CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Mercyone Dubuque Medical Center

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90837
  • Insurance Median: $153
  • Cash Discount Price: $119
  • vs. Medicare Baseline: 0.84x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Mercyone Dubuque Medical Center is $153. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $119. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.84x the Medicare baseline. Located in 250 Mercy Drive, Dubuque, IA.
Cash / Self-Pay
$119

Average discount available for prompt cash payment at this facility.

Insurance Median
$153

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: $119 (66%)
Insurance Median: $153 (84%)
Cash: $119 (66% of Medicare)
Ins. Median: $153 (84% 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 $65 36%
Health Choices $67 37%
Midlands Choice $106 - $165 58%
Wps $110 61%
The Alliance $111 61%
Mhnet $146 81%
UnitedHealthcare $152 - $183 84%
1199 National Benefit Fund $153 84%
Aetna $153 84%
Allied Benefit Systems $153 84%
Asr Health Benefits $153 84%
Christian Brother Services $153 84%
Coventry $153 84%
First Health $153 84%
Lucent Health $153 84%
Luminare Health $153 84%
Medical Mutual $153 84%
Meritain $153 84%
Trustmark Small Business Benefits $153 84%
Webtpa $153 84%
Auxiant $165 91%
Cigna $165 91%
Medica $165 91%
Midlands $165 91%
Multiplan $165 91%
Unity $165 91%
Crime Victim Assistance $183 101%
Iowa Dept Of Public Health $183 101%
Stephenson Cty Health $183 101%

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