healthcosts.net
ER Visit (level 5, high severity) at MercyOne Dubuque Medical Center
250 Mercy Drive, Dubuque, IA · MercyOne · · NPI 1659348506
$5,830.99
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$7,286.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$9.09 with IOWA DEPT OF PUBLIC HEALTH vs $3,385.00 with UNITED HEALTHCARE — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| IOWA DEPT OF PUBLIC HEALTH | CARE FOR YOURSELF | $9.09 | ↓ -100% |
| STEPHENSON CTY HEALTH | STEPHENSON COUNTY HEALTH | $10.56 | ↓ -100% |
| MOLINA MEDICAID | MOLINA MEDICAID | $269.76 | ↓ -95% |
| WELLPOINT MEDICAID | WELLPOINT MEDICAID | $270.81 | ↓ -95% |
| IOWA TOTAL CARE | IOWA TOTAL CARE MEDICAID | $534.28 | ↓ -91% |
| MEDICARE MEDICAL ASSOCIATES HEALTH PLANS | MEDICAL ASSOCIATES MEDICARE ADVANTAGE | $580.16 | ↓ -90% |
| AETNA MEDICARE ADVANTAGE | AETNA MEDICARE ADVANTAGE | $580.16 | ↓ -90% |
| MEDIGOLD MEDICARE ADVANTAGE | MERCYONE HEALTH PLAN MEDICARE ADVANTAGE | $580.16 | ↓ -90% |
| BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE | WELLMARK MEDICARE ADVANTAGE | $585.96 | ↓ -90% |
| UNITED HEALTHCARE MEDICARE | UNITED HEALTHCARE MEDICARE ADVANTAGE | $591.77 | ↓ -90% |
| HEALTH PARTNERS MEDICARE ADVANTAGE | UNITYPOINT HEALTH PARTNERS MEDICARE ADV | $597.92 | ↓ -90% |
| WELLPOINT MEDICARE ADVANTAGE | WELLPOINT MEDICARE ADVANTAGE | $603.84 | ↓ -90% |
| PREFERRED HEALTH CHOICE | PREFERRED HEALTH CHOICES | $698.65 | ↓ -88% |
| HEALTH CHOICES | MEDICAL ASSOCIATES | $716.26 | ↓ -88% |
| AMISH HOSPITAL AID | AMISH HOSPITAL AID | $787.36 | ↓ -86% |
| OSCAR | OSCAR | $807.61 | ↓ -86% |
| CENTIVO | CENTIVO | $927.08 | ↓ -84% |
| AMBETTER | AMBETTER MARKETPLACE | $994.56 | ↓ -83% |
| MIDLANDS CHOICE | MIDLANDS CHOICE EAGLE WINDOW AND DOOR | $1,135.06 | ↓ -81% |
| WPS | WISCONSIN PHYSICIAN SERVICES | $1,172.24 | ↓ -80% |
| THE ALLIANCE | THE ALLIANCE | $1,182.22 | ↓ -80% |
| NOVA | CLAIMDOC | $1,189.92 | ↓ -80% |
| CLAIMDOC | CLAIMDOC | $1,189.92 | ↓ -80% |
| MHNET | MENTAL HEALTH ASSOCIATES | $1,565.60 | ↓ -73% |
| UNITED HEALTHCARE | UNITED HEALTHCARE DEERE PREMIER | $1,624.31 | ↓ -72% |
| WEBTPA | AETNA | $1,634.10 | ↓ -72% |
| COVENTRY | AETNA | $1,634.10 | ↓ -72% |
| ALLIED BENEFIT SYSTEMS | AETNA | $1,634.10 | ↓ -72% |
| LUCENT HEALTH | AETNA | $1,634.10 | ↓ -72% |
| LUMINARE HEALTH | AETNA | $1,634.10 | ↓ -72% |
| ASR HEALTH BENEFITS | AETNA | $1,634.10 | ↓ -72% |
| CHRISTIAN BROTHER SERVICES | AETNA | $1,634.10 | ↓ -72% |
| FIRST HEALTH | AETNA | $1,634.10 | ↓ -72% |
| 1199 NATIONAL BENEFIT FUND | AETNA | $1,634.10 | ↓ -72% |
| AETNA | AETNA | $1,634.10 | ↓ -72% |
| MERITAIN | AETNA | $1,634.10 | ↓ -72% |
| MEDICAL MUTUAL | AETNA | $1,634.10 | ↓ -72% |
| TRUSTMARK SMALL BUSINESS BENEFITS | AETNA | $1,634.10 | ↓ -72% |
| AETNA DOMESTIC | AETNA | $1,634.10 | ↓ -72% |
| AETNA EAP | AETNA | $1,634.10 | ↓ -72% |
| MIDLANDS CHOICE | MIDLANDS CHOICE PPO | $1,761.30 | ↓ -70% |
| MIDLANDS | MIDLANDS CHOICE PPO | $1,761.30 | ↓ -70% |
| AUXIANT | MIDLANDS CHOICE PPO | $1,761.30 | ↓ -70% |
| MEDICA | MIDLANDS CHOICE PPO | $1,761.30 | ↓ -70% |
| UNITY | UNITY HMO | $1,761.30 | ↓ -70% |
| CIGNA | MIDLANDS CHOICE PPO | $1,761.30 | ↓ -70% |
| CIGNA EAP | MIDLANDS CHOICE PPO | $1,761.30 | ↓ -70% |
| MULTIPLAN | MULTIPLAN | $1,761.30 | ↓ -70% |
| UNITED HEALTHCARE | UHC OPTUM BEHAVIORAL HEALTH | $1,957.00 | ↓ -66% |
| CRIME VICTIM ASSISTANCE | CRIME VICTIMS | $1,957.00 | ↓ -66% |
| GEHA | UNITED HEALTHCARE | $3,385.00 | ↓ -42% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $3,385.00 | ↓ -42% |
Visitor-reported prices
Comments
ER Visit (level 5, high severity) at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Finley Hospital | Dubuque | $931.05 | $20.24 – $539.05 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | $2,811.57 | $14.41 – $590.69 |
| UnityPoint Health - Allen Hospital | Waterloo | $1,407.20 | $25.91 – $508.18 |
| MercyOne Genesis Davenport West Medical Center | Davenport | $744.60 | $586.87 – $660.40 |
| MercyOne New Hampton Medical Center | New Hampton | $5,452.20 | $9.09 – $862.00 |
| MercyOne Dyersville Medical Center | Dyersville | $5,155.41 | $2.80 – $970.27 |
| MercyOne Clinton Medical Center | Clinton | $4,744.80 | $9.09 – $2,133.00 |
| MercyOne Oelwein Medical Center | Oelwein | $5,874.00 | $6.50 – $862.00 |