Level 3 Musculoskeletal Procedures in Iowa
What 31 hospitals in Iowa charged and were paid for level 3 musculoskeletal procedures (APC 5113), from 2024 Medicare claims.
Average charge
$17,114
Hospital list price billed
Average allowed
$2,782
Medicare's payment + patient's share
Medicare paid
$2,205
Average per service
State rank
#16 of 49
1 = lowest average payment
Hospitals in Iowa billed an average of $17,114 for level 3 musculoskeletal procedures, about 6.2 times the average medicare-allowed amount of $2,782. That payment is 7% below the U.S. average of $2,995.
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 $2,782Billed $17,114
About 16¢ was paid for every $1 hospitals in Iowa billed for this service.
Iowa hospitals: level 3 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 |
|---|---|---|---|---|
| Mary Greeley Medical CenterAmes | 127 | $14,197 | $2,713 | $2,146 |
| The Finley HospitalDubuque | 97 | $13,995 | $2,746 | $2,181 |
| University of Iowa Hospital & ClinicsIowa City | 94 | $22,455 | $2,840 | $2,253 |
| Iowa Methodist Medical CenterDes Moines | 81 | $17,597 | $2,752 | $2,187 |
| Mercyone Waterloo Medical CenterWaterloo | 69 | $27,676 | $2,769 | $2,206 |
| Southeast Iowa Regional Medical CenterWest Burlington | 58 | $12,226 | $2,948 | $2,341 |
| Mercy Medical Center-Des MoinesDes Moines | 52 | $13,536 | $2,520 | $1,957 |
| Spencer Municipal HospitalSpencer | 49 | $12,722 | $2,769 | $2,206 |
| Sartori Memorial HospitalCedar Falls | 45 | $26,148 | $2,671 | $2,108 |
| Mercy Medical Center-North IowaMason City | 44 | $32,598 | $3,138 | $2,494 |
| Genesis Medical Center-DavenportDavenport | 43 | $10,322 | $2,701 | $2,131 |
| Mercy Medical Center - Cedar RapidsCedar Rapids | 37 | $14,429 | $2,671 | $2,104 |
| Trinity Regional Medical CenterFort Dodge | 36 | $12,609 | $2,900 | $2,297 |
| Lakes Regional HealthcareSpirit Lake | 34 | $8,630 | $2,769 | $2,206 |
| Allen Memorial HospitalWaterloo | 33 | $11,135 | $2,769 | $2,206 |
| Jennie Edmundson HospitalCouncil Bluffs | 31 | $16,366 | $2,842 | $2,245 |
| Mercy Medical Center-DubuqueDubuque | 28 | $17,193 | $2,952 | $2,341 |
| St Lukes HospitalCedar Rapids | 26 | $14,259 | $2,791 | $2,224 |
| Alegent Health Mercy HospitalCouncil Bluffs | 22 | $32,382 | $2,917 | $2,315 |
| Marshalltown Medical & Surgical CenterMarshalltown | 20 | $10,006 | $2,975 | $2,371 |
| Trinity Medical CenterDavenport | 17 | $12,427 | $2,643 | $2,080 |
| Mercy HospitalIowa City | 14 | $21,168 | $2,476 | $1,973 |
| Mercyone Siouxland Medical CenterSioux City | 14 | $14,465 | $2,708 | $2,153 |
| Ottumwa Regional Health CenterOttumwa | 12 | $18,759 | $2,989 | $2,382 |
| Broadlawns Medical CenterDes Moines | 11 | $15,430 | $2,778 | $2,213 |
| St Anthony Regional Hospital & Nursing HomeCarroll | – | – | – | – |
| Trinity MuscatineMuscatine | – | – | – | – |
| Mercyone Newton Medical CenterNewton | – | – | – | – |
| Mercy Medical Center-ClintonClinton | – | – | – | – |
| St Lukes Regional Medical CenterSioux City | – | – | – | – |
| Grinnell Regional Medical CenterGrinnell | – | – | – | – |
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 HospitalIowa City, IA | $2,476 |
|---|---|
| Mercy Medical Center-Des MoinesDes Moines, IA | $2,520 |
| Trinity Medical CenterDavenport, IA | $2,643 |
| Sartori Memorial HospitalCedar Falls, IA | $2,671 |
| Mercy Medical Center - Cedar RapidsCedar Rapids, IA | $2,671 |
Highest
| Mercy Medical Center-North IowaMason City, IA | $3,138 |
|---|---|
| Ottumwa Regional Health CenterOttumwa, IA | $2,989 |
| Marshalltown Medical & Surgical CenterMarshalltown, IA | $2,975 |
| Mercy Medical Center-DubuqueDubuque, IA | $2,952 |
| Southeast Iowa Regional Medical CenterWest Burlington, IA | $2,948 |
Level 3 Musculoskeletal Procedures in other states
Questions
How much does level 3 musculoskeletal procedures cost in Iowa?
In 2024 Medicare data, level 3 musculoskeletal procedures (APC 5113) at 31 hospitals in Iowa was billed at $17,114 on average, while the average medicare-allowed amount was $2,782, of which Medicare paid $2,205. 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.