Lower extremity and humerus procedures except hip, foot and femur without complications in Iowa
What 2 hospitals in Iowa charged and were paid for a Medicare hospital stay for lower extremity and humerus procedures except hip, foot and femur without complications (DRG 494), from 2024 Medicare claims.
Average charge
$69,380
Hospital list price billed
Average payment
$13,592
Medicare + patient + other payers
Medicare paid
$11,003
Average per stay
Volume
28
Medicare hospital stays
Hospitals in Iowa billed an average of $69,380 for lower extremity and humerus procedures except hip, foot and femur without complications, about 5.1 times the average total payment of $13,592. That payment is 25% below the U.S. average of $18,176.
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 $13,592Billed $69,380
About 20¢ was paid for every $1 hospitals in Iowa billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Iowa:
Iowa hospitals: lower extremity and humerus procedures except hip, foot and femur without complications
Every Iowa hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| Mercy Medical Center-Des MoinesDes Moines | 15 | $68,525 | $13,511 | $10,493 |
| Iowa Methodist Medical CenterDes Moines | 13 | $70,367 | $13,685 | $11,591 |
Lower extremity and humerus procedures except hip, foot and femur without complications in other states
Questions
How much does lower extremity and humerus procedures except hip, foot and femur without complications cost in Iowa?
In 2024 Medicare data, a hospital stay for lower extremity and humerus procedures except hip, foot and femur without complications (DRG 494) at 2 hospitals in Iowa was billed at $69,380 on average, while the average total payment was $13,592, of which Medicare paid $11,003. 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 stay in Iowa, average charges were 5.1 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.