facebook tracking Level 2 ICD and Similar Procedures cost in Iowa: 17 hospitals compared (APC 5232)

Level 2 ICD and Similar Procedures in Iowa

What 17 hospitals in Iowa charged and were paid for level 2 icd and similar procedures (APC 5232), from 2024 Medicare claims.

APC 5232 Outpatient 2024 Medicare data
Average charge $106,233 Hospital list price billed
Average allowed $28,523 Medicare's payment + patient's share
Medicare paid $26,889 Average per service
State rank #13 of 47 1 = lowest average payment

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.

Paid $28,523Billed $106,233

About 27¢ was paid for every $1 hospitals in Iowa billed for this service.

Iowa hospitals: level 2 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
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 – – – –
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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

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

Highest

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

Level 2 ICD and Similar Procedures in other states

Questions

How much does level 2 icd and similar procedures cost in Iowa?

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.

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 3.7 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.