CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Mercyone Dubuque Medical Center

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$67
about 0.5× the $136 Medicare rate · typically $37–$93
modeled estimate · not a bill or quote
What this hospital charges insurers
$49
Below the fair price — a good deal
about $18 under the fair price · 0.4× Medicare
Medicare pays $136 Fair price $67 This hospital $49 Cash price $207 Hospital's list price $207

How we calculate the fair BaseRate →

How this hospital compares to other IA hospitals

Lowest price of the 9 IA hospitals we have prices for — a strong deal.

Cheapest $49 Priciest $67

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 Office visit, established patient (30-39 min) is about $67 (about 0.5× the $136 Medicare rate). Mercyone Dubuque Medical Center charges insurers about $49, or about $207 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 $27 - $168 20%
Blue Cross Blue Shieldmajor $22 - $137 16%
Aetnamajor $29 - $209 21%
Cignamajor $33 - $165 24%
Humanamajor $14 - $129 10%
Kaiser Permanentemajor $22 - $137 16%
Ambetter (Centene) $22 - $137 16%
Clover Health $67 - $79 49%
GEHA $27 - $168 20%
Health Net $28 - $209 21%
HealthPartners $21 - $148 15%
Meridian $42 - $79 31%
Molina $42 - $49 31%
Oscar Health $24 - $148 18%
Paramount $42 - $49 31%
Presbyterian $42 - $79 31%
Sanford Health Plan $22 - $135 16%
Tufts Health Plan $42 - $49 31%
UCare $23 - $143 17%
WellMed $67 - $79 49%
WellSense $42 - $49 31%
+ 355 smaller / regional plans $14 - $209
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