CMS Price Transparency Data

X-ray, hip

Facility: Mercyone Dubuque Medical Center

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73502
  • Insurance Median: $461
  • Cash Discount Price: $361
  • vs. Medicare Baseline: 5.19x Medicare
The contracted insurance negotiated median rate for a X-ray, hip at Mercyone Dubuque Medical Center is $461. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $361. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 5.19x the Medicare baseline. Located in 250 Mercy Drive, Dubuque, IA.
Cash / Self-Pay
$361

Average discount available for prompt cash payment at this facility.

Insurance Median
$461

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: $361 (406%)
Insurance Median: $461 (519%)
Cash: $361 (406% of Medicare)
Ins. Median: $461 (519% 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 519% of the Medicare baseline (a markup of 419%). 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
Iowa Total Care $78 88%
Medicaid / KanCare $79 89%
Aetna $85 - $463 96%
Medicare (plans) $85 - $88 96%
Blue Cross Blue Shield $86 97%
UnitedHealthcare $86 - $555 97%
Amish Hospital Aid $115 129%
Oscar $118 133%
Centivo $135 152%
Ambetter / Centene $145 163%
Claimdoc $174 196%
Nova $174 196%
Geha $195 219%
Preferred Health Choice $198 223%
Health Choices $203 228%
Midlands Choice $322 - $500 362%
Wps $332 373%
The Alliance $335 377%
Mhnet $444 499%
1199 National Benefit Fund $463 521%
Allied Benefit Systems $463 521%
Asr Health Benefits $463 521%
Christian Brother Services $463 521%
Coventry $463 521%
First Health $463 521%
Lucent Health $463 521%
Luminare Health $463 521%
Medical Mutual $463 521%
Meritain $463 521%
Trustmark Small Business Benefits $463 521%
Webtpa $463 521%
Auxiant $500 562%
Cigna $500 562%
Medica $500 562%
Midlands $500 562%
Multiplan $500 562%
Unity $500 562%
Crime Victim Assistance $555 624%
Iowa Dept Of Public Health $555 624%
Stephenson Cty Health $555 624%

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