facebook tracking Other circulatory system diagnoses with major complications cost in Iowa: 7 hospitals compared (DRG 314)

Other circulatory system diagnoses with major complications in Iowa

What 7 hospitals in Iowa charged and were paid for a Medicare hospital stay for other circulatory system diagnoses with major complications (DRG 314), from 2024 Medicare claims.

DRG 314 Inpatient 2024 Medicare data
Average charge $63,475 Hospital list price billed
Average payment $16,970 Medicare + patient + other payers
Medicare paid $14,096 Average per stay
State rank #7 of 47 1 = lowest average payment

Hospitals in Iowa billed an average of $63,475 for other circulatory system diagnoses with major complications, about 3.7 times the average total payment of $16,970. That payment is 20% below the U.S. average of $21,323.

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 $16,970Billed $63,475

About 27¢ was paid for every $1 hospitals in Iowa billed for this stay.

Iowa hospitals: other circulatory system diagnoses with major 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
University of Iowa Hospital & ClinicsIowa City 40 $107,670 $22,598 $17,458
Mercy Medical Center-Des MoinesDes Moines 26 $61,009 $14,410 $13,035
Iowa Methodist Medical CenterDes Moines 23 $50,244 $16,081 $12,089
St Lukes Regional Medical CenterSioux City 18 $43,532 $13,655 $11,654
St Lukes HospitalCedar Rapids 16 $33,569 $13,684 $12,916
Southeast Iowa Regional Medical CenterWest Burlington 15 $39,245 $17,610 $16,304
Genesis Medical Center-DavenportDavenport 14 $49,296 $14,435 $11,880
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Lowest and highest payments in Iowa

Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Lowest

St Lukes Regional Medical CenterSioux City, IA$13,655
St Lukes HospitalCedar Rapids, IA$13,684
Mercy Medical Center-Des MoinesDes Moines, IA$14,410
Genesis Medical Center-DavenportDavenport, IA$14,435
Iowa Methodist Medical CenterDes Moines, IA$16,081

Highest

Other circulatory system diagnoses with major complications in other states

Questions

How much does other circulatory system diagnoses with major complications cost in Iowa?

In 2024 Medicare data, a hospital stay for other circulatory system diagnoses with major complications (DRG 314) at 7 hospitals in Iowa was billed at $63,475 on average, while the average total payment was $16,970, of which Medicare paid $14,096. 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 3.7 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.