CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Mercyone Dubuque Medical Center

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70551
  • Insurance Median: $398
  • Cash Discount Price: $2,861
  • vs. Medicare Baseline: 1.63x Medicare
The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Mercyone Dubuque Medical Center is $398. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,861. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.63x the Medicare baseline. Located in 250 Mercy Drive, Dubuque, IA.
Cash / Self-Pay
$2,861

Average discount available for prompt cash payment at this facility.

Insurance Median
$398

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)
Cash / Self-Pay: $2,861 (1174%)
Insurance Median: $398 (163%)
Cash: $2,861 (1174% of Medicare)
Ins. Median: $398 (163% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $243.77 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
Iowa Total Care $214 88%
Medicaid / KanCare $216 - $217 89%
Aetna $232 - $3,675 95%
Medicare (plans) $232 - $242 95%
Blue Cross Blue Shield $235 - $244 96%
UnitedHealthcare $237 - $4,401 97%
Bcn Domestic $244 100%
Blue Benefit Administrators Of Massachusetts $244 100%
Blue Care Network $244 100%
Blue Distinction Transplant $244 100%
Blue Shield - Ca $244 100%
Blue Shield - Id (Regence) $244 100%
Blue Shield - Ny Highmark Northeastern $244 100%
Blue Shield - Ny Highmark Western $244 100%
Blue Shield - Pa (Highmark) $244 100%
Blue Shield - Wa (Regence) $244 100%
Kaiser Domestic $244 100%
Pre-Employment $244 100%
Wc Domestic $244 100%
Amish Hospital Aid $315 129%
Oscar $324 133%
Centivo $371 152%
Ambetter / Centene $398 163%
Claimdoc $477 196%
Nova $477 196%
Geha $525 215%
Health Choices $1,399 574%
Preferred Health Choice $1,571 644%
Midlands Choice $2,553 - $3,961 1047%
Wps $2,636 1081%
The Alliance $2,659 1091%
Mhnet $3,521 1444%
1199 National Benefit Fund $3,675 1508%
Allied Benefit Systems $3,675 1508%
Asr Health Benefits $3,675 1508%
Christian Brother Services $3,675 1508%
Coventry $3,675 1508%
First Health $3,675 1508%
Lucent Health $3,675 1508%
Luminare Health $3,675 1508%
Medical Mutual $3,675 1508%
Meritain $3,675 1508%
Trustmark Small Business Benefits $3,675 1508%
Webtpa $3,675 1508%
Auxiant $3,961 1625%
Cigna $3,961 1625%
Medica $3,961 1625%
Midlands $3,961 1625%
Multiplan $3,961 1625%
Unity $3,961 1625%
Crime Victim Assistance $4,401 1805%
Iowa Dept Of Public Health $4,401 1805%
Stephenson Cty Health $4,401 1805%

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