CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Mercyone Dubuque Medical Center

Billing Code: 99203 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 99203
  • Insurance Median: $66
  • Cash Discount Price: $178
  • vs. Medicare Baseline: 0.56x Medicare
The contracted insurance negotiated median rate for a New patient office visit (30-44 min) at Mercyone Dubuque Medical Center is $66. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $178. Compared to the federal Medicare reimbursement reference rate of $117.57, this hospital’s rate is 0.56x the Medicare baseline. Located in 250 Mercy Drive, Dubuque, IA.
Cash / Self-Pay
$178

Average discount available for prompt cash payment at this facility.

Insurance Median
$66

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$117.57

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $117.57 (100%)
Cash / Self-Pay: $178 (151%)
Insurance Median: $66 (56%)
Cash: $178 (151% of Medicare)
Ins. Median: $66 (56% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $117.57 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
Medicaid / KanCare $46 - $81 39%
Albany County Correctional Facility $49 - $58 42%
Ambetter / Centene $49 - $114 42%
Amish Mennonite $49 - $58 42%
Ascension St. Vincent Public Safety Medical $49 - $58 42%
Bcccp-Michigan $49 - $58 42%
Bccp $49 - $58 42%
Blue Cross Blue Shield $49 - $116 42%
Bmc Healthnet $49 - $58 42%
Breast Grant-Connecticut $49 - $58 42%
Broward County Dept Of Health $49 - $58 42%
California Health And Wellness $49 - $58 42%
Can Community Health Inc $49 - $58 42%
Cardinal Innovations Lme $49 - $58 42%
Care Connections Of Northern Iowa $49 - $58 42%
Care Oregon Ohp $49 - $58 42%
Cencal Health Plan $49 - $58 42%
Cenpatico $49 - $58 42%
Chhuny $49 - $58 42%
Childrens Comm Health Plan $49 - $58 42%
Childrens Medical Services Title 19 $49 - $58 42%
Cigna $49 - $141 42%
City Of Philadelphia $49 - $58 42%
Cmh Allegan County $49 - $58 42%
Cmh Ausable Valley $49 - $58 42%
Cmh Barry County $49 - $58 42%
Cmh Bay-Arenac County $49 - $58 42%
Cmh Berrien County $49 - $58 42%
Cmh Cass County $49 - $58 42%
Cmh Central Mi County $49 - $58 42%
Cmh Clinton-Eaton-Ingham County $49 - $58 42%
Cmh Detroit Wayne Integrated Health Network $49 - $58 42%
Cmh Genesee County $49 - $58 42%
Cmh Ionia County $49 - $58 42%
Cmh Jackson County/Lifeways $49 - $58 42%
Cmh Kalamazoo $49 - $58 42%
Cmh Kent County $49 - $58 42%
Cmh Lenawee County $49 - $58 42%
Cmh Livingston County $49 - $58 42%
Cmh Macomb $49 - $58 42%
Cmh Misc $49 - $58 42%
Cmh Monroe County $49 - $58 42%
Cmh Montcalm County $49 - $58 42%
Cmh Muskegon County $49 - $58 42%
Cmh Newaygo County $49 - $58 42%
Cmh North Country $49 - $58 42%
Cmh Northern Lakes County $49 - $58 42%
Cmh Oakland County $49 - $58 42%
Cmh Ottawa County $49 - $58 42%
Cmh Van Buren County $49 - $58 42%
Cmh Washtenaw County $49 - $58 42%
Cmh Wayne County/Carelink $49 - $58 42%
Cmh Wayne Cty/Com Liv Svcs $49 - $58 42%
Cmh West Mi County $49 - $58 42%
Community Benefit Health $49 - $58 42%
Community Care Behavorial Health $49 - $58 42%
Community Care Partners $49 - $58 42%
Community Health Choice $49 - $58 42%
Connections Csp $49 - $58 42%
County Coroner $49 - $58 42%
County Funding Generic $49 - $58 42%
Covid19 Hrsa Uninsured Testing And Treatment Fund $49 - $58 42%
Dean Wi Badgercare $49 - $58 42%
Delaware County Department Of Health $49 - $58 42%
Delaware First Health $49 - $58 42%
Delta Dental Nj $49 - $58 42%
Dph Tb Program $49 - $58 42%
Dscc $49 - $58 42%
Eastpointe Lme $49 - $58 42%
Family Health Network $49 - $58 42%
Freedom First Healthcare $49 - $58 42%
Fresno County Ccs $49 - $58 42%
Ghc Scw Wi Badgercare $49 - $58 42%
Harbor Health $49 - $58 42%
Health Safety Net $49 - $58 42%
Healthy Blue Ne $49 - $58 42%
Hennepin Health $49 - $58 42%
Humana $49 - $107 42%
Id County Ada $49 - $58 42%
Id County Canyon $49 - $58 42%
Id County Cat Fund $49 - $58 42%
Id County Other $49 - $58 42%
Id County Payette $49 - $58 42%
Idaho Dept Health And Wellfare $49 - $58 42%
Idaho Womens Health Check $49 - $58 42%
Indiana Breast Cervical Cancer $49 - $58 42%
Inland Empire Health Plan $49 - $58 42%
Intercommunity Health Ohp $49 - $58 42%
Jai Medical System $49 - $58 42%
Kern Family Health Plan $49 - $58 42%
Keystone First $49 - $58 42%
Keystone First Chip $49 - $58 42%
La Care Health Plan $49 - $58 42%
Lakeland Care Inc $49 - $58 42%
Managed Health Services - Indiana $49 - $58 42%
Maryland Breast & Cervical Program $49 - $58 42%
Maryland Healthy Smiles - Scion Dental $49 - $58 42%
Maryland Physicians Care $49 - $58 42%
Massachusetts Behavioral Health Partnership $49 - $58 42%
Mdwise $49 - $58 42%
Medi-Cal $49 - $58 42%
Medi-Cal Healthnet $49 - $58 42%
Medstar Dc Healthy Family $49 - $58 42%
Medstar Md Health Choice $49 - $58 42%
Mo Home State Health Plan $49 - $58 42%
Molina Centennial Care $49 - $58 42%
Nascentia Health Options $49 - $58 42%
New York Cancer Services Program $49 - $58 42%
Nextlevel Health $49 - $58 42%
Oregon Screenwise $49 - $58 42%
Pace Of Southwest Michigan $49 - $66 42%
Paramount Advantage $49 - $58 42%
Parkland Community Health Plan $49 - $58 42%
Partners Behavioral Lme $49 - $58 42%
Peach State Healthplan $49 - $58 42%
Philadelphia County Funding $49 - $58 42%
Presbyterian Centennial Care $49 - $58 42%
Prestige Health Choice $49 - $58 42%
Priority Partners $49 - $58 42%
Robert F Sing Program $49 - $58 42%
Rx 340B Pass Along $49 - $58 42%
Rx Assistance/Rx Manufacturer Assistance 0 Copay $49 - $58 42%
Rx Medi-Cal $49 - $58 42%
Rx Meridian Rx $49 - $58 42%
Ryan White Florida Mssrp $49 - $58 42%
Sandhills Center Lme $49 - $58 42%
Screening For Life $49 - $58 42%
St Joseph County Hlth Dpt $49 - $58 42%
Sunshine State Health Plan $49 - $58 42%
Superior Health $49 - $58 42%
Tenncare $49 - $58 42%
Texas Children'S Health Plan $49 - $58 42%
Trillium Community Ohp $49 - $58 42%
Tufts Health Public Plans $49 - $58 42%
UnitedHealthcare $49 - $160 42%
Vaya Health Lme $49 - $58 42%
Washtenaw Health Plan $49 - $58 42%
Wellsense Health Plan $49 - $58 42%
Wi Womens Wellness $49 - $58 42%
Iowa Total Care $50 - $59 43%
Wellpoint $51 - $60 43%
Aetna $56 - $180 48%
Align Senior Care $56 - $66 48%
Ally Align Care Adv $56 - $66 48%
American Health Advantage Of Idaho $56 - $66 48%
Aurora Special Needs $56 - $66 48%
Blue Care Network Advantage $56 - $66 48%
Blue Shield - De (Highmark) Medciare Advantage $56 - $66 48%
Care Dimensions $56 - $66 48%
Care Improvement Plus $56 - $66 48%
Care Resources Pace $56 - $66 48%
Careplus Health Plans $56 - $66 48%
Cca - Zing Health $56 - $66 48%
Cca Senior Care Options $56 - $66 48%
Central Valley Medical Services Corp Pace $56 - $66 48%
Champion Health Plan Mcr Advantage $56 - $66 48%
Clear Spring Health $56 - $66 48%
Clover Health $56 - $66 48%
Commonwealth Care Alliance $56 - $66 48%
Community Pace At Home $56 - $66 48%
Eddy Senior Care-Pace $56 - $66 48%
Eddy Seniorcare Pace $56 - $66 48%
Elementcare $56 - $66 48%
Evercare $56 - $66 48%
Everence $56 - $66 48%
Gateway Health Plan $56 - $66 48%
Genesys Pace Of Genesee County $56 - $66 48%
Georgia Health Advantage $56 - $66 48%
Gold Advantage $56 - $66 48%
Gpa Croell Redi Mix $56 - $66 48%
Health America Advantra $56 - $66 48%
Highmark Health Options Dual Plan $56 - $66 48%
Hope Select Pace $56 - $66 48%
Horizon Nj Total Care $56 - $66 48%
Hudson Headwaters Pace $56 - $66 48%
Huron Valley Pace $56 - $66 48%
Innovative Integrated Health Community Plans $56 - $66 48%
Johns Hopkins Advantage Md $56 - $66 48%
Lasso Healthcare Msa $56 - $66 48%
Life St Marys Pace $56 - $66 48%
Lifecircles Pace $56 - $66 48%
Longevity Health Plan $56 - $66 48%
Longevity Ipa Of Michigan Llc Health Plan Isnp $56 - $66 48%
Martins Point Generations Advantage $56 - $66 48%
Mass General Brigham Mcr Adv $56 - $66 48%
Medicare (plans) $56 - $70 48%
Medipak Advantage $56 - $66 48%
Mercy Life $56 - $66 48%
Mercyone Cedar Valley $56 - $66 48%
Meridian Complete $56 - $66 48%
Michigan Complete Health $56 - $66 48%
Nascentia Health Plus $56 - $66 48%
New Centry Health Careplus $56 - $66 48%
Osu Prime Care Advantage $56 - $66 48%
Pace Cny $56 - $66 48%
Pace Iowa Immanuel Pathways $56 - $66 48%
Pace Southeast $56 - $66 48%
Pace-Trinity Health $56 - $66 48%
Peak Pace Solutions $56 - $66 48%
Perennial Advantage $56 - $66 48%
Preferred Care Partners $56 - $66 48%
Presbyterian Senior Plan $56 - $66 48%
Provider Partners Health Plan Of Illinois $56 - $66 48%
Provider Partners Health Plan Of Indiana $56 - $66 48%
Pruitthealth Premier $56 - $66 48%
Reliance Community Care Partners Care Resources Pace $56 - $66 48%
Rx Allwin $56 - $66 48%
Rx Grane Grnmedd $56 - $66 48%
Rx Retiree Rx Care $56 - $66 48%
Scan Health Plan Mcr Ipa Meritage Oon $56 - $66 48%
Secure Horizons Ma Pffs $56 - $66 48%
Serenity Pace $56 - $66 48%
Siouxland Pace $56 - $66 48%
Solis Health Plans $56 - $66 48%
Sunnyview-Pace Finance Dept $56 - $66 48%
Texan Plus $56 - $66 48%
The Health Plan $56 - $66 48%
Thome Pace $56 - $66 48%
Todays Options $56 - $66 48%
Tribute Health Plans $56 - $66 48%
Um Health Advantage $56 - $66 48%
Union Health Service $56 - $66 48%
Welbe Health $56 - $66 48%
Wellmed $56 - $66 48%
Veterans Administration $57 - $67 48%
American Health Plan $59 - $69 50%
Iowa Health Advantage $59 - $69 50%
Champva $63 - $74 54%
Tricare $63 - $74 54%
Triwest Health Alliance $63 - $74 54%
Us Family Health Plan $63 - $74 54%
Veterans Eval Services $63 - $74 54%
Wc Corvel $64 54%
Amps $73 - $91 62%
Iowa Dept Of Public Health $74 63%
Amish Hospital Aid $76 - $89 65%
Nebraska Total Care $78 66%
Avera $87 - $102 74%
Sanford Health Plan $97 - $114 83%
Bcn Domestic $99 - $116 84%
Blue Benefit Administrators Of Massachusetts $99 - $116 84%
Blue Care Network $99 - $116 84%
Blue Distinction Transplant $99 - $116 84%
Blue Shield - Ca $99 - $116 84%
Blue Shield - Id (Regence) $99 - $116 84%
Blue Shield - Ny Highmark Northeastern $99 - $116 84%
Blue Shield - Ny Highmark Western $99 - $116 84%
Blue Shield - Pa (Highmark) $99 - $116 84%
Blue Shield - Wa (Regence) $99 - $116 84%
Health Choices $99 - $141 84%
Kaiser Domestic $99 - $116 84%
Pre-Employment $99 - $116 84%
Wc Domestic $99 - $116 84%
Ucare $101 - $119 86%
Medical Associates $102 - $120 87%
Lucent Health $103 - $121 88%
Oscar $105 - $124 89%
Health Partners $106 - $124 90%
Health Smart $106 - $124 90%
Usa Managed Care $111 - $130 94%
Newton Correctional Facility $114 - $117 97%
Claimdoc $119 - $140 101%
The Alliance $120 - $141 102%
Stephenson Cty Health $125 106%
Meritain $128 - $150 109%
Global Excel $129 - $152 110%
Centivo $131 111%
Genex Wc $131 - $135 111%
Velocity $134 - $158 114%
Geha $136 - $160 116%
Preferred One $139 - $164 118%
Wc Align Network $140 - $144 119%
Allied Benefit Systems $141 120%
Auxiant $141 120%
First Choice Health $141 120%
Group Administrators $141 120%
Midlands $141 120%
Midlands Choice $141 120%
Wc Praxis Health Network $149 - $153 127%
Wc Reny Company $152 - $157 129%
Wc Velocity $152 - $157 129%
Multiplan $157 134%
Auto Velocity $158 - $162 134%
Wc O'Hara Corp $158 - $162 134%
Andrie Inc $175 - $180 149%
East Greenbush Central School District $175 - $180 149%
Healthsmart Workers Comp $175 - $180 149%
Jag Source $175 - $180 149%
New York State Insurance Fund $175 - $180 149%
Njm Insurance Group $175 - $180 149%
Quiktrip $175 - $180 149%
Rx Heatlhcomp $175 - $180 149%
Rx Restat $175 - $180 149%
Rx Saif Opdp Wc $175 - $180 149%
Rx Worker'S Comp $175 - $180 149%
Wc Accident Fund $175 - $180 149%
Wc Ace $175 - $180 149%
Wc Acs Federal Employees $175 - $180 149%
Wc Acuity $175 - $180 149%
Wc Advantage $175 - $180 149%
Wc Aegis $175 - $180 149%
Wc Aig $175 - $180 149%
Wc Aims $175 - $180 149%
Wc Alaska National Ins $175 - $180 149%
Wc Allied $175 - $180 149%
Wc Am Trust N America $175 - $180 149%
Wc American Claims Mgmt $175 - $180 149%
Wc Amerisure $175 - $180 149%
Wc Amtrust $175 - $180 149%
Wc Asu Risk Mgt $175 - $180 149%
Wc Benetech $175 - $180 149%
Wc Berkley Admin $175 - $180 149%
Wc Broadspire $175 - $180 149%
Wc Broward County $175 - $180 149%
Wc Bunch & Associates $175 - $180 149%
Wc California State Comp Ins $175 - $180 149%
Wc California State Ins Fund $175 - $180 149%
Wc Capitol Area Health Consortium $175 - $180 149%
Wc Ccmsi $175 - $180 149%
Wc Chartis $175 - $180 149%
Wc Chubb $175 - $180 149%
Wc Cirma $175 - $180 149%
Wc City Of Albany $175 - $180 149%
Wc City Of Sioux City $175 - $180 149%
Wc Claims Mgmt Inc $175 - $180 149%
Wc Cna $175 - $180 149%
Wc Comp One Admin C/O Manageability $175 - $180 149%
Wc Compone Admin $175 - $180 149%
Wc Ct Healthcare Trust $175 - $180 149%
Wc Donegal Insurance Group $175 - $180 149%
Wc Emc Insurance Company $175 - $180 149%
Wc Employee Mutual $175 - $180 149%
Wc Enablecomp $175 - $180 149%
Wc Encore Health Network $175 - $180 149%
Wc Erie $175 - $180 149%
Wc Esis $175 - $180 149%
Wc Evolutions $175 - $180 149%
Wc Fcci $175 - $180 149%
Wc Fed Ex $175 - $180 149%
Wc Federal Black Lung $175 - $180 149%
Wc Federated $175 - $180 149%
Wc Finley Occupational Health $175 - $180 149%
Wc First Agency/Occunet $175 - $180 149%
Wc Ford Motor $175 - $180 149%
Wc Fresno Unified Emp $175 - $180 149%
Wc Gallagher Bassett $175 - $180 149%
Wc General Motors $175 - $180 149%
Wc Generic $175 - $180 149%
Wc Genex Care For Ohio $175 - $180 149%
Wc Great West Casualty $175 - $180 149%
Wc Guarantee Insurance $175 - $180 149%
Wc Guard Insurance Company $175 - $180 149%
Wc Hab $175 - $180 149%
Wc Hartford $175 - $180 149%
Wc Hastings $175 - $180 149%
Wc Health Management $175 - $180 149%
Wc Heritage Summit $175 - $180 149%
Wc Hireright $175 - $180 149%
Wc Horizon $175 - $180 149%
Wc Icw Group $175 - $180 149%
Wc Idaho State Ins Fund $175 - $180 149%
Wc Intercare Insurance $175 - $180 149%
Wc Intermountain $175 - $180 149%
Wc Johns Eastern $175 - $180 149%
Wc Kemberton $175 - $180 149%
Wc Key Ins & Benefit Solutions $175 - $180 149%
Wc Liberty Mutual $175 - $180 149%
Wc Mac Risk Management $175 - $180 149%
Wc Massachusetts $175 - $180 149%
Wc Mdia $175 - $180 149%
Wc Meadowbrook Claim $175 - $180 149%
Wc Medical Administrators $175 - $180 149%
Wc Meijers $175 - $180 149%
Wc Memic $175 - $180 149%
Wc Mercy Workcare $175 - $180 149%
Wc Michigan $175 - $180 149%
Wc Michigan Millers Mutual $175 - $180 149%
Wc Mitchell Frankenmuth $175 - $180 149%
Wc Mra $175 - $180 149%
Wc Nationwide $175 - $180 149%
Wc Nca Comp $175 - $180 149%
Wc New York $175 - $180 149%
Wc New York Special Funds $175 - $180 149%
Wc North American Rishces $175 - $180 149%
Wc Northeast Health $175 - $180 149%
Wc Notre Dame $175 - $180 149%
Wc Novanet $175 - $180 149%
Wc Occ Health Allen $175 - $180 149%
Wc Ohio Bureau $175 - $180 149%
Wc One Call Medical $175 - $180 149%
Wc Paradigm $175 - $180 149%
Wc Peerless $175 - $180 149%
Wc Pma $175 - $180 149%
Wc Price Chopper $175 - $180 149%
Wc Procura Management $175 - $180 149%
Wc Qualcare $175 - $180 149%
Wc Quiktrip $175 - $180 149%
Wc Rev Claims $175 - $180 149%
Wc Risico $175 - $180 149%
Wc Rural Mutual $175 - $180 149%
Wc Saif Oregon $175 - $180 149%
Wc Secura $175 - $180 149%
Wc Sedgwick $175 - $180 149%
Wc Sentry $175 - $180 149%
Wc Sheakley Unicomp $175 - $180 149%
Wc Smile Lodge $175 - $180 149%
Wc Society $175 - $180 149%
Wc Srs $175 - $180 149%
Wc Taconic (Mro) $175 - $180 149%
Wc Taconic Farms $175 - $180 149%
Wc Travelers $175 - $180 149%
Wc Triad Group $175 - $180 149%
Wc Tristar $175 - $180 149%
Wc Troy Ny $175 - $180 149%
Wc Tyson $175 - $180 149%
Wc Unified Health Services $175 - $180 149%
Wc United Heartland $175 - $180 149%
Wc Us Dept Of Labor $175 - $180 149%
Wc Walmart $175 - $180 149%
Wc West Bend $175 - $180 149%
Wc West Bend Mutual/Argent $175 - $180 149%
Wc Winnebago Industries $175 - $180 149%
Wc Yankee Trails $175 - $180 149%
Wc York Risk $175 - $180 149%
Wc Zenith $175 - $180 149%
Wc Zurich $175 - $180 149%

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