CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Mercyone Dubuque Medical Center

Billing Code: 90791 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$135
about 0.7× the $181 Medicare rate · typically $68–$163
modeled estimate · not a bill or quote
What this hospital charges insurers
$113
Below the fair price — a good deal
about $22 under the fair price · 0.6× Medicare
Medicare pays $181 Fair price $135 This hospital $113 Cash price $307 Hospital's list price $307

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 $113 Priciest $150

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

A fair price for a Psychiatric evaluation (first visit) is about $135 (about 0.7× the $181 Medicare rate). Mercyone Dubuque Medical Center charges insurers about $113, or about $307 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 $89 - $307 49%
Blue Cross Blue Shieldmajor $97 - $208 53%
Aetnamajor $113 - $377 62%
Cignamajor $97 - $256 53%
Humanamajor $97 - $218 53%
Kaiser Permanentemajor $160 - $208 88%
Ambetter (Centene) $97 - $231 53%
Clover Health $113 - $133 62%
GEHA $93 - $307 51%
Health Net $97 - $377 53%
HealthPartners $97 - $277 53%
Medica $256 141%
Medical Mutual $238 131%
Meridian $97 - $133 53%
Molina $97 53%
Oscar Health $307 - $377 169%
Paramount $97 53%
Presbyterian $97 - $133 53%
Sanford Health Plan $187 - $220 103%
Tufts Health Plan $97 53%
UCare $204 - $240 112%
WellMed $113 - $133 62%
WellSense $97 53%
+ 363 smaller / regional plans $75 - $377
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 15 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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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