What 17 hospitals in Iowa charged and were paid for level 2 icd and similar procedures (APC 5232), from 2024 Medicare claims.
Hospitals in Iowa billed an average of $106,233 for level 2 icd and similar procedures, about 3.7 times the average medicare-allowed amount of $28,523. That payment is 8% below the U.S. average of $31,009.
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.
About 27¢ was paid for every $1 hospitals in Iowa billed for this service.
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 | 85 | $87,948 | $29,275 | $27,643 |
| Mercy Medical Center-Des MoinesDes Moines | 60 | $96,562 | $26,739 | $25,107 |
| Iowa Methodist Medical CenterDes Moines | 30 | $153,241 | $27,285 | $25,651 |
| St Lukes HospitalCedar Rapids | 29 | $95,761 | $28,287 | $26,655 |
| Mercy Medical Center-North IowaMason City | 29 | $61,134 | $31,792 | $30,158 |
| Genesis Medical Center-DavenportDavenport | 25 | $128,958 | $28,288 | $26,650 |
| Allen Memorial HospitalWaterloo | 17 | $136,790 | $28,061 | $26,425 |
| St Lukes Regional Medical CenterSioux City | 17 | $165,037 | $28,144 | $26,509 |
| Jennie Edmundson HospitalCouncil Bluffs | 12 | $126,946 | $29,558 | $27,906 |
| St Anthony Regional Hospital & Nursing HomeCarroll | – | – | – | – |
| Trinity Regional Medical CenterFort Dodge | – | – | – | – |
| Mary Greeley Medical CenterAmes | – | – | – | – |
| Mercyone Waterloo Medical CenterWaterloo | – | – | – | – |
| Mercy Medical Center-DubuqueDubuque | – | – | – | – |
| Mercy Medical Center - Cedar RapidsCedar Rapids | – | – | – | – |
| Ottumwa Regional Health CenterOttumwa | – | – | – | – |
| Mercyone Siouxland Medical CenterSioux City | – | – | – | – |
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| Mercy Medical Center-Des MoinesDes Moines, IA | $26,739 |
|---|---|
| Iowa Methodist Medical CenterDes Moines, IA | $27,285 |
| Allen Memorial HospitalWaterloo, IA | $28,061 |
| St Lukes Regional Medical CenterSioux City, IA | $28,144 |
| St Lukes HospitalCedar Rapids, IA | $28,287 |
| Mercy Medical Center-North IowaMason City, IA | $31,792 |
|---|---|
| Jennie Edmundson HospitalCouncil Bluffs, IA | $29,558 |
| University of Iowa Hospital & ClinicsIowa City, IA | $29,275 |
| Genesis Medical Center-DavenportDavenport, IA | $28,288 |
| St Lukes HospitalCedar Rapids, IA | $28,287 |
In 2024 Medicare data, level 2 icd and similar procedures (APC 5232) at 17 hospitals in Iowa was billed at $106,233 on average, while the average medicare-allowed amount was $28,523, of which Medicare paid $26,889. Your own cost depends on your insurance, deductible and the hospital.
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 3.7 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.