Pathological fractures and musculoskeletal and connective tissue malignancy with complications in Iowa
What 4 hospitals in Iowa charged and were paid for a Medicare hospital stay for pathological fractures and musculoskeletal and connective tissue malignancy with complications (DRG 543), from 2024 Medicare claims.
Average charge
$38,675
Hospital list price billed
Average payment
$8,632
Medicare + patient + other payers
Medicare paid
$6,485
Average per stay
State rank
#5 of 34
1 = lowest average payment
Hospitals in Iowa billed an average of $38,675 for pathological fractures and musculoskeletal and connective tissue malignancy with complications, about 4.5 times the average total payment of $8,632. That payment is 17% below the U.S. average of $10,379.
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 $8,632Billed $38,675
About 22¢ 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: pathological fractures and musculoskeletal and connective tissue malignancy with 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 - Cedar RapidsCedar Rapids | 14 | $25,323 | $7,149 | $5,561 |
| St Lukes HospitalCedar Rapids | 13 | $21,400 | $7,066 | $5,767 |
| University of Iowa Hospital & ClinicsIowa City | 13 | $84,416 | $13,178 | $8,686 |
| Mercy Medical Center-DubuqueDubuque | 13 | $24,588 | $7,251 | $5,996 |
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 HospitalCedar Rapids, IA | $7,066 |
|---|---|
| Mercy Medical Center - Cedar RapidsCedar Rapids, IA | $7,149 |
| Mercy Medical Center-DubuqueDubuque, IA | $7,251 |
| University of Iowa Hospital & ClinicsIowa City, IA | $13,178 |
Highest
| University of Iowa Hospital & ClinicsIowa City, IA | $13,178 |
|---|---|
| Mercy Medical Center-DubuqueDubuque, IA | $7,251 |
| Mercy Medical Center - Cedar RapidsCedar Rapids, IA | $7,149 |
| St Lukes HospitalCedar Rapids, IA | $7,066 |
Pathological fractures and musculoskeletal and connective tissue malignancy with complications in other states
Questions
How much does pathological fractures and musculoskeletal and connective tissue malignancy with complications cost in Iowa?
In 2024 Medicare data, a hospital stay for pathological fractures and musculoskeletal and connective tissue malignancy with complications (DRG 543) at 4 hospitals in Iowa was billed at $38,675 on average, while the average total payment was $8,632, of which Medicare paid $6,485. 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 4.5 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.