CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Mercyone Dubuque Medical Center

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$68
about 0.6× the $118 Medicare rate · typically $42–$108
modeled estimate · not a bill or quote
What this hospital charges insurers
$58
Below the fair price — a good deal
about $10 under the fair price · 0.5× Medicare
Medicare pays $118 Fair price $68 This hospital $58 Cash price $178 Hospital's list price $178

How we calculate the fair BaseRate →

How this hospital compares to other IA hospitals

One of the lower prices — 4 of 8 other IA hospitals charge more for the same procedure.

Cheapest $46 Priciest $69

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 New patient office visit (30-44 min) is about $68 (about 0.6× the $118 Medicare rate). Mercyone Dubuque Medical Center charges insurers about $58, or about $178 in cash — below the fair price — a good deal. 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 $49 - $160 42%
Blue Cross Blue Shieldmajor $49 - $116 42%
Aetnamajor $56 - $180 48%
Cignamajor $49 - $141 42%
Humanamajor $49 - $107 42%
Kaiser Permanentemajor $99 - $116 84%
Ambetter (Centene) $49 - $114 42%
Clover Health $56 - $66 48%
GEHA $136 - $160 116%
Health Net $49 - $180 42%
HealthPartners $49 - $124 42%
Meridian $49 - $66 42%
Molina $49 - $58 42%
Oscar Health $105 - $124 89%
Paramount $49 - $58 42%
Presbyterian $49 - $66 42%
Sanford Health Plan $97 - $114 83%
Tufts Health Plan $49 - $58 42%
UCare $101 - $119 86%
WellMed $56 - $66 48%
WellSense $49 - $58 42%
+ 355 smaller / regional plans $49 - $180
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 12 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