What 1 hospital in Iowa charged and were paid for a Medicare hospital stay for pneumothorax with complications (DRG 200), from 2024 Medicare claims.
Hospitals in Iowa billed an average of $15,224 for pneumothorax with complications, about 1.9 times the average total payment of $7,892. That payment is 34% below the U.S. average of $12,018.
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.
About 52¢ was paid for every $1 hospitals in Iowa billed for this stay.
Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Iowa:
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 | 13 | $15,224 | $7,892 | $6,438 |
In 2024 Medicare data, a hospital stay for pneumothorax with complications (DRG 200) at 1 hospital in Iowa was billed at $15,224 on average, while the average total payment was $7,892, of which Medicare paid $6,438. Your own cost depends on your insurance, deductible and the hospital.
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 1.9 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.