ECMO or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec in Iowa
What 2 hospitals in Iowa charged and were paid for a Medicare hospital stay for ecmo or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec (DRG 003), from 2024 Medicare claims.
Average charge
$585,265
Hospital list price billed
Average payment
$162,471
Medicare + patient + other payers
Medicare paid
$147,968
Average per stay
Volume
30
Medicare hospital stays
Hospitals in Iowa billed an average of $585,265 for ecmo or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec, about 3.6 times the average total payment of $162,471. That payment is 34% below the U.S. average of $246,178.
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 $162,471Billed $585,265
About 28¢ was paid for every $1 hospitals in Iowa billed for this stay.
Iowa hospitals: ecmo or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec
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 |
|---|---|---|---|---|
| University of Iowa Hospital & ClinicsIowa City | 15 | $585,132 | $173,721 | $164,655 |
| Mercy Medical Center-Des MoinesDes Moines | 15 | $585,398 | $151,221 | $131,281 |
ECMO or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec in other states
Questions
How much does ecmo or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec cost in Iowa?
In 2024 Medicare data, a hospital stay for ecmo or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec (DRG 003) at 2 hospitals in Iowa was billed at $585,265 on average, while the average total payment was $162,471, of which Medicare paid $147,968. 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 3.6 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.