facebook tracking Endovascular cardiac valve replacement and supplement procedures with major complications cost in Iowa: 6 hospitals compared (DRG 266)

Endovascular cardiac valve replacement and supplement procedures with major complications in Iowa

What 6 hospitals in Iowa charged and were paid for a Medicare hospital stay for endovascular cardiac valve replacement and supplement procedures with major complications (DRG 266), from 2024 Medicare claims.

DRG 266 Inpatient 2024 Medicare data
Average charge $197,286 Hospital list price billed
Average payment $47,189 Medicare + patient + other payers
Medicare paid $44,695 Average per stay
State rank #9 of 42 1 = lowest average payment

Hospitals in Iowa billed an average of $197,286 for endovascular cardiac valve replacement and supplement procedures with major complications, about 4.2 times the average total payment of $47,189. That payment is 18% below the U.S. average of $57,249.

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 $47,189Billed $197,286

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: endovascular cardiac valve replacement and supplement procedures 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
University of Iowa Hospital & ClinicsIowa City 67 $217,216 $57,763 $53,838
Genesis Medical Center-DavenportDavenport 48 $181,591 $43,854 $43,101
Mercy Medical Center-Des MoinesDes Moines 45 $181,350 $41,598 $38,716
St Lukes HospitalCedar Rapids 27 $194,371 $42,074 $40,837
Mercy Medical Center - Cedar RapidsCedar Rapids 23 $161,288 $41,320 $40,703
Iowa Methodist Medical CenterDes Moines 15 $266,741 $45,620 $39,960
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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

Mercy Medical Center - Cedar RapidsCedar Rapids, IA$41,320
Mercy Medical Center-Des MoinesDes Moines, IA$41,598
St Lukes HospitalCedar Rapids, IA$42,074
Genesis Medical Center-DavenportDavenport, IA$43,854
Iowa Methodist Medical CenterDes Moines, IA$45,620

Highest

University of Iowa Hospital & ClinicsIowa City, IA$57,763
Iowa Methodist Medical CenterDes Moines, IA$45,620
Genesis Medical Center-DavenportDavenport, IA$43,854
St Lukes HospitalCedar Rapids, IA$42,074
Mercy Medical Center-Des MoinesDes Moines, IA$41,598

Endovascular cardiac valve replacement and supplement procedures with major complications in other states

Questions

How much does endovascular cardiac valve replacement and supplement procedures with major complications cost in Iowa?

In 2024 Medicare data, a hospital stay for endovascular cardiac valve replacement and supplement procedures with major complications (DRG 266) at 6 hospitals in Iowa was billed at $197,286 on average, while the average total payment was $47,189, of which Medicare paid $44,695. 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 4.2 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.