Level 1 Abdominal/Peritoneal/Biliary and Related Procedures in Iowa
What 31 hospitals in Iowa charged and were paid for level 1 abdominal/peritoneal/biliary and related procedures (APC 5341), from 2024 Medicare claims.
Average charge
$16,624
Hospital list price billed
Average allowed
$3,003
Medicare's payment + patient's share
Medicare paid
$2,383
Average per service
State rank
#13 of 49
1 = lowest average payment
Hospitals in Iowa billed an average of $16,624 for level 1 abdominal/peritoneal/biliary and related procedures, about 5.5 times the average medicare-allowed amount of $3,003. That payment is 10% below the U.S. average of $3,323.
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 $3,003Billed $16,624
About 18¢ was paid for every $1 hospitals in Iowa billed for this service.
Iowa hospitals: level 1 abdominal/peritoneal/biliary and related procedures
Every Iowa hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Iowa Methodist Medical CenterDes Moines | 162 | $13,830 | $2,883 | $2,277 |
| University of Iowa Hospital & ClinicsIowa City | 131 | $15,116 | $3,022 | $2,403 |
| Mercy Medical Center-Des MoinesDes Moines | 87 | $17,730 | $2,905 | $2,303 |
| Mercy Medical Center-North IowaMason City | 73 | $19,100 | $3,317 | $2,633 |
| Mary Greeley Medical CenterAmes | 70 | $17,362 | $2,937 | $2,333 |
| Mercy Medical Center - Cedar RapidsCedar Rapids | 61 | $11,863 | $2,983 | $2,377 |
| The Finley HospitalDubuque | 40 | $14,499 | $2,959 | $2,356 |
| Mercy Medical Center-DubuqueDubuque | 38 | $22,524 | $3,088 | $2,444 |
| Genesis Medical Center-DavenportDavenport | 37 | $13,299 | $2,944 | $2,332 |
| Southeast Iowa Regional Medical CenterWest Burlington | 36 | $16,564 | $3,195 | $2,546 |
| Mercyone Waterloo Medical CenterWaterloo | 32 | $28,978 | $2,960 | $2,355 |
| Allen Memorial HospitalWaterloo | 29 | $18,729 | $2,960 | $2,353 |
| Trinity Regional Medical CenterFort Dodge | 28 | $14,090 | $3,170 | $2,525 |
| St Lukes HospitalCedar Rapids | 28 | $17,068 | $2,983 | $2,373 |
| St Lukes Regional Medical CenterSioux City | 22 | $13,397 | $2,968 | $2,365 |
| Jennie Edmundson HospitalCouncil Bluffs | 21 | $20,273 | $2,999 | $2,366 |
| Mercy HospitalIowa City | 19 | $24,836 | $2,959 | $2,315 |
| Spencer Municipal HospitalSpencer | 16 | $14,287 | $2,959 | $2,358 |
| Mercyone Siouxland Medical CenterSioux City | 15 | $19,743 | $3,117 | $2,484 |
| Trinity Medical CenterDavenport | 12 | $20,695 | $2,964 | $2,362 |
| Marshalltown Medical & Surgical CenterMarshalltown | 11 | $14,854 | $3,180 | $2,534 |
| St Anthony Regional Hospital & Nursing HomeCarroll | – | – | – | – |
| Trinity MuscatineMuscatine | – | – | – | – |
| Alegent Health Mercy HospitalCouncil Bluffs | – | – | – | – |
| Mercyone Newton Medical CenterNewton | – | – | – | – |
| Sartori Memorial HospitalCedar Falls | – | – | – | – |
| Mercy Medical Center-ClintonClinton | – | – | – | – |
| Ottumwa Regional Health CenterOttumwa | – | – | – | – |
| Broadlawns Medical CenterDes Moines | – | – | – | – |
| Lakes Regional HealthcareSpirit Lake | – | – | – | – |
| Grinnell Regional Medical CenterGrinnell | – | – | – | – |
Lowest and highest allowed amounts in Iowa
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Iowa Methodist Medical CenterDes Moines, IA | $2,883 |
|---|---|
| Mercy Medical Center-Des MoinesDes Moines, IA | $2,905 |
| Mary Greeley Medical CenterAmes, IA | $2,937 |
| Genesis Medical Center-DavenportDavenport, IA | $2,944 |
| Mercy HospitalIowa City, IA | $2,959 |
Highest
| Mercy Medical Center-North IowaMason City, IA | $3,317 |
|---|---|
| Southeast Iowa Regional Medical CenterWest Burlington, IA | $3,195 |
| Marshalltown Medical & Surgical CenterMarshalltown, IA | $3,180 |
| Trinity Regional Medical CenterFort Dodge, IA | $3,170 |
| Mercyone Siouxland Medical CenterSioux City, IA | $3,117 |
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures in other states
Questions
How much does level 1 abdominal/peritoneal/biliary and related procedures cost in Iowa?
In 2024 Medicare data, level 1 abdominal/peritoneal/biliary and related procedures (APC 5341) at 31 hospitals in Iowa was billed at $16,624 on average, while the average medicare-allowed amount was $3,003, of which Medicare paid $2,383. 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 service in Iowa, average charges were 5.5 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Outpatient Hospitals by Provider and Service, 2024. The allowed amount is Medicare's payment plus the patient's coinsurance. CMS omits hospitals with fewer than 11 services for privacy. About the data.