Pt evaluation moderate complexity patient/family at MercyOne Dubuque Medical Center
250 Mercy Drive, Dubuque, IA · MercyOne · · NPI 1659348506
$1,105.65
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.
$301.00
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.
$74.80 with IOWA TOTAL CARE vs $301.00 with STEPHENSON CTY HEALTH — 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 TOTAL CARE | IOWA TOTAL CARE MEDICAID | $74.80 | ↓ -93% |
| MOLINA MEDICAID | MOLINA MEDICAID | $75.53 | ↓ -93% |
| WELLPOINT MEDICAID | WELLPOINT MEDICAID | $75.82 | ↓ -93% |
| MEDICARE MEDICAL ASSOCIATES HEALTH PLANS | MEDICAL ASSOCIATES MEDICARE ADVANTAGE | $92.33 | ↓ -92% |
| MEDIGOLD MEDICARE ADVANTAGE | MERCYONE HEALTH PLAN MEDICARE ADVANTAGE | $92.33 | ↓ -92% |
| AETNA MEDICARE ADVANTAGE | AETNA MEDICARE ADVANTAGE | $92.33 | ↓ -92% |
| BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE | WELLMARK MEDICARE ADVANTAGE | $93.25 | ↓ -92% |
| UNITED HEALTHCARE MEDICARE | UNITED HEALTHCARE MEDICARE ADVANTAGE | $94.17 | ↓ -91% |
| HEALTH PARTNERS MEDICARE ADVANTAGE | UNITYPOINT HEALTH PARTNERS MEDICARE ADV | $95.15 | ↓ -91% |
| WELLPOINT MEDICARE ADVANTAGE | WELLPOINT MEDICARE ADVANTAGE | $96.09 | ↓ -91% |
| PREFERRED HEALTH CHOICE | PREFERRED HEALTH CHOICES | $107.46 | ↓ -90% |
| HEALTH CHOICES | MEDICAL ASSOCIATES | $110.17 | ↓ -90% |
| AMISH HOSPITAL AID | AMISH HOSPITAL AID | $125.30 | ↓ -89% |
| OSCAR | OSCAR | $128.52 | ↓ -88% |
| CENTIVO | CENTIVO | $147.53 | ↓ -87% |
| AMBETTER | AMBETTER MARKETPLACE | $158.27 | ↓ -86% |
| MIDLANDS CHOICE | MIDLANDS CHOICE EAGLE WINDOW AND DOOR | $174.58 | ↓ -84% |
| WPS | WISCONSIN PHYSICIAN SERVICES | $180.30 | ↓ -84% |
| THE ALLIANCE | THE ALLIANCE | $181.83 | ↓ -84% |
| NOVA | CLAIMDOC | $189.36 | ↓ -83% |
| CLAIMDOC | CLAIMDOC | $189.36 | ↓ -83% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $231.00 | ↓ -79% |
| GEHA | UNITED HEALTHCARE | $231.00 | ↓ -79% |
| MHNET | MENTAL HEALTH ASSOCIATES | $240.80 | ↓ -78% |
| UNITED HEALTHCARE | UNITED HEALTHCARE DEERE PREMIER | $249.83 | ↓ -77% |
| AETNA DOMESTIC | AETNA | $251.34 | ↓ -77% |
| COVENTRY | AETNA | $251.34 | ↓ -77% |
| ALLIED BENEFIT SYSTEMS | AETNA | $251.34 | ↓ -77% |
| MERITAIN | AETNA | $251.34 | ↓ -77% |
| FIRST HEALTH | AETNA | $251.34 | ↓ -77% |
| 1199 NATIONAL BENEFIT FUND | AETNA | $251.34 | ↓ -77% |
| ASR HEALTH BENEFITS | AETNA | $251.34 | ↓ -77% |
| AETNA | AETNA | $251.34 | ↓ -77% |
| LUCENT HEALTH | AETNA | $251.34 | ↓ -77% |
| TRUSTMARK SMALL BUSINESS BENEFITS | AETNA | $251.34 | ↓ -77% |
| CHRISTIAN BROTHER SERVICES | AETNA | $251.34 | ↓ -77% |
| LUMINARE HEALTH | AETNA | $251.34 | ↓ -77% |
| WEBTPA | AETNA | $251.34 | ↓ -77% |
| MEDICAL MUTUAL | AETNA | $251.34 | ↓ -77% |
| AETNA EAP | AETNA | $251.34 | ↓ -77% |
| MEDICA | MIDLANDS CHOICE PPO | $270.90 | ↓ -75% |
| CIGNA EAP | MIDLANDS CHOICE PPO | $270.90 | ↓ -75% |
| UNITY | UNITY HMO | $270.90 | ↓ -75% |
| MULTIPLAN | MULTIPLAN | $270.90 | ↓ -75% |
| CIGNA | MIDLANDS CHOICE PPO | $270.90 | ↓ -75% |
| MIDLANDS | MIDLANDS CHOICE PPO | $270.90 | ↓ -75% |
| MIDLANDS CHOICE | MIDLANDS CHOICE PPO | $270.90 | ↓ -75% |
| AUXIANT | MIDLANDS CHOICE PPO | $270.90 | ↓ -75% |
| UNITED HEALTHCARE | UHC OPTUM BEHAVIORAL HEALTH | $301.00 | ↓ -73% |
| IOWA DEPT OF PUBLIC HEALTH | CARE FOR YOURSELF | $301.00 | ↓ -73% |
| CRIME VICTIM ASSISTANCE | CRIME VICTIMS | $301.00 | ↓ -73% |
| STEPHENSON CTY HEALTH | STEPHENSON COUNTY HEALTH | $301.00 | ↓ -73% |
Visitor-reported prices
Comments
Pt evaluation moderate complexity patient/family at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Finley Hospital | Dubuque | $222.80 | $80.00 – $222.79 |
| MercyOne Genesis Davenport West Medical Center | Davenport | $233.40 | $126.19 – $126.19 |
| MercyOne New Hampton Medical Center | New Hampton | $194.35 | $118.37 – $299.00 |
| MercyOne Dyersville Medical Center | Dyersville | $194.35 | $113.02 – $336.55 |
| MercyOne Clinton Medical Center | Clinton | $820.30 | $74.80 – $461.00 |
| MercyOne Oelwein Medical Center | Oelwein | $194.35 | $114.28 – $299.00 |
| MercyOne Cedar Falls Medical Center | Cedar Falls | $1,782.00 | $74.80 – $608.00 |
| MercyOne Elkader Medical Center | Elkader | $194.35 | $153.90 – $312.51 |