facebook tracking Hip and femur procedures except major joint with complications cost in Iowa: 22 hospitals compared (DRG 481)

Hip and femur procedures except major joint with complications in Iowa

What 22 hospitals in Iowa charged and were paid for a Medicare hospital stay for hip and femur procedures except major joint with complications (DRG 481), from 2024 Medicare claims.

DRG 481 Inpatient 2024 Medicare data
Average charge $65,551 Hospital list price billed
Average payment $15,540 Medicare + patient + other payers
Medicare paid $13,374 Average per stay
State rank #6 of 50 1 = lowest average payment

Hospitals in Iowa billed an average of $65,551 for hip and femur procedures except major joint with complications, about 4.2 times the average total payment of $15,540. That payment is 16% below the U.S. average of $18,473.

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 $15,540Billed $65,551

About 24¢ was paid for every $1 hospitals in Iowa billed for this stay.

Iowa hospitals: hip and femur procedures except major joint with 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 89 $73,918 $14,988 $12,647
University of Iowa Hospital & ClinicsIowa City 84 $100,012 $21,081 $16,519
Mercy Medical Center-Des MoinesDes Moines 73 $84,293 $14,388 $12,591
Genesis Medical Center-DavenportDavenport 69 $41,060 $13,828 $12,253
Mercy Medical Center-North IowaMason City 50 $71,549 $16,306 $13,758
Mercy Medical Center-DubuqueDubuque 41 $59,882 $14,047 $12,534
Southeast Iowa Regional Medical CenterWest Burlington 33 $52,085 $17,282 $15,798
Mercyone Siouxland Medical CenterSioux City 33 $65,071 $15,396 $13,096
Mercy Medical Center - Cedar RapidsCedar Rapids 28 $50,664 $13,752 $12,077
St Lukes HospitalCedar Rapids 26 $55,813 $13,596 $12,084
Mary Greeley Medical CenterAmes 25 $52,481 $13,591 $11,348
Spencer Municipal HospitalSpencer 23 $38,769 $16,838 $15,273
Mercy HospitalIowa City 22 $66,837 $13,429 $12,222
Jennie Edmundson HospitalCouncil Bluffs 22 $43,862 $14,431 $12,935
Mercyone Waterloo Medical CenterWaterloo 22 $76,286 $15,758 $13,147
St Lukes Regional Medical CenterSioux City 20 $51,477 $14,670 $12,786
Trinity Regional Medical CenterFort Dodge 17 $57,546 $15,028 $13,586
Alegent Health Mercy HospitalCouncil Bluffs 15 $67,682 $15,276 $13,646
The Finley HospitalDubuque 15 $48,528 $13,412 $12,106
Allen Memorial HospitalWaterloo 14 $53,921 $14,689 $12,460
Ottumwa Regional Health CenterOttumwa 13 $65,108 $17,227 $15,720
Lakes Regional HealthcareSpirit Lake 11 $39,170 $14,974 $13,490
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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

The Finley HospitalDubuque, IA$13,412
Mercy HospitalIowa City, IA$13,429
Mary Greeley Medical CenterAmes, IA$13,591
St Lukes HospitalCedar Rapids, IA$13,596
Mercy Medical Center - Cedar RapidsCedar Rapids, IA$13,752

Highest

Hip and femur procedures except major joint with complications in other states

Questions

How much does hip and femur procedures except major joint with complications cost in Iowa?

In 2024 Medicare data, a hospital stay for hip and femur procedures except major joint with complications (DRG 481) at 22 hospitals in Iowa was billed at $65,551 on average, while the average total payment was $15,540, of which Medicare paid $13,374. 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.