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Short Term Acute Care HospitalVoluntary Non-Profit - Church

Mercyone Dubuque Medical Center

MercyOne · Dubuque, IA

250 Mercy Drive, Dubuque, IA 52001(563) 589-8000

3 of 5

CMS star rating

151

Beds

7,462

Inpatient discharges a year

$169.9M

Net patient revenue a year

38

In-network payers

About this hospital

Mercyone Dubuque Medical Center is a 151-bed voluntary non-profit - church hospital in Dubuque, IA, affiliated with MercyOne. Below you'll find publicly disclosed negotiated rates and facility details, including 38 in-network payers and 152 disclosed rate categories.

  • Rural referral center
  • Reclassified as rural
  • Disproportionate share hospital
  • Helipad
CCN
160069
NPI
1659348506
Health system
MercyOne
Teaching
No Medicare-funded residents
County
Dubuque County
Metro area
Dubuque, IA MSA
Medicare contractor
Jurisdiction 5, WPS Government Health Administrators (05001)
In Medicare since
1976
Last CMS survey
2007

Prices for common services

The 24 services Mercyone Dubuque Medical Center most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.

Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$519 - $4,981

from 4 insurers · median $4,510

Aetna$519
Insurer A*est.$4,427
Insurer B*$4,593
Insurer C*$4,981
Medicare $341Nearby hospitals $1,000351% above nearby hospitals

Common here, based on CMS Medicare volume

Medicine & Surgery · Inpatient

Spinal fusion except cervical without MCC

MS-DRG 460

$48,691 - $56,011

from 2 insurers · median $52,351

UnitedHealthcare$48,691
Insurer A*$56,011
Medicare $20,989Nearby hospitals $46,80612% above nearby hospitals

34 Medicare discharges for this DRG in CMS hospital data

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$8,428

negotiated rate

UnitedHealthcare$8,428

CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$11,758

negotiated rate

UnitedHealthcare$11,758

CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

How the insurers pay at Mercyone Dubuque Medical Center

Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*12
1590%
120
Insurer B*12
1584%
120
Insurer C*24
542%
181
Insurer D*18
147%
215

How we chose these services: 8 appear in this hospital's own Medicare claims, 14 are common here based on CMS Medicare volume, and 2 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Mercyone Dubuque Medical Center, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
AmbetterAmeri HealthAspirus Health PlanAvera Health PlansBanner HealthCentene

More about this hospital

  • Quality

    3 of 5 stars

    • 204 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.13%)
    See quality ratings
  • Doctors and services

    No Medicare-funded residents

    • 30 services, including trauma care
    • 256 affiliated clinicians
    See doctors and services
  • Finances

    $169.9M net patient revenue

    • Operating margin on patient care -19.4%
    • $3.2M unreimbursed and uncompensated care
    • $6M net income
    See finances
  • Ownership and leadership

    Owned by Mercy Health Services-iowa Corp

    • Church
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Mercyone Dubuque Medical Center in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
42-1437483Mercy Medical Center Dubuque67Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 62 more1659348506 Mercy Medical Center-dubuque1386679512 Mercy Medical Center-dubuque1851326920 Mercy Medical Center-dubuqueand 6 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

250 Mercy Drive, Dubuque, IA 52001

(563) 589-8000

Get directions

Frequently asked questions

About Mercyone Dubuque Medical Center's rates and hospital price transparency.

How much does an MRI cost at Mercyone Dubuque Medical Center?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Mercyone Dubuque Medical Center range from $670 to $6,899 across 4 insurers. Cigna's rate is $6,899. The median at nearby comparable hospitals is $954. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Mercyone Dubuque Medical Center?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Mercyone Dubuque Medical Center range from $519 to $4,981 across 4 insurers. Aetna's rate is $519. The median at nearby comparable hospitals is $1,000. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Mercyone Dubuque Medical Center?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Mercyone Dubuque Medical Center range from $8,428 to $8,428 across 1 insurers. UnitedHealthcare's rate is $8,428. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Mercyone Dubuque Medical Center?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Mercyone Dubuque Medical Center range from $221 to $402 across 4 insurers. Cigna's rate is $402. The median at nearby comparable hospitals is $203. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Mercyone Dubuque Medical Center's CMS star rating?

Mercyone Dubuque Medical Center has a CMS overall hospital star rating of 3 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 42% of US hospitals.

Is Mercyone Dubuque Medical Center a teaching hospital?

CMS reports no Medicare-funded interns or residents at Mercyone Dubuque Medical Center for fiscal year 2027.

Does Medicare penalize Mercyone Dubuque Medical Center for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Mercyone Dubuque Medical Center's base inpatient payments by an estimated 0.13% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Mercyone Dubuque Medical Center?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (307 discharges), heart failure and shock with mcc (173 discharges), respiratory infections and inflammations with mcc (111 discharges).

What is Mercyone Dubuque Medical Center's case mix index?

Mercyone Dubuque Medical Center's Medicare case mix index is 1.63 for fiscal year 2027, higher than 44% of hospitals paid under the inpatient prospective payment system.

How many patients does Mercyone Dubuque Medical Center admit?

Mercyone Dubuque Medical Center reported 7,462 inpatient discharges and 28,291 inpatient days from Jul 1, 2024 to Jun 30, 2025.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
  • CMS template layout, in JSON or CSV
  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

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CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
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