facebook tracking Aortic and heart assist procedures except pulsation balloon without major complications cost in Iowa: 5 hospitals compared (DRG 269)

Aortic and heart assist procedures except pulsation balloon without major complications in Iowa

What 5 hospitals in Iowa charged and were paid for a Medicare hospital stay for aortic and heart assist procedures except pulsation balloon without major complications (DRG 269), from 2024 Medicare claims.

DRG 269 Inpatient 2024 Medicare data
Average charge $129,809 Hospital list price billed
Average payment $32,055 Medicare + patient + other payers
Medicare paid $28,392 Average per stay
State rank #5 of 35 1 = lowest average payment

Hospitals in Iowa billed an average of $129,809 for aortic and heart assist procedures except pulsation balloon without major complications, about 4.0 times the average total payment of $32,055. That payment is 19% below the U.S. average of $39,522.

These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.

Paid $32,055Billed $129,809

About 25¢ was paid for every $1 hospitals in Iowa billed for this stay.

Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Iowa:

Iowa hospitals: aortic and heart assist procedures except pulsation balloon without major complications

Every Iowa hospital that billed Medicare for this stay at least 11 times. Click a column to sort.

Hospital Stays Avg charge Avg payment Medicare paid
Iowa Methodist Medical CenterDes Moines 29 $158,444 $29,147 $27,314
University of Iowa Hospital & ClinicsIowa City 24 $187,235 $39,348 $36,593
Mercy Medical Center-Des MoinesDes Moines 24 $96,751 $29,266 $25,772
Mercyone Siouxland Medical CenterSioux City 14 $76,778 $33,124 $22,087
Mercy Medical Center-DubuqueDubuque 12 $73,746 $28,827 $27,195
Advertisement

Lowest and highest payments in Iowa

Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Lowest

Highest

Aortic and heart assist procedures except pulsation balloon without major complications in other states

Questions

How much does aortic and heart assist procedures except pulsation balloon without major complications cost in Iowa?

In 2024 Medicare data, a hospital stay for aortic and heart assist procedures except pulsation balloon without major complications (DRG 269) at 5 hospitals in Iowa was billed at $129,809 on average, while the average total payment was $32,055, of which Medicare paid $28,392. Your own cost depends on your insurance, deductible and the hospital.

Why are hospital charges so much higher than payments?

Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in Iowa, average charges were 4.0 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.

Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.