Southeast Iowa Regional Medical Center
Southeast Iowa Regional Medical Center in West Burlington, Iowa charges 3.5x the Medicare reimbursement rate across 44 analyzed procedures at this nonprofit facility.
West Burlington, IA 52655 · Acute Care Hospitals · CMS Rating: 2/5
About the analyst
Elena Vasquez leads hospital billing pattern analysis at BillRazor Research. She focuses on identifying overcharges, markup outliers, and patient advocacy strategies. Expertise: hospital billing patterns, overcharge analysis, patient advocacy.
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Pricing grade
C
Average
Avg markup vs Medicare
3.54x
Charge / Medicare rate
Max markup
5.41x
Worst procedure
Procedures analyzed
44
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 |
|---|---|---|---|---|---|
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $24,069 | $12,034 | — | 5.4x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $25,426 | $12,713 | — | 5.2x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $66,097 | $33,048 | — | 5.1x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $20,756 | $10,378 | — | 4.8x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $31,731 | $15,865 | — | 4.7x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $28,458 | $14,229 | — | 4.7x |
| CELLULITIS WITHOUT MCC | 603 | $24,953 | $12,476 | — | 4.6x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $23,312 | $11,656 | — | 4.5x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $22,311 | $11,155 | — | 4.4x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $60,779 | $30,390 | — | 4.4x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $68,319 | $34,159 | — | 4.2x |
| HEART FAILURE AND SHOCK WITH CC | 292 | $24,866 | $12,433 | — | 4.1x |
| REVISION OF HIP OR KNEE REPLACEMENT WITH CC | 467 | $114,681 | $57,341 | — | 4.1x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $26,073 | $13,036 | — | 3.9x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $17,841 | $8,920 | — | 3.7x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $17,699 | $8,850 | — | 3.6x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $24,891 | $12,445 | — | 3.6x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $55,915 | $27,958 | — | 3.6x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $52,985 | $26,493 | — | 3.6x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $54,063 | $27,031 | — | 3.5x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $63,188 | $31,594 | — | 3.5x |
| RENAL FAILURE WITH CC | 683 | $20,673 | $10,337 | — | 3.4x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $29,128 | $14,564 | — | 3.3x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $63,647 | $31,824 | — | 3.3x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | 521 | $89,847 | $44,923 | — | 3.3x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $19,004 | $9,502 | — | 3.3x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $26,562 | $13,281 | — | 3.3x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $53,335 | $26,667 | — | 3.2x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $38,429 | $19,215 | — | 3.2x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $28,979 | $14,490 | — | 3.2x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $23,779 | $11,890 | — | 3.1x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $24,535 | $12,267 | — | 3.1x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $24,824 | $12,412 | — | 2.9x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $26,717 | $13,359 | — | 2.9x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $25,912 | $12,956 | — | 2.8x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $39,822 | $19,911 | — | 2.7x |
| RENAL FAILURE WITH MCC | 682 | $28,973 | $14,487 | — | 2.7x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $95,624 | $47,812 | — | 2.6x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $35,691 | $17,846 | — | 2.6x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $38,592 | $19,296 | — | 2.6x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $30,355 | $15,177 | — | 2.4x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $102,369 | $51,184 | — | 2.4x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $34,676 | $17,338 | — | 2.4x |
| PSYCHOSES | 885 | $16,973 | $8,487 | — | 1.8x |
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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