facebook tracking Carotid artery stent procedures with complications cost in Iowa: 3 hospitals compared (DRG 035)

Carotid artery stent procedures with complications in Iowa

What 3 hospitals in Iowa charged and were paid for a Medicare hospital stay for carotid artery stent procedures with complications (DRG 035), from 2024 Medicare claims.

DRG 035 Inpatient 2024 Medicare data
Average charge $68,931 Hospital list price billed
Average payment $17,268 Medicare + patient + other payers
Medicare paid $16,027 Average per stay
State rank #6 of 23 1 = lowest average payment

Hospitals in Iowa billed an average of $68,931 for carotid artery stent procedures with complications, about 4.0 times the average total payment of $17,268. That payment is 12% below the U.S. average of $19,727.

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 $17,268Billed $68,931

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

Iowa hospitals: carotid artery stent procedures with 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
Mercy Medical Center - Cedar RapidsCedar Rapids 29 $61,263 $15,640 $14,934
University of Iowa Hospital & ClinicsIowa City 15 $86,339 $21,609 $19,087
St Lukes HospitalCedar Rapids 11 $65,408 $15,639 $14,735
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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

St Lukes HospitalCedar Rapids, IA$15,639
Mercy Medical Center - Cedar RapidsCedar Rapids, IA$15,640
University of Iowa Hospital & ClinicsIowa City, IA$21,609

Highest

University of Iowa Hospital & ClinicsIowa City, IA$21,609
Mercy Medical Center - Cedar RapidsCedar Rapids, IA$15,640
St Lukes HospitalCedar Rapids, IA$15,639

Carotid artery stent procedures with complications in other states

Questions

How much does carotid artery stent procedures with complications cost in Iowa?

In 2024 Medicare data, a hospital stay for carotid artery stent procedures with complications (DRG 035) at 3 hospitals in Iowa was billed at $68,931 on average, while the average total payment was $17,268, of which Medicare paid $16,027. 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.