Simple pneumonia and pleurisy with major complications in Iowa
What 27 hospitals in Iowa charged and were paid for a Medicare hospital stay for simple pneumonia and pleurisy with major complications (DRG 193), from 2024 Medicare claims.
Average charge
$33,825
Hospital list price billed
Average payment
$10,045
Medicare + patient + other payers
Medicare paid
$8,347
Average per stay
State rank
#6 of 50
1 = lowest average payment
Hospitals in Iowa billed an average of $33,825 for simple pneumonia and pleurisy with major complications, about 3.4 times the average total payment of $10,045. That payment is 16% below the U.S. average of $12,020.
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 $10,045Billed $33,825
About 30¢ 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 major 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-North IowaMason City | 114 | $36,808 | $10,690 | $8,741 |
| Mercy Medical Center-Des MoinesDes Moines | 114 | $50,306 | $9,536 | $7,702 |
| Mercy Medical Center - Cedar RapidsCedar Rapids | 108 | $28,582 | $9,108 | $7,802 |
| Genesis Medical Center-DavenportDavenport | 107 | $23,402 | $9,344 | $7,925 |
| Mercy Medical Center-DubuqueDubuque | 104 | $29,569 | $9,242 | $7,830 |
| Iowa Methodist Medical CenterDes Moines | 104 | $37,847 | $10,205 | $7,817 |
| St Lukes HospitalCedar Rapids | 74 | $23,558 | $9,277 | $7,535 |
| University of Iowa Hospital & ClinicsIowa City | 60 | $66,171 | $14,718 | $10,896 |
| Southeast Iowa Regional Medical CenterWest Burlington | 58 | $29,676 | $11,016 | $9,739 |
| Mercy HospitalIowa City | 56 | $54,708 | $9,066 | $8,030 |
| Mercy Medical Center-ClintonClinton | 53 | $39,384 | $11,608 | $9,556 |
| Mary Greeley Medical CenterAmes | 50 | $34,160 | $8,705 | $7,351 |
| The Finley HospitalDubuque | 50 | $23,811 | $8,620 | $7,381 |
| St Lukes Regional Medical CenterSioux City | 50 | $27,637 | $9,541 | $8,243 |
| Jennie Edmundson HospitalCouncil Bluffs | 46 | $32,304 | $9,360 | $8,282 |
| Allen Memorial HospitalWaterloo | 39 | $21,223 | $9,964 | $7,318 |
| Trinity Medical CenterDavenport | 37 | $27,701 | $9,168 | $7,437 |
| Mercyone Siouxland Medical CenterSioux City | 35 | $38,817 | $10,280 | $8,040 |
| Spencer Municipal HospitalSpencer | 33 | $17,530 | $10,757 | $9,466 |
| Trinity MuscatineMuscatine | 27 | $19,331 | $13,579 | $12,305 |
| Trinity Regional Medical CenterFort Dodge | 27 | $23,672 | $9,606 | $8,318 |
| Ottumwa Regional Health CenterOttumwa | 23 | $42,931 | $11,053 | $9,652 |
| Marshalltown Medical & Surgical CenterMarshalltown | 20 | $23,205 | $11,737 | $10,430 |
| Alegent Health Mercy HospitalCouncil Bluffs | 20 | $31,750 | $9,940 | $8,473 |
| Mercyone Waterloo Medical CenterWaterloo | 18 | $33,067 | $10,164 | $8,757 |
| Mercyone Newton Medical CenterNewton | 11 | $24,781 | $9,523 | $8,336 |
| Grinnell Regional Medical CenterGrinnell | 11 | $20,250 | $8,563 | $7,228 |
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 | $8,563 |
|---|---|
| The Finley HospitalDubuque, IA | $8,620 |
| Mary Greeley Medical CenterAmes, IA | $8,705 |
| Mercy HospitalIowa City, IA | $9,066 |
| Mercy Medical Center - Cedar RapidsCedar Rapids, IA | $9,108 |
Highest
| University of Iowa Hospital & ClinicsIowa City, IA | $14,718 |
|---|---|
| Trinity MuscatineMuscatine, IA | $13,579 |
| Marshalltown Medical & Surgical CenterMarshalltown, IA | $11,737 |
| Mercy Medical Center-ClintonClinton, IA | $11,608 |
| Ottumwa Regional Health CenterOttumwa, IA | $11,053 |
Simple pneumonia and pleurisy with major complications in other states
Questions
How much does simple pneumonia and pleurisy with major complications cost in Iowa?
In 2024 Medicare data, a hospital stay for simple pneumonia and pleurisy with major complications (DRG 193) at 27 hospitals in Iowa was billed at $33,825 on average, while the average total payment was $10,045, of which Medicare paid $8,347. 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 3.4 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.