facebook tracking Pulmonary embolism with major complications or acute cor pulmonale cost in Iowa: 11 hospitals compared (DRG 175)

Pulmonary embolism with major complications or acute cor pulmonale in Iowa

What 11 hospitals in Iowa charged and were paid for a Medicare hospital stay for pulmonary embolism with major complications or acute cor pulmonale (DRG 175), from 2024 Medicare claims.

DRG 175 Inpatient 2024 Medicare data
Average charge $41,298 Hospital list price billed
Average payment $11,105 Medicare + patient + other payers
Medicare paid $8,711 Average per stay
State rank #5 of 48 1 = lowest average payment

Hospitals in Iowa billed an average of $41,298 for pulmonary embolism with major complications or acute cor pulmonale, about 3.7 times the average total payment of $11,105. That payment is 18% below the U.S. average of $13,466.

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 $11,105Billed $41,298

About 27¢ 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: pulmonary embolism with major complications or acute cor pulmonale

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
University of Iowa Hospital & ClinicsIowa City 45 $60,097 $15,310 $10,779
Iowa Methodist Medical CenterDes Moines 38 $48,172 $10,650 $8,239
Mercy Medical Center-DubuqueDubuque 26 $30,834 $9,618 $8,090
Mercy Medical Center-Des MoinesDes Moines 24 $53,840 $10,153 $7,949
Genesis Medical Center-DavenportDavenport 23 $40,911 $9,996 $8,701
St Lukes HospitalCedar Rapids 22 $22,861 $9,758 $7,334
Mercy Medical Center-North IowaMason City 21 $45,667 $11,327 $9,369
St Lukes Regional Medical CenterSioux City 21 $28,352 $10,232 $8,199
Allen Memorial HospitalWaterloo 20 $22,960 $9,945 $7,238
Mercy Medical Center - Cedar RapidsCedar Rapids 17 $35,605 $9,603 $8,274
Southeast Iowa Regional Medical CenterWest Burlington 13 $35,296 $11,660 $10,530
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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

Mercy Medical Center - Cedar RapidsCedar Rapids, IA$9,603
Mercy Medical Center-DubuqueDubuque, IA$9,618
St Lukes HospitalCedar Rapids, IA$9,758
Allen Memorial HospitalWaterloo, IA$9,945
Genesis Medical Center-DavenportDavenport, IA$9,996

Highest

Pulmonary embolism with major complications or acute cor pulmonale in other states

Questions

How much does pulmonary embolism with major complications or acute cor pulmonale cost in Iowa?

In 2024 Medicare data, a hospital stay for pulmonary embolism with major complications or acute cor pulmonale (DRG 175) at 11 hospitals in Iowa was billed at $41,298 on average, while the average total payment was $11,105, of which Medicare paid $8,711. 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 3.7 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.