Mercyone Dubuque Medical Center
250 Mercy Drive, Dubuque, IA 52001 · 114 Priced Procedures · 76% Patient Recommendation
Typical commercial prices here match the fair market benchmark (1.02×) after accounting for local nurse/doctor wages and patient complexity.
4-Star CMS clinical quality rating paired with 1.02× fair market pricing.
Aligned Regional Benchmark Peer
Mercyone Dubuque Medical Center prices shoppable and inpatient services (1.2× to 1.2× Medicare, divergence 1.00×) in alignment with regional hospital peers (1.02× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 0.89× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 32% of shoppable procedures (69/100 Cash Honesty)
- CMS clinical safety score (73/100 safety score) with 76% patient recommendation
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (32.6% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 1.5× markup over Medicare rates
- Commercial insurance median sits at 0.98× Fair BaseRate (1.2× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 1.15×) jump +17% above the median procedure ratio (Q50 0.98×)
- Consolidated metro market (HHI 5,456) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Mercyone Dubuque Medical Center
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 114 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Total hip replacement CPT Code: 27130 | $42,385 | unverified |
| Total knee replacement CPT Code: 27447 | $39,409 | unverified |
| Spinal fusion, single level (inpatient stay) MS-DRG Code: 451 | $34,834 | 1.1× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $28,479 | unverified |
| Hip or knee replacement (inpatient stay) MS-DRG Code: 470 | $21,706 | 1.1× |
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $20,977 | 1.1× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $20,569 | unverified |
| Inguinal hernia repair CPT Code: 49505 | $19,679 | unverified |
| Heart stent placement (inpatient stay) MS-DRG Code: 322 | $19,046 | 1.1× |
| Breast lump removal CPT Code: 19120 | $13,422 | unverified |
| Cataract surgery with lens implant CPT Code: 66984 | $11,745 | unverified |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $8,773 | 1.1× |
| Upper endoscopy with biopsy CPT Code: 43239 | $6,645 | unverified |
| Colonoscopy with biopsy CPT Code: 45380 | $5,294 | unverified |
| Colonoscopy (diagnostic) CPT Code: 45378 | $3,723 | unverified |
| Trauma team activation HCPCS Code: G0390 | $2,333 | 1.6× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $633 | unverified |
| MRI, brain (with and without contrast) CPT Code: 70553 | $543 | unverified |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $508 | unverified |
| Rabies immune globulin HCPCS Code: 90375 | $533 | unverified |
| Sleep study (overnight, in lab) CPT Code: 95810 | $544 | unverified |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $348 | 1.3× |
| MRI, lower back (no contrast) CPT Code: 72148 | $371 | unverified |
| Blood transfusion CPT Code: 36430 | $324 | 0.7× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $348 | unverified |
Audit a Bill or Quote at Mercyone Dubuque Medical Center (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $33,111
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (32.5% of gross = $33,111).
Self-Pay Cash Rate ($42,385) Beats Your Bill
Mercyone Dubuque Medical Center's published 45 CFR § 180 self-pay cash rate is $42,385 (vs. $42,385 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $13,413 Fair BaseRate ($13,117 Medicare)
Your bill ($101,724) is $88,311 above the denoised Fair BaseRate ($13,413) and 7.8× the $13,117 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (32.5% of gross charges)
Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.
Clinical Quality, Patient Experience & Infection Benchmarks
Healthcare-Associated Infections (CDC NHSN / CMS HAI)
1.00 SIR = National Predicted Baseline (Lower Is Safer)CMS Price Transparency Administrative Enforcement Log
Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Mercyone Dubuque Medical Center. Prior administrative notices do not necessarily reflect current compliance status.
- 2025-07-18·administrative_or_closure
Closure Notice
Recorded - 2025-04-16·warning_notice
Warning Notice
Recorded - 2023-08-31·administrative_or_closure
Met Requirements
Recorded
Source: CMS Hospital Care Compare (1,025 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Mercyone Dubuque Medical Center.
Notable Payer Contract Outliers (SVD Matrix Anomalies)
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.