facebook tracking Poisoning and toxic effects of drugs with major complications cost in Iowa: 2 hospitals compared (DRG 917)

Poisoning and toxic effects of drugs with major complications in Iowa

What 2 hospitals in Iowa charged and were paid for a Medicare hospital stay for poisoning and toxic effects of drugs with major complications (DRG 917), from 2024 Medicare claims.

DRG 917 Inpatient 2024 Medicare data
Average charge $69,005 Hospital list price billed
Average payment $15,595 Medicare + patient + other payers
Medicare paid $11,087 Average per stay
Volume 34 Medicare hospital stays

Hospitals in Iowa billed an average of $69,005 for poisoning and toxic effects of drugs with major complications, about 4.4 times the average total payment of $15,595. That payment is 8% below the U.S. average of $16,910.

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 $15,595Billed $69,005

About 23¢ 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:

Iowa hospitals: poisoning and toxic effects of drugs 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
Iowa Methodist Medical CenterDes Moines 21 $42,093 $11,786 $9,306
University of Iowa Hospital & ClinicsIowa City 13 $112,479 $21,748 $13,964
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Poisoning and toxic effects of drugs with major complications in other states

Questions

How much does poisoning and toxic effects of drugs with major complications cost in Iowa?

In 2024 Medicare data, a hospital stay for poisoning and toxic effects of drugs with major complications (DRG 917) at 2 hospitals in Iowa was billed at $69,005 on average, while the average total payment was $15,595, of which Medicare paid $11,087. 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 4.4 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.