facebook tracking Other factors influencing health status cost in Iowa: 2 hospitals compared (DRG 951)

Other factors influencing health status in Iowa

What 2 hospitals in Iowa charged and were paid for a Medicare hospital stay for other factors influencing health status (DRG 951), from 2024 Medicare claims.

DRG 951 Inpatient 2024 Medicare data
Average charge $17,501 Hospital list price billed
Average payment $4,441 Medicare + patient + other payers
Medicare paid $3,186 Average per stay
Volume 36 Medicare hospital stays

Hospitals in Iowa billed an average of $17,501 for other factors influencing health status, about 3.9 times the average total payment of $4,441. That payment is 28% below the U.S. average of $6,140.

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 $4,441Billed $17,501

About 25¢ was paid for every $1 hospitals in Iowa billed for this stay.

Iowa hospitals: other factors influencing health status

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
Iowa Methodist Medical CenterDes Moines 20 $22,491 $4,636 $3,134
St Lukes HospitalCedar Rapids 16 $11,263 $4,198 $3,252
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Other factors influencing health status in other states

Questions

How much does other factors influencing health status cost in Iowa?

In 2024 Medicare data, a hospital stay for other factors influencing health status (DRG 951) at 2 hospitals in Iowa was billed at $17,501 on average, while the average total payment was $4,441, of which Medicare paid $3,186. 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 3.9 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.