facebook tracking Pulmonary edema and respiratory failure cost in Iowa: 28 hospitals compared (DRG 189)

Pulmonary edema and respiratory failure in Iowa

What 28 hospitals in Iowa charged and were paid for a Medicare hospital stay for pulmonary edema and respiratory failure (DRG 189), from 2024 Medicare claims.

DRG 189 Inpatient 2024 Medicare data
Average charge $39,445 Hospital list price billed
Average payment $10,161 Medicare + patient + other payers
Medicare paid $8,112 Average per stay
State rank #10 of 50 1 = lowest average payment

Hospitals in Iowa billed an average of $39,445 for pulmonary edema and respiratory failure, about 3.9 times the average total payment of $10,161. That payment is 17% below the U.S. average of $12,197.

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 $10,161Billed $39,445

About 26¢ was paid for every $1 hospitals in Iowa billed for this stay.

Iowa hospitals: pulmonary edema and respiratory failure

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 175 $37,935 $9,898 $6,955
University of Iowa Hospital & ClinicsIowa City 148 $77,225 $15,179 $10,688
Mercy Medical Center-Des MoinesDes Moines 85 $54,129 $9,259 $7,615
Mercy Medical Center - Cedar RapidsCedar Rapids 78 $31,072 $8,849 $7,502
St Lukes HospitalCedar Rapids 75 $30,855 $8,607 $7,244
Southeast Iowa Regional Medical CenterWest Burlington 56 $26,408 $10,344 $9,266
Mercy Medical Center-DubuqueDubuque 55 $34,125 $8,623 $7,638
St Lukes Regional Medical CenterSioux City 49 $28,286 $8,601 $6,802
Genesis Medical Center-DavenportDavenport 46 $27,224 $8,874 $7,439
Allen Memorial HospitalWaterloo 41 $25,994 $9,256 $6,824
Trinity Regional Medical CenterFort Dodge 40 $30,582 $8,993 $7,579
Mercy Medical Center-North IowaMason City 40 $47,431 $10,249 $8,306
Mary Greeley Medical CenterAmes 37 $33,585 $8,799 $6,918
The Finley HospitalDubuque 35 $23,966 $8,261 $6,535
Jennie Edmundson HospitalCouncil Bluffs 34 $36,577 $9,100 $7,642
Mercy Medical Center-ClintonClinton 32 $42,783 $10,549 $9,681
Trinity MuscatineMuscatine 25 $17,062 $12,690 $11,904
Alegent Health Mercy HospitalCouncil Bluffs 22 $30,786 $10,324 $7,721
Trinity Medical CenterDavenport 20 $34,976 $8,402 $7,015
Mercy HospitalIowa City 19 $55,177 $9,394 $8,509
Lakes Regional HealthcareSpirit Lake 16 $20,810 $8,900 $8,084
Marshalltown Medical & Surgical CenterMarshalltown 15 $20,137 $10,955 $9,429
Spencer Municipal HospitalSpencer 14 $26,555 $10,141 $8,858
Mercyone Waterloo Medical CenterWaterloo 12 $21,145 $9,614 $7,948
Ottumwa Regional Health CenterOttumwa 12 $49,819 $10,184 $9,232
Grinnell Regional Medical CenterGrinnell 12 $26,542 $7,992 $7,040
Broadlawns Medical CenterDes Moines 11 $29,298 $15,926 $13,945
Mercyone Siouxland Medical CenterSioux City 11 $26,731 $9,246 $8,108
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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

Grinnell Regional Medical CenterGrinnell, IA$7,992
The Finley HospitalDubuque, IA$8,261
Trinity Medical CenterDavenport, IA$8,402
St Lukes Regional Medical CenterSioux City, IA$8,601
St Lukes HospitalCedar Rapids, IA$8,607

Highest

Broadlawns Medical CenterDes Moines, IA$15,926
University of Iowa Hospital & ClinicsIowa City, IA$15,179
Trinity MuscatineMuscatine, IA$12,690
Marshalltown Medical & Surgical CenterMarshalltown, IA$10,955
Mercy Medical Center-ClintonClinton, IA$10,549

Pulmonary edema and respiratory failure in other states

Questions

How much does pulmonary edema and respiratory failure cost in Iowa?

In 2024 Medicare data, a hospital stay for pulmonary edema and respiratory failure (DRG 189) at 28 hospitals in Iowa was billed at $39,445 on average, while the average total payment was $10,161, of which Medicare paid $8,112. 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.