facebook tracking Coronary bypass without cardiac catheterization with major complications cost in Iowa: 4 hospitals compared (DRG 235)

Coronary bypass without cardiac catheterization with major complications in Iowa

What 4 hospitals in Iowa charged and were paid for a Medicare hospital stay for coronary bypass without cardiac catheterization with major complications (DRG 235), from 2024 Medicare claims.

DRG 235 Inpatient 2024 Medicare data
Average charge $188,075 Hospital list price billed
Average payment $45,322 Medicare + patient + other payers
Medicare paid $38,347 Average per stay
State rank #6 of 37 1 = lowest average payment

Hospitals in Iowa billed an average of $188,075 for coronary bypass without cardiac catheterization with major complications, about 4.1 times the average total payment of $45,322. That payment is 20% below the U.S. average of $56,401.

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 $45,322Billed $188,075

About 24¢ 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 without cardiac catheterization with 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-Des MoinesDes Moines 64 $195,506 $41,006 $35,837
University of Iowa Hospital & ClinicsIowa City 48 $210,736 $54,545 $44,453
St Lukes HospitalCedar Rapids 14 $123,414 $38,376 $30,076
Allen Memorial HospitalWaterloo 12 $133,244 $39,550 $36,954
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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$38,376
Allen Memorial HospitalWaterloo, IA$39,550
Mercy Medical Center-Des MoinesDes Moines, IA$41,006
University of Iowa Hospital & ClinicsIowa City, IA$54,545

Highest

University of Iowa Hospital & ClinicsIowa City, IA$54,545
Mercy Medical Center-Des MoinesDes Moines, IA$41,006
Allen Memorial HospitalWaterloo, IA$39,550
St Lukes HospitalCedar Rapids, IA$38,376

Coronary bypass without cardiac catheterization with major complications in other states

Questions

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

In 2024 Medicare data, a hospital stay for coronary bypass without cardiac catheterization with major complications (DRG 235) at 4 hospitals in Iowa was billed at $188,075 on average, while the average total payment was $45,322, of which Medicare paid $38,347. 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 4.1 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.