Level 4 Musculoskeletal Procedures in Iowa
What 31 hospitals in Iowa charged and were paid for level 4 musculoskeletal procedures (APC 5114), from 2024 Medicare claims.
Average charge
$33,489
Hospital list price billed
Average allowed
$6,231
Medicare's payment + patient's share
Medicare paid
$4,951
Average per service
State rank
#15 of 49
1 = lowest average payment
Hospitals in Iowa billed an average of $33,489 for level 4 musculoskeletal procedures, about 5.4 times the average medicare-allowed amount of $6,231. That payment is 7% below the U.S. average of $6,708.
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 $6,231Billed $33,489
About 19¢ was paid for every $1 hospitals in Iowa billed for this service.
Iowa hospitals: level 4 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 |
|---|---|---|---|---|
| Iowa Methodist Medical CenterDes Moines | 150 | $37,211 | $6,111 | $4,859 |
| Mercy Medical Center-Des MoinesDes Moines | 142 | $38,321 | $6,085 | $4,842 |
| Mercy Medical Center-North IowaMason City | 138 | $46,022 | $6,869 | $5,464 |
| University of Iowa Hospital & ClinicsIowa City | 136 | $35,420 | $6,385 | $5,087 |
| Mary Greeley Medical CenterAmes | 130 | $25,510 | $6,030 | $4,782 |
| Mercy Medical Center - Cedar RapidsCedar Rapids | 115 | $25,611 | $6,024 | $4,778 |
| Genesis Medical Center-DavenportDavenport | 94 | $24,060 | $6,169 | $4,915 |
| The Finley HospitalDubuque | 92 | $25,283 | $6,067 | $4,822 |
| Mercy Medical Center-DubuqueDubuque | 87 | $34,721 | $6,463 | $5,134 |
| Allen Memorial HospitalWaterloo | 85 | $26,848 | $6,120 | $4,875 |
| Spencer Municipal HospitalSpencer | 71 | $25,875 | $5,982 | $4,739 |
| Southeast Iowa Regional Medical CenterWest Burlington | 64 | $28,558 | $6,443 | $5,100 |
| Jennie Edmundson HospitalCouncil Bluffs | 62 | $28,913 | $6,447 | $5,133 |
| Mercyone Waterloo Medical CenterWaterloo | 60 | $64,265 | $5,957 | $4,713 |
| St Lukes HospitalCedar Rapids | 55 | $28,671 | $5,992 | $4,737 |
| Sartori Memorial HospitalCedar Falls | 52 | $48,661 | $6,026 | $4,782 |
| Mercy HospitalIowa City | 50 | $37,144 | $6,385 | $5,087 |
| Lakes Regional HealthcareSpirit Lake | 47 | $21,809 | $6,120 | $4,876 |
| Trinity Regional Medical CenterFort Dodge | 33 | $33,411 | $6,554 | $5,222 |
| Marshalltown Medical & Surgical CenterMarshalltown | 29 | $30,666 | $6,576 | $5,240 |
| Trinity Medical CenterDavenport | 26 | $24,510 | $6,130 | $4,876 |
| Alegent Health Mercy HospitalCouncil Bluffs | 25 | $40,600 | $6,447 | $5,132 |
| Broadlawns Medical CenterDes Moines | 16 | $43,533 | $6,140 | $4,892 |
| Mercyone Newton Medical CenterNewton | 15 | $25,536 | $5,814 | $4,555 |
| Ottumwa Regional Health CenterOttumwa | 14 | $33,193 | $6,231 | $4,888 |
| Mercyone Siouxland Medical CenterSioux City | 11 | $37,521 | $6,447 | $5,119 |
| St Anthony Regional Hospital & Nursing HomeCarroll | – | – | – | – |
| Trinity MuscatineMuscatine | – | – | – | – |
| 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
| Mercyone Newton Medical CenterNewton, IA | $5,814 |
|---|---|
| Mercyone Waterloo Medical CenterWaterloo, IA | $5,957 |
| Spencer Municipal HospitalSpencer, IA | $5,982 |
| St Lukes HospitalCedar Rapids, IA | $5,992 |
| Mercy Medical Center - Cedar RapidsCedar Rapids, IA | $6,024 |
Highest
| Mercy Medical Center-North IowaMason City, IA | $6,869 |
|---|---|
| Marshalltown Medical & Surgical CenterMarshalltown, IA | $6,576 |
| Trinity Regional Medical CenterFort Dodge, IA | $6,554 |
| Mercy Medical Center-DubuqueDubuque, IA | $6,463 |
| Mercyone Siouxland Medical CenterSioux City, IA | $6,447 |
Level 4 Musculoskeletal Procedures in other states
Questions
How much does level 4 musculoskeletal procedures cost in Iowa?
In 2024 Medicare data, level 4 musculoskeletal procedures (APC 5114) at 31 hospitals in Iowa was billed at $33,489 on average, while the average medicare-allowed amount was $6,231, of which Medicare paid $4,951. 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 5.4 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.