facebook tracking Coronary bypass with cardiac catheterization or open ablation without major complications cost in Iowa: 4 hospitals compared (DRG 234)

Coronary bypass with cardiac catheterization or open ablation without major complications in Iowa

What 4 hospitals in Iowa charged and were paid for a Medicare hospital stay for coronary bypass with cardiac catheterization or open ablation without major complications (DRG 234), from 2024 Medicare claims.

DRG 234 Inpatient 2024 Medicare data
Average charge $228,887 Hospital list price billed
Average payment $40,292 Medicare + patient + other payers
Medicare paid $35,230 Average per stay
State rank #9 of 36 1 = lowest average payment

Hospitals in Iowa billed an average of $228,887 for coronary bypass with cardiac catheterization or open ablation without major complications, about 5.7 times the average total payment of $40,292. That payment is 12% below the U.S. average of $45,866.

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 $40,292Billed $228,887

About 18¢ 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: coronary bypass with cardiac catheterization or open ablation 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
Mercy Medical Center-North IowaMason City 24 $317,978 $44,337 $38,947
Allen Memorial HospitalWaterloo 16 $116,974 $35,758 $33,299
Mercy Medical Center-DubuqueDubuque 11 $232,919 $40,703 $33,805
Iowa Methodist Medical CenterDes Moines 11 $193,260 $37,647 $31,354
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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

Allen Memorial HospitalWaterloo, IA$35,758
Iowa Methodist Medical CenterDes Moines, IA$37,647
Mercy Medical Center-DubuqueDubuque, IA$40,703
Mercy Medical Center-North IowaMason City, IA$44,337

Highest

Mercy Medical Center-North IowaMason City, IA$44,337
Mercy Medical Center-DubuqueDubuque, IA$40,703
Iowa Methodist Medical CenterDes Moines, IA$37,647
Allen Memorial HospitalWaterloo, IA$35,758

Coronary bypass with cardiac catheterization or open ablation without major complications in other states

Questions

How much does coronary bypass with cardiac catheterization or open ablation without major complications cost in Iowa?

In 2024 Medicare data, a hospital stay for coronary bypass with cardiac catheterization or open ablation without major complications (DRG 234) at 4 hospitals in Iowa was billed at $228,887 on average, while the average total payment was $40,292, of which Medicare paid $35,230. 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 5.7 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.