Observation direct referral from physician office for admission at MercyOne Dubuque Medical Center
250 Mercy Drive, Dubuque, IA · MercyOne · · NPI 1659348506
$291.85
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.
$449.00
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.
$160.29 with PREFERRED HEALTH CHOICE vs $5,390.00 with GEHA — 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 |
|---|---|---|---|
| PREFERRED HEALTH CHOICE | PREFERRED HEALTH CHOICES | $160.29 | ↓ -45% |
| HEALTH CHOICES | MEDICAL ASSOCIATES | $164.33 | ↓ -44% |
| MIDLANDS CHOICE | MIDLANDS CHOICE EAGLE WINDOW AND DOOR | $260.42 | ↓ -11% |
| WPS | WISCONSIN PHYSICIAN SERVICES | $268.95 | ↓ -8% |
| THE ALLIANCE | THE ALLIANCE | $271.24 | ↓ -7% |
| UNITED HEALTHCARE | UNITED HEALTHCARE DEERE PREMIER | $372.67 | ↑ +28% |
| TRUSTMARK SMALL BUSINESS BENEFITS | AETNA | $374.92 | ↑ +28% |
| LUMINARE HEALTH | AETNA | $374.92 | ↑ +28% |
| CHRISTIAN BROTHER SERVICES | AETNA | $374.92 | ↑ +28% |
| LUCENT HEALTH | AETNA | $374.92 | ↑ +28% |
| AETNA | AETNA | $374.92 | ↑ +28% |
| ASR HEALTH BENEFITS | AETNA | $374.92 | ↑ +28% |
| 1199 NATIONAL BENEFIT FUND | AETNA | $374.92 | ↑ +28% |
| FIRST HEALTH | AETNA | $374.92 | ↑ +28% |
| AETNA DOMESTIC | AETNA | $374.92 | ↑ +28% |
| COVENTRY | AETNA | $374.92 | ↑ +28% |
| ALLIED BENEFIT SYSTEMS | AETNA | $374.92 | ↑ +28% |
| MERITAIN | AETNA | $374.92 | ↑ +28% |
| WEBTPA | AETNA | $374.92 | ↑ +28% |
| MEDICAL MUTUAL | AETNA | $374.92 | ↑ +28% |
| AETNA EAP | AETNA | $374.92 | ↑ +28% |
| MULTIPLAN | MULTIPLAN | $404.10 | ↑ +38% |
| CIGNA EAP | MIDLANDS CHOICE PPO | $404.10 | ↑ +38% |
| UNITY | UNITY HMO | $404.10 | ↑ +38% |
| MIDLANDS | MIDLANDS CHOICE PPO | $404.10 | ↑ +38% |
| MIDLANDS CHOICE | MIDLANDS CHOICE PPO | $404.10 | ↑ +38% |
| CIGNA | MIDLANDS CHOICE PPO | $404.10 | ↑ +38% |
| AUXIANT | MIDLANDS CHOICE PPO | $404.10 | ↑ +38% |
| MEDICA | MIDLANDS CHOICE PPO | $404.10 | ↑ +38% |
| STEPHENSON CTY HEALTH | STEPHENSON COUNTY HEALTH | $449.00 | ↑ +54% |
| CRIME VICTIM ASSISTANCE | CRIME VICTIMS | $449.00 | ↑ +54% |
| IOWA DEPT OF PUBLIC HEALTH | CARE FOR YOURSELF | $449.00 | ↑ +54% |
| UNITED HEALTHCARE | UHC OPTUM BEHAVIORAL HEALTH | $460.00 | ↑ +58% |
| IOWA TOTAL CARE | IOWA TOTAL CARE MEDICAID | $534.28 | ↑ +83% |
| MOLINA MEDICAID | MOLINA MEDICAID | $539.52 | ↑ +85% |
| WELLPOINT MEDICAID | WELLPOINT MEDICAID | $541.61 | ↑ +86% |
| MEDIGOLD MEDICARE ADVANTAGE | MERCYONE HEALTH PLAN MEDICARE ADVANTAGE | $580.16 | ↑ +99% |
| AETNA MEDICARE ADVANTAGE | AETNA MEDICARE ADVANTAGE | $580.16 | ↑ +99% |
| MEDICARE MEDICAL ASSOCIATES HEALTH PLANS | MEDICAL ASSOCIATES MEDICARE ADVANTAGE | $580.16 | ↑ +99% |
| BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE | WELLMARK MEDICARE ADVANTAGE | $585.96 | ↑ +101% |
| UNITED HEALTHCARE MEDICARE | UNITED HEALTHCARE MEDICARE ADVANTAGE | $591.77 | ↑ +103% |
| HEALTH PARTNERS MEDICARE ADVANTAGE | UNITYPOINT HEALTH PARTNERS MEDICARE ADV | $597.92 | ↑ +105% |
| WELLPOINT MEDICARE ADVANTAGE | WELLPOINT MEDICARE ADVANTAGE | $603.84 | ↑ +107% |
| MHNET | MENTAL HEALTH ASSOCIATES | $717.00 | ↑ +146% |
| AMISH HOSPITAL AID | AMISH HOSPITAL AID | $787.36 | ↑ +170% |
| OSCAR | OSCAR | $807.61 | ↑ +177% |
| CENTIVO | CENTIVO | $927.08 | ↑ +218% |
| AMBETTER | AMBETTER MARKETPLACE | $994.56 | ↑ +241% |
| NOVA | CLAIMDOC | $1,189.92 | ↑ +308% |
| CLAIMDOC | CLAIMDOC | $1,189.92 | ↑ +308% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $5,390.00 | ↑ +1747% |
| GEHA | UNITED HEALTHCARE | $5,390.00 | ↑ +1747% |
Visitor-reported prices
Comments
Observation direct referral from physician office for admission at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Finley Hospital | Dubuque | $130.04 | $32.74 – $7,461.30 |
| MercyOne Genesis Davenport West Medical Center | Davenport | $135.60 | $146.90 – $586.87 |
| MercyOne Clinton Medical Center | Clinton | $432.90 | $188.48 – $3,077.00 |
| MercyOne Oelwein Medical Center | Oelwein | $150.15 | $88.29 – $231.00 |
| MercyOne Cedar Falls Medical Center | Cedar Falls | $857.35 | $141.15 – $6,171.00 |
| MercyOne West Des Moines Medical Center | West Des Moines | $195.00 | $39.20 – $4,658.00 |
| MercyOne Des Moines Medical Center | Des Moines | $134.55 | $41.61 – $4,658.00 |
| MercyOne Centerville Medical Center | Centerville | $231.00 | $63.39 – $231.00 |