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Healthcare Pricing Data: IOWA CITY, IA

2 hospitals with public pricing data · 30 procedures reported to CMS

Hospitals

2

With CMS data

Procedures

30

DRG categories

Avg Charge-to-Medicare Ratio

5.8x

Across all procedures

vs National Average

-6%

Chargemaster rates

About This Data

IOWA CITY, IA has 2 hospitals that report pricing data to the Centers for Medicare & Medicaid Services (CMS). Across these facilities, the average chargemaster-to-Medicare reimbursement ratio is 5.8x for the 30 procedures in this dataset.(Source: CMS IPPS Provider Summary)

The procedure with the highest average listed charges in IOWA CITY is INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC (DRG 853), with an average chargemaster rate of $183,680 across reporting hospitals.

Important: Chargemaster rates are hospital list prices and are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage. Use this data as a starting point for understanding pricing in your area.

Procedure Pricing Data

ProcedureDRGAvg Listed ChargeHospitals ReportingCharge-to-Medicare Ratio
INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC853$183,68024.8x
REVISION OF HIP OR KNEE REPLACEMENT WITH CC467$129,46625.2x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O246$118,42825.9x
SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC460$108,84424.2x
MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES483$95,97925.9x
REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC468$91,79624.8x
HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC522$84,59425.9x
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC470$84,13526.4x
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC481$80,97125.6x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC247$79,36126.3x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC871$68,12324.8x
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC280$62,06425.4x
PULMONARY EDEMA AND RESPIRATORY FAILURE189$61,32827.0x
OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC698$59,90725.7x
RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC177$58,24624.6x
RENAL FAILURE WITH MCC682$57,60425.5x
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC281$52,55829.8x
PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE175$51,90825.5x
KIDNEY AND URINARY TRACT INFECTIONS WITH MCC689$50,09526.6x
MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC640$48,68525.0x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS065$47,51527.1x
ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC391$46,37025.6x
HEART FAILURE AND SHOCK WITH MCC291$45,99025.2x
CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC190$45,14126.3x
SIMPLE PNEUMONIA AND PLEURISY WITH MCC193$44,99725.3x
GASTROINTESTINAL HEMORRHAGE WITH CC378$37,56326.0x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC872$37,35925.8x
SIMPLE PNEUMONIA AND PLEURISY WITH CC194$35,15526.3x
KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC690$34,88227.1x
RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC178$33,38724.8x

Source: CMS IPPS Provider Summary. Listed charges are hospital chargemaster rates, not patient-paid amounts.

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Data from CMS Inpatient Prospective Payment System (IPPS) Provider Summary. All data publicly available under federal law (45 CFR Part 180).

Listed chargemaster rates are not what most insured patients pay. This information is for educational purposes only. Read our methodology·Report a data error