 - $364 10%
Humanamajor $10 - $38 10%
Kaiser Permanentemajor $35 34%
Ambetter (Centene) $10 - $41 10%
Clover Health $24 23%
GEHA $67 65%
Health Net $10 - $75 10%
HealthPartners $10 - $49 10%
Medica $266 - $364 256%
Medical Mutual $246 - $338 237%
Meridian $10 - $24 10%
Molina $10 10%
Oscar Health $69 - $75 66%
Paramount $10 10%
Presbyterian $10 - $24 10%
Sanford Health Plan $39 38%
Tufts Health Plan $10 10%
UCare $42 40%
WellMed $24 23%
WellSense $10 10%
+ 363 smaller / regional plans $10 - $736
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 15 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

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Facility Profile & Credentials

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