Gundersen Palmer Lutheran Hospital and Clinics is a non-profit rural critical-access hospital in West Union, Iowa (Fayette County), with 25 beds. It has an emergency room and holds 5 of 5 stars in CMS's overall quality rating. It lists $1.31 for every $1 its care costs, less than the typical Iowa hospital ($3.72).
$1.31listed for every $1 its care costs Iowa typical $3.72
1 h 25 mintypical ER visit US typical 2 h 28 min
25beds
Quality and patient experience
What patients say
75%would definitely recommend the hospital US typical 71%
83%rated the hospital 9 or 10 out of 10 US typical 72%
Rated by patients
Emergency room and urgent care
1 h 25 mintypical time in the ER before going home US typical 2 h 28 min
0%left the ER without being seen US typical 1%
64%of sepsis patients got the recommended care US typical 65%
ER volume: low.
Source: CMS Care Compare, measurement periods ending up to September 2025.
The money
$76what care cost the hospital for every $100 it billed
$6.7Mnet income, all sources
6.3%margin on patient care alone
$1.6Mcost of charity care (3.6% of costs)
$680,425unpaid bills written off (bad debt)
137full-time staff (equivalent)
From the hospital's Medicare cost report for the year ending September 2024. Non-profit hospitals must have a financial assistance (charity care) policy; ask for it if a bill is hard to pay.
Cash and insurer prices for this hospital haven't been added yet. Every US hospital must publish them; search the hospital's website for "price transparency" or "standard charges".
This hospital has no Medicare stay data for 2024. Medicare data covers mostly patients 65 and older, so psychiatric, children's and very small hospitals often don't appear.