CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Mercyone Dubuque Medical Center

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $221
  • Cash Discount Price: $172
  • vs. Medicare Baseline: 1.22x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Mercyone Dubuque Medical Center is $221. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $172. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.22x the Medicare baseline. Located in 250 Mercy Drive, Dubuque, IA.
Cash / Self-Pay
$172

Average discount available for prompt cash payment at this facility.

Insurance Median
$221

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$181.34

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $181.34 (100%)
Cash / Self-Pay: $172 (95%)
Insurance Median: $221 (122%)
Cash: $172 (95% of Medicare)
Ins. Median: $221 (122% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $181.34 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
Preferred Health Choice $95 52%
Health Choices $97 53%
Midlands Choice $154 - $238 85%
Wps $159 88%
The Alliance $160 88%
Bcn Domestic $181 100%
Blue Benefit Administrators Of Massachusetts $181 100%
Blue Care Network $181 100%
Blue Cross Blue Shield $181 100%
Blue Distinction Transplant $181 100%
Blue Shield - Ca $181 100%
Blue Shield - Id (Regence) $181 100%
Blue Shield - Ny Highmark Northeastern $181 100%
Blue Shield - Ny Highmark Western $181 100%
Blue Shield - Pa (Highmark) $181 100%
Blue Shield - Wa (Regence) $181 100%
Kaiser Domestic $181 100%
Pre-Employment $181 100%
Wc Domestic $181 100%
Mhnet $212 117%
UnitedHealthcare $220 - $265 121%
1199 National Benefit Fund $221 122%
Aetna $221 122%
Allied Benefit Systems $221 122%
Asr Health Benefits $221 122%
Christian Brother Services $221 122%
Coventry $221 122%
First Health $221 122%
Lucent Health $221 122%
Luminare Health $221 122%
Medical Mutual $221 122%
Meritain $221 122%
Trustmark Small Business Benefits $221 122%
Webtpa $221 122%
Auxiant $238 131%
Cigna $238 131%
Medica $238 131%
Midlands $238 131%
Multiplan $238 131%
Unity $238 131%
Crime Victim Assistance $265 146%
Iowa Dept Of Public Health $265 146%
Stephenson Cty Health $265 146%

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