facebook tracking Hip replacement with principal diagnosis of hip fracture without major complications cost in Iowa: 18 hospitals compared (DRG 522)

Hip replacement with principal diagnosis of hip fracture without major complications in Iowa

What 18 hospitals in Iowa charged and were paid for a Medicare hospital stay for hip replacement with principal diagnosis of hip fracture without major complications (DRG 522), from 2024 Medicare claims.

DRG 522 Inpatient 2024 Medicare data
Average charge $64,921 Hospital list price billed
Average payment $15,691 Medicare + patient + other payers
Medicare paid $13,492 Average per stay
State rank #7 of 50 1 = lowest average payment

Hospitals in Iowa billed an average of $64,921 for hip replacement with principal diagnosis of hip fracture without major complications, about 4.1 times the average total payment of $15,691. That payment is 14% below the U.S. average of $18,301.

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 $15,691Billed $64,921

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: hip replacement with principal diagnosis of hip fracture without 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 62 $73,288 $15,558 $12,976
Mercy Medical Center-Des MoinesDes Moines 51 $76,349 $15,220 $12,862
Genesis Medical Center-DavenportDavenport 31 $45,894 $15,284 $12,735
University of Iowa Hospital & ClinicsIowa City 30 $99,195 $20,865 $16,846
Mercy Medical Center-North IowaMason City 27 $77,815 $16,595 $14,492
Mercy Medical Center-DubuqueDubuque 23 $58,024 $14,218 $12,794
St Lukes HospitalCedar Rapids 20 $48,746 $14,634 $12,113
Southeast Iowa Regional Medical CenterWest Burlington 20 $66,162 $17,578 $16,109
Mercyone Siouxland Medical CenterSioux City 20 $59,576 $15,906 $13,100
Mercy HospitalIowa City 19 $72,783 $13,545 $12,330
Mercy Medical Center - Cedar RapidsCedar Rapids 19 $49,330 $14,076 $12,547
Mary Greeley Medical CenterAmes 18 $59,304 $13,621 $11,989
Allen Memorial HospitalWaterloo 14 $43,272 $14,667 $12,457
Spencer Municipal HospitalSpencer 14 $40,926 $17,203 $15,801
Jennie Edmundson HospitalCouncil Bluffs 13 $45,230 $15,029 $13,639
St Lukes Regional Medical CenterSioux City 12 $48,399 $15,049 $13,223
Trinity Regional Medical CenterFort Dodge 11 $54,267 $15,313 $13,739
Alegent Health Mercy HospitalCouncil Bluffs 11 $77,133 $15,753 $14,124
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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 HospitalIowa City, IA$13,545
Mary Greeley Medical CenterAmes, IA$13,621
Mercy Medical Center - Cedar RapidsCedar Rapids, IA$14,076
Mercy Medical Center-DubuqueDubuque, IA$14,218
St Lukes HospitalCedar Rapids, IA$14,634

Highest

Hip replacement with principal diagnosis of hip fracture without major complications in other states

Questions

How much does hip replacement with principal diagnosis of hip fracture without major complications cost in Iowa?

In 2024 Medicare data, a hospital stay for hip replacement with principal diagnosis of hip fracture without major complications (DRG 522) at 18 hospitals in Iowa was billed at $64,921 on average, while the average total payment was $15,691, of which Medicare paid $13,492. 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 4.1 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.