Level 2 Musculoskeletal Procedures in Iowa
What 31 hospitals in Iowa charged and were paid for level 2 musculoskeletal procedures (APC 5112), from 2024 Medicare claims.
Average charge
$9,653
Hospital list price billed
Average allowed
$1,392
Medicare's payment + patient's share
Medicare paid
$1,103
Average per service
State rank
#15 of 49
1 = lowest average payment
Hospitals in Iowa billed an average of $9,653 for level 2 musculoskeletal procedures, about 6.9 times the average medicare-allowed amount of $1,392. That payment is 8% below the U.S. average of $1,511.
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 $1,392Billed $9,653
About 14¢ was paid for every $1 hospitals in Iowa billed for this service.
Iowa hospitals: level 2 musculoskeletal 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 |
|---|---|---|---|---|
| Southeast Iowa Regional Medical CenterWest Burlington | 84 | $4,629 | $1,476 | $1,175 |
| Mercyone Waterloo Medical CenterWaterloo | 83 | $17,785 | $1,335 | $1,054 |
| Mary Greeley Medical CenterAmes | 74 | $7,092 | $1,365 | $1,085 |
| University of Iowa Hospital & ClinicsIowa City | 64 | $8,912 | $1,417 | $1,124 |
| Iowa Methodist Medical CenterDes Moines | 44 | $9,700 | $1,356 | $1,076 |
| Mercy HospitalIowa City | 36 | $11,050 | $1,434 | $1,143 |
| Mercy Medical Center-DubuqueDubuque | 35 | $9,322 | $1,465 | $1,165 |
| Sartori Memorial HospitalCedar Falls | 34 | $18,266 | $1,375 | $1,090 |
| Spencer Municipal HospitalSpencer | 34 | $6,852 | $1,343 | $1,060 |
| Mercy Medical Center-Des MoinesDes Moines | 27 | $11,905 | $1,375 | $1,095 |
| The Finley HospitalDubuque | 27 | $9,219 | $1,375 | $1,095 |
| Genesis Medical Center-DavenportDavenport | 25 | $5,381 | $1,292 | $1,029 |
| Mercy Medical Center - Cedar RapidsCedar Rapids | 21 | $10,877 | $1,386 | $1,098 |
| Mercy Medical Center-North IowaMason City | 20 | $15,243 | $1,434 | $1,107 |
| Mercyone Newton Medical CenterNewton | 18 | $3,574 | $1,380 | $1,092 |
| Broadlawns Medical CenterDes Moines | 18 | $5,728 | $1,379 | $1,099 |
| Marshalltown Medical & Surgical CenterMarshalltown | 17 | $6,266 | $1,477 | $1,175 |
| St Lukes HospitalCedar Rapids | 15 | $8,858 | $1,294 | $1,031 |
| Jennie Edmundson HospitalCouncil Bluffs | 14 | $8,055 | $1,366 | $1,058 |
| Mercy Medical Center-ClintonClinton | 14 | $5,186 | $1,473 | $1,161 |
| St Anthony Regional Hospital & Nursing HomeCarroll | – | – | – | – |
| Trinity MuscatineMuscatine | – | – | – | – |
| Trinity Regional Medical CenterFort Dodge | – | – | – | – |
| Alegent Health Mercy HospitalCouncil Bluffs | – | – | – | – |
| Ottumwa Regional Health CenterOttumwa | – | – | – | – |
| Trinity Medical CenterDavenport | – | – | – | – |
| Allen Memorial HospitalWaterloo | – | – | – | – |
| Lakes Regional HealthcareSpirit Lake | – | – | – | – |
| St Lukes Regional Medical CenterSioux City | – | – | – | – |
| Grinnell Regional Medical CenterGrinnell | – | – | – | – |
| 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
| Genesis Medical Center-DavenportDavenport, IA | $1,292 |
|---|---|
| St Lukes HospitalCedar Rapids, IA | $1,294 |
| Mercyone Waterloo Medical CenterWaterloo, IA | $1,335 |
| Spencer Municipal HospitalSpencer, IA | $1,343 |
| Iowa Methodist Medical CenterDes Moines, IA | $1,356 |
Highest
| Marshalltown Medical & Surgical CenterMarshalltown, IA | $1,477 |
|---|---|
| Southeast Iowa Regional Medical CenterWest Burlington, IA | $1,476 |
| Mercy Medical Center-ClintonClinton, IA | $1,473 |
| Mercy Medical Center-DubuqueDubuque, IA | $1,465 |
| Mercy HospitalIowa City, IA | $1,434 |
Level 2 Musculoskeletal Procedures in other states
Questions
How much does level 2 musculoskeletal procedures cost in Iowa?
In 2024 Medicare data, level 2 musculoskeletal procedures (APC 5112) at 31 hospitals in Iowa was billed at $9,653 on average, while the average medicare-allowed amount was $1,392, of which Medicare paid $1,103. 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 6.9 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.