Allen Hospital
Allen Hospital in Waterloo, Iowa charges 3.6x the Medicare reimbursement rate on average across 59 analyzed procedures, reflecting typical pricing patterns for nonprofit private hospitals.
Waterloo, IA 50703 · Acute Care Hospitals · CMS Rating: 3/5
About the analyst
Michael Glenn reviews CMS datasets and drug pricing at BillRazor Research. He focuses on NADAC acquisition costs and procedure coding accuracy. Expertise: drug pricing, NADAC data, CPT coding.
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Pricing grade
C
Average
Avg markup vs Medicare
3.62x
Charge / Medicare rate
Max markup
6.74x
Worst procedure
Procedures analyzed
59
With pricing data
Outlier procedures
0%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $69,812 | $34,906 | — | 6.7x |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | 267 | $161,929 | $80,965 | — | 5.1x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $93,514 | $46,757 | — | 5x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $33,641 | $16,820 | — | 4.9x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | 243 | $64,405 | $32,202 | — | 4.8x |
| OTHER FACTORS INFLUENCING HEALTH STATUS | 951 | $11,619 | $5,809 | — | 4.8x |
| AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | 269 | $114,880 | $57,440 | — | 4.7x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $11,863 | $5,932 | — | 4.7x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $48,163 | $24,081 | — | 4.6x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $24,442 | $12,221 | — | 4.5x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $17,486 | $8,743 | — | 4.5x |
| DIABETES WITH MCC | 637 | $31,906 | $15,953 | — | 4.3x |
| SYNCOPE AND COLLAPSE | 312 | $18,148 | $9,074 | — | 4.2x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $49,479 | $24,739 | — | 4.1x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | 236 | $94,224 | $47,112 | — | 4.1x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $34,777 | $17,389 | — | 4x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $30,078 | $15,039 | — | 4x |
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | 234 | $125,674 | $62,837 | — | 3.9x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $17,955 | $8,977 | — | 3.8x |
| RENAL FAILURE WITH MCC | 682 | $34,802 | $17,401 | — | 3.8x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $14,569 | $7,284 | — | 3.7x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $27,156 | $13,578 | — | 3.7x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $19,289 | $9,644 | — | 3.7x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | 660 | $28,654 | $14,327 | — | 3.7x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $8,675 | $4,337 | — | 3.6x |
| RENAL FAILURE WITH CC | 683 | $15,377 | $7,688 | — | 3.6x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $18,806 | $9,403 | — | 3.6x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $17,745 | $8,873 | — | 3.6x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $61,155 | $30,578 | — | 3.5x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $13,602 | $6,801 | — | 3.5x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $43,065 | $21,532 | — | 3.5x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $48,238 | $24,119 | — | 3.4x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $57,628 | $28,814 | — | 3.4x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $24,580 | $12,290 | — | 3.4x |
| MAJOR CHEST PROCEDURES WITH CC | 164 | $53,478 | $26,739 | — | 3.4x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $13,666 | $6,833 | — | 3.4x |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $20,374 | $10,187 | — | 3.3x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $21,314 | $10,657 | — | 3.3x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $16,650 | $8,325 | — | 3.3x |
| CELLULITIS WITHOUT MCC | 603 | $13,881 | $6,941 | — | 3.3x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $15,440 | $7,720 | — | 3.3x |
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | 233 | $144,604 | $72,302 | — | 3.3x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $11,973 | $5,986 | — | 3.2x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $13,848 | $6,924 | — | 3.2x |
| SEIZURES WITHOUT MCC | 101 | $15,172 | $7,586 | — | 3.1x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $39,874 | $19,937 | — | 3.1x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $33,024 | $16,512 | — | 3x |
| RESPIRATORY NEOPLASMS WITH MCC | 180 | $28,647 | $14,324 | — | 2.9x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $26,649 | $13,324 | — | 2.9x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $20,830 | $10,415 | — | 2.8x |
Showing 50 of 59 procedures
How ALLEN HOSPITAL compares to nearby hospitals
Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use