UNITYPOINT HEALTH - MARSHALLTOWN
MARSHALLTOWN, IA 50158 · Acute Care Hospitals
11 procedures with CMS pricing data · Source: CMS IPPS Provider Summary, FY2024
By BillRazor Research · Last updated March 27, 2026 · Methodology
Procedures Analyzed
11
With CMS pricing data
Avg Charge-to-Medicare Ratio
2.1x
Chargemaster ÷ Medicare
CMS Quality Rating
Not rated
No CMS star rating available
Hospital Type
Acute Care Hospitals
Voluntary non-profit - Private
Above 90th Percentile
0%
Compared to IA hospitals
Understanding Your Costs
When you receive a bill from UNITYPOINT HEALTH - MARSHALLTOWN, you are typically seeing the hospital's “chargemaster” rate — its published list price for each service. According to CMS data, UNITYPOINT HEALTH - MARSHALLTOWN lists chargemaster rates that average 2.1x the corresponding Medicare reimbursement amount across 11 procedures with publicly available pricing data (Source: CMS IPPS Provider Summary, FY2024).
The median hospital in IA has a chargemaster-to-Medicare ratio of 4.0x, with ratios across the state ranging from 1.7x to 6.9x. At 2.1x, this facility’s average ratio is below the state median. 30 hospitals in IA report pricing data to CMS (Source: CMS IPPS Provider Summary).
The procedure with the largest gap between the listed price and Medicare reimbursement at UNITYPOINT HEALTH - MARSHALLTOWN is MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC (DRG 641). The listed chargemaster rate is $15,312, while Medicare reimburses $5,493 for the same procedure — a ratio of 2.8x (Source: CMS IPPS Provider Summary, FY2024).
What does this actually mean for your bill? Chargemaster rates are rarely what patients pay. If you have insurance, your insurer has negotiated a separate rate — often 40–60% less than the listed price. If you are uninsured, you may be able to negotiate directly with the hospital or request financial assistance. The chargemaster-to-Medicare ratio is a useful reference point for understanding listed pricing, but it does not represent what most patients will owe out of pocket.
UNITYPOINT HEALTH - MARSHALLTOWN is a voluntary non-profit - private acute care hospitals facility. Note: CMS quality ratings measure patient outcomes and experience, not pricing. A hospital with high listed prices may provide excellent care, and pricing data alone should not be used to evaluate the quality of a healthcare provider.
Listed Chargemaster Rates vs Medicare Reimbursement — Top Procedures by Ratio
Source: CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.
Procedure Pricing Lookup
Search for a specific procedure or DRG code to see listed chargemaster rates and Medicare reimbursement amounts.
| Procedure | DRG | Listed Charge | Medicare Reimb. | Ratio | State Position | |
|---|---|---|---|---|---|---|
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $15,312 | $5,493 | 2.8x | 0th | Compare your bill |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $43,257 | $16,838 | 2.6x | 0th | Compare your bill |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $21,495 | $8,484 | 2.5x | 0th | Compare your bill |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $19,516 | $8,276 | 2.4x | 0th | Compare your bill |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $17,422 | $7,972 | 2.2x | 0th | Compare your bill |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $19,811 | $9,847 | 2.0x | 0th | Compare your bill |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $18,895 | $9,445 | 2.0x | 0th | Compare your bill |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $27,532 | $14,006 | 2.0x | 0th | Compare your bill |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $14,992 | $7,640 | 2.0x | 0th | Compare your bill |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $17,896 | $12,819 | 1.4x | 0th | Compare your bill |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $20,009 | $15,191 | 1.3x | 0th | Compare your bill |
Showing 11 of 11 procedures
All data from CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.
Statewide Context
Charge-to-Medicare ratio range across IA hospitals
30 hospitals in IA report pricing data to CMS. This facility's average ratio of 2.1x places it at the lower end of the state range (Source: CMS IPPS Provider Summary).
What You Can Do
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How it worksData: CMS Inpatient Prospective Payment System (IPPS) Provider Summary, FY2024. All data is publicly available under federal law (45 CFR Part 180).
Important: Listed chargemaster rates are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage terms. This information is for educational purposes only and does not constitute medical, legal, or financial advice.
Frequently Asked Questions About UNITYPOINT HEALTH - MARSHALLTOWN
How much does UNITYPOINT HEALTH - MARSHALLTOWN charge compared to Medicare?
According to CMS IPPS data, UNITYPOINT HEALTH - MARSHALLTOWN's listed chargemaster rates average 2.1x the Medicare reimbursement amount across 11 procedures. Chargemaster rates are list prices and are not what most insured patients pay — actual costs depend on insurance negotiations and coverage terms.
What is the most expensive procedure at UNITYPOINT HEALTH - MARSHALLTOWN?
The procedure with the highest chargemaster-to-Medicare ratio at UNITYPOINT HEALTH - MARSHALLTOWN is MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC (DRG 641), with a listed charge of $15,312 compared to Medicare reimbursement of $5,493 — a ratio of 2.8x. Source: CMS IPPS Provider Summary.
Is UNITYPOINT HEALTH - MARSHALLTOWN expensive compared to other IA hospitals?
UNITYPOINT HEALTH - MARSHALLTOWN's average chargemaster-to-Medicare ratio is 2.1x. Ratios vary significantly across IA hospitals. This ratio reflects listed chargemaster prices, not what patients actually pay. CMS quality ratings, which measure patient outcomes and experience, are separate from pricing data.
Where does the pricing data for UNITYPOINT HEALTH - MARSHALLTOWN come from?
All pricing data comes from the Centers for Medicare & Medicaid Services (CMS) Inpatient Prospective Payment System (IPPS) Provider Summary, published under federal price transparency law (45 CFR Part 180). This data is publicly available and updated annually.
How can I check if my bill from UNITYPOINT HEALTH - MARSHALLTOWN is correct?
You can upload your bill to BillRazor for a free comparison against publicly available Medicare reimbursement data. Our system analyzes every line item in 60 seconds. Research suggests 49-80% of hospital bills contain errors, including duplicate charges, incorrect procedure codes, and unbundling.
Does UNITYPOINT HEALTH - MARSHALLTOWN in MARSHALLTOWN, IA accept Medicare?
UNITYPOINT HEALTH - MARSHALLTOWN is included in the CMS IPPS Provider Summary, which covers Medicare-participating hospitals. For specific coverage questions, contact UNITYPOINT HEALTH - MARSHALLTOWN directly or check with your insurance provider.
Data sourced from CMS IPPS Provider Summary, FY2024. All information is for educational purposes only.