Mercyone Dubuque Medical Center
MERCYONE DUBUQUE MEDICAL CENTER in Dubuque, IA charges 4.4x the Medicare reimbursement rate on average, based on analysis of 77 medical procedures at this nonprofit-religious hospital.
Dubuque, IA 52001 · Acute Care Hospitals · CMS Rating: 5/5
About the analyst
Priya Iyengar leads the billing code review team at BillRazor Research. She analyzes NCCI bundling edits, DRG coding, and regional rate variation. Expertise: NCCI bundling, DRG analysis, regional pricing.
No credit card required. Results in 60 seconds.
Billing patterns — nonprofit-religious
Nonprofit religious hospitals, representing 203 facilities in the dataset, demonstrate an average markup of 5.4x Medicare rates, positioning them in the mid-range compared to other ownership types. These institutions typically maintain standardized charge structures across their health system networks, often reflecting their mission-driven approach to healthcare delivery. Patients at nonprofit religious hospitals may encounter charges above the benchmark for routine procedures, though many offer financial assistance programs and charity care policies that can significantly reduce out-of-pocket expenses for qualifying individuals. Common billing patterns include transparent pricing for elective procedures and comprehensive financial counseling services. The potential difference between listed charges and actual patient responsibility can be substantial, particularly for uninsured patients who may qualify for sliding-scale payment options. Patients should inquire about available financial assistance programs during the admissions process, as these hospitals often have more flexible payment arrangements compared to for-profit facilities, reflecting their tax-exempt status and community benefit obligations.
Pricing grade
C
Average
Avg markup vs Medicare
4.43x
Charge / Medicare rate
Max markup
8.21x
Worst procedure
Procedures analyzed
77
With pricing data
Outlier procedures
0%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $29,282 | $14,641 | — | 8.2x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $16,663 | $8,332 | — | 7.6x |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $48,470 | $24,235 | — | 7.2x |
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | 234 | $227,691 | $113,846 | — | 7.2x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $29,380 | $14,690 | — | 6.9x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $74,347 | $37,173 | — | 6.6x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $53,766 | $26,883 | — | 6.2x |
| DYSEQUILIBRIUM | 149 | $20,423 | $10,212 | — | 6.1x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $69,501 | $34,751 | — | 6x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $30,937 | $15,468 | — | 5.6x |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $22,276 | $11,138 | — | 5.5x |
| HYPERTENSION WITHOUT MCC | 305 | $20,080 | $10,040 | — | 5.4x |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $29,554 | $14,777 | — | 5.4x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $22,972 | $11,486 | — | 5.2x |
| CELLULITIS WITHOUT MCC | 603 | $25,235 | $12,618 | — | 5.2x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $20,050 | $10,025 | — | 5.1x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $41,434 | $20,717 | — | 5x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $18,940 | $9,470 | — | 4.8x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $24,922 | $12,461 | — | 4.8x |
| OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | 516 | $60,266 | $30,133 | — | 4.8x |
| SEIZURES WITHOUT MCC | 101 | $24,076 | $12,038 | — | 4.8x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $19,041 | $9,521 | — | 4.8x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $25,390 | $12,695 | — | 4.8x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $11,832 | $5,916 | — | 4.7x |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $20,378 | $10,189 | — | 4.7x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $19,842 | $9,921 | — | 4.7x |
| SYNCOPE AND COLLAPSE | 312 | $22,068 | $11,034 | — | 4.7x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $20,952 | $10,476 | — | 4.6x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $27,082 | $13,541 | — | 4.5x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $25,225 | $12,612 | — | 4.5x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $23,797 | $11,899 | — | 4.4x |
| MEDICAL BACK PROBLEMS WITH MCC | 551 | $38,734 | $19,367 | — | 4.4x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $54,710 | $27,355 | — | 4.4x |
| DIABETES WITH MCC | 637 | $34,760 | $17,380 | — | 4.4x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $24,555 | $12,277 | — | 4.4x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $36,500 | $18,250 | — | 4.4x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $83,334 | $41,667 | — | 4.3x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $100,022 | $50,011 | — | 4.3x |
| FRACTURES OF HIP AND PELVIS WITHOUT MCC | 536 | $16,738 | $8,369 | — | 4.3x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | 521 | $69,000 | $34,500 | — | 4.2x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | 482 | $40,612 | $20,306 | — | 4.2x |
| PSYCHOSES | 885 | $34,805 | $17,403 | — | 4.2x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $29,961 | $14,981 | — | 4.1x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $52,962 | $26,481 | — | 4.1x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $72,394 | $36,197 | — | 4.1x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $62,579 | $31,290 | — | 4.1x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $21,659 | $10,829 | — | 4x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $44,609 | $22,305 | — | 4x |
| BRONCHITIS AND ASTHMA WITH CC/MCC | 202 | $21,804 | $10,902 | — | 4x |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $18,309 | $9,155 | — | 4x |
Showing 50 of 77 procedures
How MERCYONE DUBUQUE MEDICAL CENTER compares to nearby hospitals
Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.
Got a bill from MERCYONE DUBUQUE MEDICAL CENTER?
Upload your bill and our AI compares every line item against these benchmark prices. Free analysis in 60 seconds. You only pay if we find savings.
Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
FAQ — nonprofit-religious hospital billing
How do nonprofit religious hospital charges compare to Medicare rates?
What does a 5.4x Medicare markup mean for my medical bills?
Are nonprofit religious hospitals required to offer financial assistance?
How can I find out the actual charges at a specific nonprofit religious hospital?
Related pricing data
Got a bill from Mercyone Dubuque Medical Center?
Free guides to help you take action
Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use