Respiratory system diagnosis with ventilator support >96 hours in Iowa
What 2 hospitals in Iowa charged and were paid for a Medicare hospital stay for respiratory system diagnosis with ventilator support >96 hours (DRG 207), from 2024 Medicare claims.
Average charge
$235,524
Hospital list price billed
Average payment
$58,020
Medicare + patient + other payers
Medicare paid
$53,219
Average per stay
Volume
26
Medicare hospital stays
Hospitals in Iowa billed an average of $235,524 for respiratory system diagnosis with ventilator support >96 hours, about 4.1 times the average total payment of $58,020. That payment is 11% below the U.S. average of $65,323.
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 $58,020Billed $235,524
About 25¢ was paid for every $1 hospitals in Iowa billed for this stay.
Iowa hospitals: respiratory system diagnosis with ventilator support >96 hours
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 | 14 | $203,950 | $47,598 | $44,336 |
| University of Iowa Hospital & ClinicsIowa City | 12 | $272,359 | $70,180 | $63,582 |
Respiratory system diagnosis with ventilator support >96 hours in other states
Questions
How much does respiratory system diagnosis with ventilator support >96 hours cost in Iowa?
In 2024 Medicare data, a hospital stay for respiratory system diagnosis with ventilator support >96 hours (DRG 207) at 2 hospitals in Iowa was billed at $235,524 on average, while the average total payment was $58,020, of which Medicare paid $53,219. 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 4.1 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.