CMS Price Transparency Data

X-ray, ankle

Facility: Mercyone Dubuque Medical Center

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73610
  • Insurance Median: $331
  • Cash Discount Price: $389
  • vs. Medicare Baseline: 3.72x Medicare
The contracted insurance negotiated median rate for a X-ray, ankle at Mercyone Dubuque Medical Center is $331. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $389. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.72x the Medicare baseline. Located in 250 Mercy Drive, Dubuque, IA.
Cash / Self-Pay
$389

Average discount available for prompt cash payment at this facility.

Insurance Median
$331

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$88.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $88.91 (100%)
Cash / Self-Pay: $389 (438%)
Insurance Median: $331 (372%)
Cash: $389 (438% of Medicare)
Ins. Median: $331 (372% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $88.91 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 372% of the Medicare baseline (a markup of 272%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Bcn Domestic $5 - $89 6%
Blue Benefit Administrators Of Massachusetts $5 - $89 6%
Blue Care Network $5 - $89 6%
Blue Cross Blue Shield $5 - $7,140 6%
Blue Distinction Transplant $5 - $89 6%
Blue Shield - Ca $5 - $89 6%
Blue Shield - Id (Regence) $5 - $89 6%
Blue Shield - Ny Highmark Northeastern $5 - $89 6%
Blue Shield - Ny Highmark Western $5 - $89 6%
Blue Shield - Pa (Highmark) $5 - $89 6%
Blue Shield - Wa (Regence) $5 - $89 6%
Kaiser Domestic $5 - $89 6%
Pre-Employment $5 - $89 6%
Wc Domestic $5 - $89 6%
Iowa Total Care $78 - $6,510 88%
Medicaid / KanCare $79 - $6,599 89%
Aetna $85 - $7,069 96%
Medicare (plans) $85 - $7,357 96%
UnitedHealthcare $86 - $7,210 97%
Amish Hospital Aid $115 - $9,594 129%
Oscar $118 - $9,840 133%
Centivo $135 - $11,296 152%
Preferred Health Choice $142 - $214 160%
Ambetter / Centene $145 - $12,118 163%
Health Choices $146 - $219 164%
Claimdoc $174 - $14,499 196%
Nova $174 - $14,499 196%
Geha $195 - $391 219%
Midlands Choice $231 - $539 260%
Wps $239 - $359 269%
The Alliance $241 - $362 271%
Mhnet $319 - $479 359%
1199 National Benefit Fund $333 - $500 375%
Allied Benefit Systems $333 - $500 375%
Asr Health Benefits $333 - $500 375%
Christian Brother Services $333 - $500 375%
Coventry $333 - $500 375%
First Health $333 - $500 375%
Lucent Health $333 - $500 375%
Luminare Health $333 - $500 375%
Medical Mutual $333 - $500 375%
Meritain $333 - $500 375%
Trustmark Small Business Benefits $333 - $500 375%
Webtpa $333 - $500 375%
Auxiant $359 - $539 404%
Cigna $359 - $539 404%
Medica $359 - $539 404%
Midlands $359 - $539 404%
Multiplan $359 - $539 404%
Unity $359 - $539 404%
Crime Victim Assistance $399 - $599 449%
Iowa Dept Of Public Health $399 - $599 449%
Stephenson Cty Health $399 - $599 449%

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