facebook tracking Revision of hip or knee replacement with complications cost in Iowa: 6 hospitals compared (DRG 467)

Revision of hip or knee replacement with complications in Iowa

What 6 hospitals in Iowa charged and were paid for a Medicare hospital stay for revision of hip or knee replacement with complications (DRG 467), from 2024 Medicare claims.

DRG 467 Inpatient 2024 Medicare data
Average charge $110,569 Hospital list price billed
Average payment $26,272 Medicare + patient + other payers
Medicare paid $23,040 Average per stay
State rank #7 of 41 1 = lowest average payment

Hospitals in Iowa billed an average of $110,569 for revision of hip or knee replacement with complications, about 4.2 times the average total payment of $26,272. That payment is 14% below the U.S. average of $30,673.

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 $26,272Billed $110,569

About 24¢ was paid for every $1 hospitals in Iowa billed for this stay.

Iowa hospitals: revision of hip or knee replacement with 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 36 $118,519 $24,580 $22,841
University of Iowa Hospital & ClinicsIowa City 34 $147,888 $32,670 $28,441
Genesis Medical Center-DavenportDavenport 28 $97,788 $24,463 $21,969
Mercy Medical Center-Des MoinesDes Moines 23 $85,535 $23,816 $21,084
Mercy HospitalIowa City 13 $103,413 $23,513 $19,874
St Lukes HospitalCedar Rapids 11 $62,527 $25,042 $17,552
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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 HospitalIowa City, IA$23,513
Mercy Medical Center-Des MoinesDes Moines, IA$23,816
Genesis Medical Center-DavenportDavenport, IA$24,463
Iowa Methodist Medical CenterDes Moines, IA$24,580
St Lukes HospitalCedar Rapids, IA$25,042

Highest

University of Iowa Hospital & ClinicsIowa City, IA$32,670
St Lukes HospitalCedar Rapids, IA$25,042
Iowa Methodist Medical CenterDes Moines, IA$24,580
Genesis Medical Center-DavenportDavenport, IA$24,463
Mercy Medical Center-Des MoinesDes Moines, IA$23,816

Revision of hip or knee replacement with complications in other states

Questions

How much does revision of hip or knee replacement with complications cost in Iowa?

In 2024 Medicare data, a hospital stay for revision of hip or knee replacement with complications (DRG 467) at 6 hospitals in Iowa was billed at $110,569 on average, while the average total payment was $26,272, of which Medicare paid $23,040. 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 4.2 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.