facebook tracking Hip and femur procedures except major joint with major complications cost in Iowa: 13 hospitals compared (DRG 480)

Hip and femur procedures except major joint with major complications in Iowa

What 13 hospitals in Iowa charged and were paid for a Medicare hospital stay for hip and femur procedures except major joint with major complications (DRG 480), from 2024 Medicare claims.

DRG 480 Inpatient 2024 Medicare data
Average charge $85,637 Hospital list price billed
Average payment $21,898 Medicare + patient + other payers
Medicare paid $19,103 Average per stay
State rank #8 of 46 1 = lowest average payment

Hospitals in Iowa billed an average of $85,637 for hip and femur procedures except major joint with major complications, about 3.9 times the average total payment of $21,898. That payment is 17% below the U.S. average of $26,284.

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 $21,898Billed $85,637

About 26¢ was paid for every $1 hospitals in Iowa billed for this stay.

Iowa hospitals: hip and femur procedures except major joint 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 61 $98,196 $20,616 $18,091
Mercy Medical Center-Des MoinesDes Moines 42 $109,964 $21,722 $19,748
Genesis Medical Center-DavenportDavenport 31 $53,047 $18,314 $16,980
University of Iowa Hospital & ClinicsIowa City 30 $131,533 $33,637 $21,822
St Lukes Regional Medical CenterSioux City 30 $77,111 $20,937 $19,017
Mercyone Siouxland Medical CenterSioux City 23 $82,149 $20,759 $19,342
Mercy Medical Center-DubuqueDubuque 20 $68,164 $19,004 $17,615
Southeast Iowa Regional Medical CenterWest Burlington 18 $59,952 $24,509 $22,968
St Lukes HospitalCedar Rapids 17 $58,454 $18,837 $17,232
Mercy Medical Center-North IowaMason City 17 $87,026 $22,767 $20,487
Allen Memorial HospitalWaterloo 16 $65,033 $19,950 $17,648
Trinity Regional Medical CenterFort Dodge 11 $75,262 $21,321 $19,842
Alegent Health Mercy HospitalCouncil Bluffs 11 $74,341 $20,550 $19,067
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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

Genesis Medical Center-DavenportDavenport, IA$18,314
St Lukes HospitalCedar Rapids, IA$18,837
Mercy Medical Center-DubuqueDubuque, IA$19,004
Allen Memorial HospitalWaterloo, IA$19,950
Alegent Health Mercy HospitalCouncil Bluffs, IA$20,550

Highest

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

Questions

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

In 2024 Medicare data, a hospital stay for hip and femur procedures except major joint with major complications (DRG 480) at 13 hospitals in Iowa was billed at $85,637 on average, while the average total payment was $21,898, of which Medicare paid $19,103. 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 3.9 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.