facebook tracking Level 1 Nerve Procedures cost in Iowa: 29 hospitals compared (APC 5431)

Level 1 Nerve Procedures in Iowa

What 29 hospitals in Iowa charged and were paid for level 1 nerve procedures (APC 5431), from 2024 Medicare claims.

APC 5431 Outpatient 2024 Medicare data
Average charge $10,326 Hospital list price billed
Average allowed $1,654 Medicare's payment + patient's share
Medicare paid $1,313 Average per service
State rank #11 of 49 1 = lowest average payment

Hospitals in Iowa billed an average of $10,326 for level 1 nerve procedures, about 6.2 times the average medicare-allowed amount of $1,654. That payment is 7% below the U.S. average of $1,774.

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 $1,654Billed $10,326

About 16¢ was paid for every $1 hospitals in Iowa billed for this service.

Iowa hospitals: level 1 nerve 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
University of Iowa Hospital & ClinicsIowa City 155 $11,040 $1,688 $1,337
Mercy Medical Center-Des MoinesDes Moines 153 $16,340 $1,652 $1,310
The Finley HospitalDubuque 153 $8,643 $1,652 $1,314
Mary Greeley Medical CenterAmes 133 $8,984 $1,638 $1,301
Mercyone Waterloo Medical CenterWaterloo 114 $14,367 $1,640 $1,304
Mercyone Newton Medical CenterNewton 99 $7,563 $1,617 $1,275
Genesis Medical Center-DavenportDavenport 83 $6,278 $1,412 $1,120
Mercy Medical Center - Cedar RapidsCedar Rapids 82 $4,393 $1,665 $1,326
Spencer Municipal HospitalSpencer 64 $5,434 $1,652 $1,315
St Lukes HospitalCedar Rapids 59 $12,611 $1,643 $1,298
Iowa Methodist Medical CenterDes Moines 59 $10,443 $1,636 $1,295
Southeast Iowa Regional Medical CenterWest Burlington 56 $8,845 $1,733 $1,370
Trinity Regional Medical CenterFort Dodge 55 $7,588 $1,769 $1,409
Sartori Memorial HospitalCedar Falls 37 $19,780 $1,616 $1,280
Jennie Edmundson HospitalCouncil Bluffs 37 $6,353 $1,702 $1,343
Trinity MuscatineMuscatine 34 $11,395 $1,769 $1,409
Broadlawns Medical CenterDes Moines 30 $6,287 $1,657 $1,320
Mercy Medical Center-North IowaMason City 24 $20,440 $1,871 $1,491
Grinnell Regional Medical CenterGrinnell 21 $10,475 $1,594 $1,257
Lakes Regional HealthcareSpirit Lake 20 $5,496 $1,652 $1,316
Marshalltown Medical & Surgical CenterMarshalltown 17 $8,409 $1,775 $1,414
Mercy Medical Center-ClintonClinton 14 $22,374 $1,769 $1,404
Mercy Medical Center-DubuqueDubuque 13 $13,530 $1,761 $1,398
St Anthony Regional Hospital & Nursing HomeCarroll – – – –
Alegent Health Mercy HospitalCouncil Bluffs – – – –
Mercy HospitalIowa City – – – –
Ottumwa Regional Health CenterOttumwa – – – –
Trinity Medical CenterDavenport – – – –
Allen Memorial HospitalWaterloo – – – –
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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

Highest

Mercy Medical Center-North IowaMason City, IA$1,871
Marshalltown Medical & Surgical CenterMarshalltown, IA$1,775
Mercy Medical Center-ClintonClinton, IA$1,769
Trinity MuscatineMuscatine, IA$1,769
Trinity Regional Medical CenterFort Dodge, IA$1,769

Level 1 Nerve Procedures in other states

Questions

How much does level 1 nerve procedures cost in Iowa?

In 2024 Medicare data, level 1 nerve procedures (APC 5431) at 29 hospitals in Iowa was billed at $10,326 on average, while the average medicare-allowed amount was $1,654, of which Medicare paid $1,313. 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 6.2 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.