facebook tracking Endocrine disorders with major complications cost in Iowa: 2 hospitals compared (DRG 643)

Endocrine disorders with major complications in Iowa

What 2 hospitals in Iowa charged and were paid for a Medicare hospital stay for endocrine disorders with major complications (DRG 643), from 2024 Medicare claims.

DRG 643 Inpatient 2024 Medicare data
Average charge $43,363 Hospital list price billed
Average payment $12,939 Medicare + patient + other payers
Medicare paid $11,072 Average per stay
Volume 38 Medicare hospital stays

Hospitals in Iowa billed an average of $43,363 for endocrine disorders with major complications, about 3.4 times the average total payment of $12,939. That payment is 21% below the U.S. average of $16,313.

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 $12,939Billed $43,363

About 30¢ was paid for every $1 hospitals in Iowa billed for this stay.

Iowa hospitals: endocrine disorders 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
Iowa Methodist Medical CenterDes Moines 26 $49,174 $12,591 $10,489
Southeast Iowa Regional Medical CenterWest Burlington 12 $30,773 $13,694 $12,334
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Endocrine disorders with major complications in other states

Questions

How much does endocrine disorders with major complications cost in Iowa?

In 2024 Medicare data, a hospital stay for endocrine disorders with major complications (DRG 643) at 2 hospitals in Iowa was billed at $43,363 on average, while the average total payment was $12,939, of which Medicare paid $11,072. 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 3.4 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.