Level 3 Lower GI Procedures in Iowa
What 26 hospitals in Iowa charged and were paid for level 3 lower gi procedures (APC 5313), from 2024 Medicare claims.
Average charge
$11,548
Hospital list price billed
Average allowed
$2,410
Medicare's payment + patient's share
Medicare paid
$1,971
Average per service
State rank
#13 of 49
1 = lowest average payment
Hospitals in Iowa billed an average of $11,548 for level 3 lower gi procedures, about 4.8 times the average medicare-allowed amount of $2,410. That payment is 11% below the U.S. average of $2,703.
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 $2,410Billed $11,548
About 21¢ was paid for every $1 hospitals in Iowa billed for this service.
Iowa hospitals: level 3 lower gi procedures
Every Iowa hospital that billed Medicare for this service at least 11 times. Click a column to sort.
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
| Iowa Methodist Medical CenterDes Moines, IA | $2,308 |
|---|---|
| Mercy Medical Center-Des MoinesDes Moines, IA | $2,402 |
| Trinity Medical CenterDavenport, IA | $2,406 |
| St Lukes Regional Medical CenterSioux City, IA | $2,409 |
| Mercy Medical Center - Cedar RapidsCedar Rapids, IA | $2,419 |
Highest
| Mercy Medical Center-DubuqueDubuque, IA | $2,560 |
|---|---|
| University of Iowa Hospital & ClinicsIowa City, IA | $2,451 |
| Genesis Medical Center-DavenportDavenport, IA | $2,421 |
| St Lukes HospitalCedar Rapids, IA | $2,421 |
| Mercy Medical Center - Cedar RapidsCedar Rapids, IA | $2,419 |
Level 3 Lower GI Procedures in other states
Questions
How much does level 3 lower gi procedures cost in Iowa?
In 2024 Medicare data, level 3 lower gi procedures (APC 5313) at 26 hospitals in Iowa was billed at $11,548 on average, while the average medicare-allowed amount was $2,410, of which Medicare paid $1,971. 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 4.8 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.