CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Mercyone Dubuque Medical Center

Billing Code: 322 (MS-DRG)

The BaseRate · fair price medium confidence

A fair price for this

$16,527

about 1.3× the $12,807 Medicare rate · typically $4,376–$20,216

modeled estimate · not a bill or quote

What this hospital charges insurers

$19,046

Above the fair price

about $2,519 over the fair price · 1.5× Medicare

Medicare pays $12,807 Fair price $16,527 This hospital $19,046 Cash price $46,576

How we calculate the fair BaseRate →

How this hospital compares to other IA hospitals

Highest price of the 9 IA hospitals we have prices for — worth calling around.

Cheapest $11,862 Priciest $19,046

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

A fair price for a Heart stent placement (inpatient stay) is about $16,527 (about 1.3× the $12,807 Medicare rate). Mercyone Dubuque Medical Center charges insurers about $19,046, or about $46,576 in cash — above the fair price. Located in Dubuque, IA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $16,527. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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	$12,875 - $19,839	101%
Blue Cross Blue Shieldmajor	$12,749	100%
Aetnamajor	$12,623	99%
Ambetter (Centene)	$21,639	169%
GEHA	$19,839	155%
Oscar Health	$18,253	143%
+ 5 smaller / regional plans	$11,023 - $25,890

Government programs also on file: Medicare, Medicaid.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 46,576), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the MS-DRG code on your bill matches exactly: 322.

Insurance Before you use insurance

Call your insurance company to confirm Mercyone Dubuque Medical Center is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 322.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Mercyone Dubuque Medical Center

Compare: Heart stent placement (inpatient stay) at other IA hospitals

Henry County Health Center · Mount Pleasant $11,862
Mary Greeley Medical Center · Ames $12,463
Grinnell Regional Medical Center · Grinnell $12,580
University of Iowa Health Care Medical Center Down · Iowa City $12,908
St Lukes Hospital · Cedar Rapids $13,473
Allen Hospital · Waterloo $13,665
Finley Hospital · Dubuque $14,138
St Lukes Regional Medical Center · Sioux City $14,550

Insurance negotiated median for the same procedure, sorted lowest first.