Level 6 Musculoskeletal Procedures in Iowa
What 29 hospitals in Iowa charged and were paid for level 6 musculoskeletal procedures (APC 5116), from 2024 Medicare claims.
Average charge
$80,535
Hospital list price billed
Average allowed
$16,087
Medicare's payment + patient's share
Medicare paid
$14,455
Average per service
State rank
#14 of 49
1 = lowest average payment
Hospitals in Iowa billed an average of $80,535 for level 6 musculoskeletal procedures, about 5.0 times the average medicare-allowed amount of $16,087. That payment is 8% below the U.S. average of $17,392.
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 $16,087Billed $80,535
About 20¢ was paid for every $1 hospitals in Iowa billed for this service.
Iowa hospitals: level 6 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 | 234 | $93,038 | $15,788 | $14,155 |
| Mercy Medical Center-Des MoinesDes Moines | 195 | $118,786 | $15,698 | $14,071 |
| University of Iowa Hospital & ClinicsIowa City | 102 | $86,042 | $16,306 | $14,673 |
| Mercy Medical Center-North IowaMason City | 98 | $66,378 | $17,354 | $15,722 |
| Mercy HospitalIowa City | 97 | $83,248 | $16,443 | $14,811 |
| St Lukes HospitalCedar Rapids | 85 | $83,427 | $16,038 | $14,406 |
| Genesis Medical Center-DavenportDavenport | 84 | $53,586 | $15,866 | $14,234 |
| Mercy Medical Center - Cedar RapidsCedar Rapids | 55 | $64,323 | $15,776 | $14,144 |
| Spencer Municipal HospitalSpencer | 55 | $52,417 | $15,909 | $14,277 |
| Mercy Medical Center-DubuqueDubuque | 46 | $45,756 | $16,636 | $14,999 |
| Mary Greeley Medical CenterAmes | 45 | $54,611 | $15,652 | $14,020 |
| Jennie Edmundson HospitalCouncil Bluffs | 45 | $59,986 | $16,085 | $14,453 |
| Sartori Memorial HospitalCedar Falls | 35 | $105,963 | $15,502 | $13,870 |
| Southeast Iowa Regional Medical CenterWest Burlington | 28 | $47,114 | $17,174 | $15,542 |
| Trinity Medical CenterDavenport | 25 | $69,596 | $15,935 | $14,303 |
| Alegent Health Mercy HospitalCouncil Bluffs | 22 | $62,913 | $16,757 | $15,125 |
| Allen Memorial HospitalWaterloo | 22 | $60,450 | $15,909 | $14,277 |
| Lakes Regional HealthcareSpirit Lake | 21 | $62,645 | $15,909 | $14,277 |
| The Finley HospitalDubuque | 18 | $59,631 | $15,909 | $14,277 |
| Broadlawns Medical CenterDes Moines | 14 | $96,655 | $15,963 | $14,331 |
| Marshalltown Medical & Surgical CenterMarshalltown | – | – | – | – |
| St Anthony Regional Hospital & Nursing HomeCarroll | – | – | – | – |
| Trinity Regional Medical CenterFort Dodge | – | – | – | – |
| Mercyone Waterloo Medical CenterWaterloo | – | – | – | – |
| Mercy Medical Center-ClintonClinton | – | – | – | – |
| Ottumwa Regional Health CenterOttumwa | – | – | – | – |
| 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
| Sartori Memorial HospitalCedar Falls, IA | $15,502 |
|---|---|
| Mary Greeley Medical CenterAmes, IA | $15,652 |
| Mercy Medical Center-Des MoinesDes Moines, IA | $15,698 |
| Mercy Medical Center - Cedar RapidsCedar Rapids, IA | $15,776 |
| Iowa Methodist Medical CenterDes Moines, IA | $15,788 |
Highest
| Mercy Medical Center-North IowaMason City, IA | $17,354 |
|---|---|
| Southeast Iowa Regional Medical CenterWest Burlington, IA | $17,174 |
| Alegent Health Mercy HospitalCouncil Bluffs, IA | $16,757 |
| Mercy Medical Center-DubuqueDubuque, IA | $16,636 |
| Mercy HospitalIowa City, IA | $16,443 |
Level 6 Musculoskeletal Procedures in other states
Questions
How much does level 6 musculoskeletal procedures cost in Iowa?
In 2024 Medicare data, level 6 musculoskeletal procedures (APC 5116) at 29 hospitals in Iowa was billed at $80,535 on average, while the average medicare-allowed amount was $16,087, of which Medicare paid $14,455. 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 5.0 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.