Level 1 ICD and Similar Procedures in Iowa
What 16 hospitals in Iowa charged and were paid for level 1 icd and similar procedures (APC 5231), from 2024 Medicare claims.
Average charge
$74,878
Hospital list price billed
Average allowed
$21,044
Medicare's payment + patient's share
Medicare paid
$19,405
Average per service
State rank
#15 of 34
1 = lowest average payment
Hospitals in Iowa billed an average of $74,878 for level 1 icd and similar procedures, about 3.6 times the average medicare-allowed amount of $21,044. That payment is 7% below the U.S. average of $22,647.
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 $21,044Billed $74,878
About 28¢ was paid for every $1 hospitals in Iowa billed for this service.
Iowa hospitals: level 1 icd and similar 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 |
|---|---|---|---|---|
| Mercy Medical Center-Des MoinesDes Moines | 17 | $96,504 | $20,114 | $18,482 |
| Mercy Medical Center-North IowaMason City | 16 | $42,079 | $22,788 | $21,135 |
| University of Iowa Hospital & ClinicsIowa City | 13 | $54,696 | $20,984 | $19,352 |
| St Lukes Regional Medical CenterSioux City | 13 | $107,147 | $20,174 | $18,534 |
| Trinity Regional Medical CenterFort Dodge | – | – | – | – |
| Alegent Health Mercy HospitalCouncil Bluffs | – | – | – | – |
| Mary Greeley Medical CenterAmes | – | – | – | – |
| Genesis Medical Center-DavenportDavenport | – | – | – | – |
| St Lukes HospitalCedar Rapids | – | – | – | – |
| Mercyone Waterloo Medical CenterWaterloo | – | – | – | – |
| Mercy Medical Center-DubuqueDubuque | – | – | – | – |
| Mercy Medical Center - Cedar RapidsCedar Rapids | – | – | – | – |
| Iowa Methodist Medical CenterDes Moines | – | – | – | – |
| Allen Memorial HospitalWaterloo | – | – | – | – |
| The Finley HospitalDubuque | – | – | – | – |
| Mercyone Siouxland Medical CenterSioux City | – | – | – | – |
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
| Mercy Medical Center-Des MoinesDes Moines, IA | $20,114 |
|---|---|
| St Lukes Regional Medical CenterSioux City, IA | $20,174 |
| University of Iowa Hospital & ClinicsIowa City, IA | $20,984 |
| Mercy Medical Center-North IowaMason City, IA | $22,788 |
Highest
| Mercy Medical Center-North IowaMason City, IA | $22,788 |
|---|---|
| University of Iowa Hospital & ClinicsIowa City, IA | $20,984 |
| St Lukes Regional Medical CenterSioux City, IA | $20,174 |
| Mercy Medical Center-Des MoinesDes Moines, IA | $20,114 |
Level 1 ICD and Similar Procedures in other states
Questions
How much does level 1 icd and similar procedures cost in Iowa?
In 2024 Medicare data, level 1 icd and similar procedures (APC 5231) at 16 hospitals in Iowa was billed at $74,878 on average, while the average medicare-allowed amount was $21,044, of which Medicare paid $19,405. 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 3.6 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.