ASR HEALTH BENEFITS: disclosed hospital rates

iDirect answer

Based on the published hospital price files, ASR HEALTH BENEFITS appears in disclosed negotiated rates across 1 hospital and 98 services. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.

98 prices shown.

Service	Hospital	Code	List price	Cash price	Negotiated range	Allowed (median)
HC Acute Hepatitis Panel Inpatient & outpatient	MercyOne Dubuque Medical Center	PX-30180074001 CDM	$542	$352	$46.16 – $542	—
HC Analgesics Non-Opioid Definitive Assay 1 or 2 Salicylate Inpatient & outpatient	MercyOne Dubuque Medical Center	PX-30180329001 CDM	$232	$151	$84.91 – $232	—
HC Antibody ID RBC Panel Inpatient & outpatient	MercyOne Dubuque Medical Center	PX-30086870001 CDM	$267	$174	$97.72 – $716	—
HC Antibody ID RBC Panel Reference Inpatient & outpatient	MercyOne Dubuque Medical Center	PX-30086870002 CDM	$267	$174	$97.72 – $716	—
HC Antibody Screen RBC Inpatient & outpatient	MercyOne Dubuque Medical Center	PX-30086850001 CDM	$198	$129	$9.77 – $198	—
HC Blood Typing Abo Inpatient & outpatient	MercyOne Dubuque Medical Center	PX-30086900001 CDM	$65.00	$42.25	$2.99 – $266	—
HC Blood Typing Ag Donor Ea Ag Inpatient & outpatient	MercyOne Dubuque Medical Center	PX-30086902001 CDM	$93.00	$60.45	$6.35 – $716	—
HC Blood Typing RBC Ag Non Abo/Rh Ea Inpatient & outpatient	MercyOne Dubuque Medical Center	PX-30086905001 CDM	$139	$90.35	$3.83 – $716	—
HC Blood Typing Rh (D) Reference Inpatient & outpatient	MercyOne Dubuque Medical Center	PX-30086901002 CDM	$78.00	$50.70	$2.99 – $78.00	—
HC Blood Typing Rh Phenotype Complete Reference Inpatient & outpatient	MercyOne Dubuque Medical Center	PX-30086906002 CDM	$211	$137	$7.75 – $211	—
HC Catheterization Collection of Specimen Single Patient All Places of Service Inpatient & outpatient	MercyOne Dubuque Medical Center	PX-300P9612001 CDM	$35.00	$22.75	$8.57 – $35.00	—
HC Cell Count Eosinophil Urine Inpatient & outpatient	MercyOne Dubuque Medical Center	PX-30089050003 CDM	$207	$135	$4.57 – $207	—
HC Cell Count W Differential Body Fluid Inpatient & outpatient	MercyOne Dubuque Medical Center	PX-30089051001 CDM	$85.00	$55.25	$5.43 – $85.00	—
HC Cell Count W Differential CSF Inpatient & outpatient	MercyOne Dubuque Medical Center	PX-30089051002 CDM	$85.00	$55.25	$5.43 – $85.00	—
HC Collection of Venous Blood by Venipuncture Inpatient & outpatient	MercyOne Dubuque Medical Center	PX-30036415001 CDM	$25.00	$16.25	$8.57 – $25.00	—
HC Compatibility Test Each Unit Antiglobulin Technique Inpatient & outpatient	MercyOne Dubuque Medical Center	PX-30086922001 CDM	$539	$350	$153 – $539	—
HC Compatibility Test Incubate Inpatient & outpatient	MercyOne Dubuque Medical Center	PX-30086921001 CDM	$39.00	$25.35	$14.27 – $340	—
HC Comprehensive Metabolic Panel Inpatient & outpatient	MercyOne Dubuque Medical Center	PX-30180053001 CDM	$336	$218	$10.23 – $336	—
HC Coombs Direct Inpatient & outpatient	MercyOne Dubuque Medical Center	PX-30086880001 CDM	$110	$71.50	$5.39 – $118	—
HC Coombs Direct C3dc3b Inpatient & outpatient	MercyOne Dubuque Medical Center	PX-30086880002 CDM	$110	$71.50	$5.39 – $118	—
HC Coombs Direct Igg Inpatient & outpatient	MercyOne Dubuque Medical Center	PX-30086880003 CDM	$110	$71.50	$5.39 – $118	—
HC Coombs Direct Reference Inpatient & outpatient	MercyOne Dubuque Medical Center	PX-30086880004 CDM	$110	$71.50	$5.39 – $118	—
HC Coombs Indirect Titer Reference Inpatient & outpatient	MercyOne Dubuque Medical Center	PX-30086886008 CDM	$151	$98.15	$5.18 – $340	—
HC Cyclosporine 2 Hour Inpatient & outpatient	MercyOne Dubuque Medical Center	PX-30180158007 CDM	$369	$240	$17.49 – $369	—
HC Enterstomal Visit Extended IP Inpatient & outpatient	MercyOne Dubuque Medical Center	PX-23000000003 CDM	$240	$156	$85.68 – $240	—