US Health Care Costs

Heart attack, with major complications in Iowa

MS-DRG 280: Acute myocardial infarction, discharged alive with mcc

$39,254typical hospital bill
$11,355typical amount paid
$10,019–$17,796range paid across 21 hospitals

Iowa hospitals billed Medicare a typical $39,254 for this stay in 2024, about 3.5 times what was actually paid. Medicare's payment depends mostly on the hospital's location and teaching role; the bill depends on the hospital's own price list, so bills vary far more than payments.

Billed (list price)Actually paid (Medicare + patient)

HospitalCityMedicare staysBilledPaid
Finley HospitalDubuque15$20,360$10,019
Mercyone Waterloo Medical CenterWaterloo16$27,539$10,586
Methodist Jennie EdmundsonCouncil Bluffs65$37,127$10,662
St Lukes Regional Medical CenterSioux City28$35,253$10,729
Mary Greeley Medical CenterAmes54$42,075$10,774
University of Iowa Health Care Medical Center DownIowa City47$58,558$10,886
Genesis Medical Center-DavenportDavenport65$39,254$10,939
Mercyone Dubuque Medical CenterDubuque97$38,432$10,978
St Lukes HospitalCedar Rapids50$38,800$10,987
Mercy Medical Center - Cedar RapidsCedar Rapids42$35,654$11,046
Chi Health Mercy Council BluffsCouncil Bluffs11$55,303$11,355
Trinity Regional Medical CenterFort Dodge13$36,212$11,636
Mercyone Siouxland Medical CenterSioux City43$40,811$11,705
Mercyone Des Moines Medical CenterDes Moines55$73,237$12,017
Allen HospitalWaterloo19$23,038$12,068
Unitypoint Health - Des Moines Iowa Methodist MediDes Moines120$52,742$12,125
Mercyone North Iowa Medical CenterMason City65$56,445$13,139
Ottumwa Regional Health CenterOttumwa15$46,334$13,344
Southeast Iowa Regional Medical CenterWest Burlington66$42,789$13,486
Mercyone Clinton Medical CenterClinton31$37,373$13,502
University of Iowa Hospital & ClinicsIowa City30$99,174$17,796

Medicare: CMS, 2024 (hospitals with 11 or more Medicare stays). Cash and insurer prices: hospitals' own price files, where read; insurer figures are commercial plans only, median and 10th–90th percentile across plans.