Simple pneumonia and pleurisy with complications in Iowa
What 15 hospitals in Iowa charged and were paid for a Medicare hospital stay for simple pneumonia and pleurisy with complications (DRG 194), from 2024 Medicare claims.
Average charge
$24,033
Hospital list price billed
Average payment
$6,219
Medicare + patient + other payers
Medicare paid
$4,662
Average per stay
State rank
#1 of 47
1 = lowest average payment
Hospitals in Iowa billed an average of $24,033 for simple pneumonia and pleurisy with complications, about 3.9 times the average total payment of $6,219. That payment is 22% below the U.S. average of $7,941.
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 $6,219Billed $24,033
About 26¢ was paid for every $1 hospitals in Iowa billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Iowa:
Iowa hospitals: simple pneumonia and pleurisy 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 |
|---|---|---|---|---|
| Mercy Medical Center - Cedar RapidsCedar Rapids | 84 | $21,972 | $6,067 | $4,530 |
| Genesis Medical Center-DavenportDavenport | 53 | $17,933 | $5,961 | $4,343 |
| Mercy Medical Center-DubuqueDubuque | 37 | $25,739 | $5,739 | $4,369 |
| Mary Greeley Medical CenterAmes | 33 | $22,404 | $5,703 | $4,056 |
| Mercy Medical Center-Des MoinesDes Moines | 28 | $35,433 | $6,032 | $4,599 |
| Mercy Medical Center-North IowaMason City | 24 | $24,886 | $6,704 | $5,382 |
| Mercy Medical Center-ClintonClinton | 21 | $31,398 | $7,024 | $5,624 |
| Lakes Regional HealthcareSpirit Lake | 21 | $16,083 | $6,158 | $4,368 |
| Jennie Edmundson HospitalCouncil Bluffs | 20 | $20,058 | $6,044 | $4,647 |
| St Lukes HospitalCedar Rapids | 19 | $15,213 | $5,713 | $4,302 |
| Southeast Iowa Regional Medical CenterWest Burlington | 18 | $24,016 | $6,852 | $5,583 |
| University of Iowa Hospital & ClinicsIowa City | 18 | $39,825 | $8,855 | $5,802 |
| Iowa Methodist Medical CenterDes Moines | 18 | $26,021 | $6,347 | $4,472 |
| Mercy HospitalIowa City | 15 | $31,470 | $5,563 | $4,572 |
| St Lukes Regional Medical CenterSioux City | 12 | $21,990 | $6,293 | $5,010 |
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 | $5,563 |
|---|---|
| Mary Greeley Medical CenterAmes, IA | $5,703 |
| St Lukes HospitalCedar Rapids, IA | $5,713 |
| Mercy Medical Center-DubuqueDubuque, IA | $5,739 |
| Genesis Medical Center-DavenportDavenport, IA | $5,961 |
Highest
| University of Iowa Hospital & ClinicsIowa City, IA | $8,855 |
|---|---|
| Mercy Medical Center-ClintonClinton, IA | $7,024 |
| Southeast Iowa Regional Medical CenterWest Burlington, IA | $6,852 |
| Mercy Medical Center-North IowaMason City, IA | $6,704 |
| Iowa Methodist Medical CenterDes Moines, IA | $6,347 |
Simple pneumonia and pleurisy with complications in other states
Questions
How much does simple pneumonia and pleurisy with complications cost in Iowa?
In 2024 Medicare data, a hospital stay for simple pneumonia and pleurisy with complications (DRG 194) at 15 hospitals in Iowa was billed at $24,033 on average, while the average total payment was $6,219, of which Medicare paid $4,662. 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.