US Health Care Costs

Heart failure, with major complications in Iowa

MS-DRG 291: Heart failure and shock with mcc

$29,146typical hospital bill
$9,521typical amount paid
$7,745–$15,596range paid across 28 hospitals

Iowa hospitals billed Medicare a typical $29,146 for this stay in 2024, about 3.1 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
Grinnell Regional Medical CenterGrinnell18$24,984$7,745
Mary Greeley Medical CenterAmes151$25,111$8,447
University of Iowa Health Care Medical Center DownIowa City97$50,305$8,643
Finley HospitalDubuque114$21,753$8,717
Trinity - BettendorfBettendorf52$28,990$8,855
St Lukes HospitalCedar Rapids235$25,510$8,862
Mercyone Dubuque Medical CenterDubuque173$32,145$8,891
Methodist Jennie EdmundsonCouncil Bluffs55$27,965$8,958
Mercy Medical Center - Cedar RapidsCedar Rapids131$25,856$9,016
Genesis Medical Center-DavenportDavenport237$31,265$9,019
Mercyone Newton Medical CenterNewton18$27,081$9,295
Lakes Regional HealthcareSpirit Lake19$19,755$9,339
Allen HospitalWaterloo86$20,470$9,484
Trinity Regional Medical CenterFort Dodge103$29,302$9,506
Mercyone Des Moines Medical CenterDes Moines241$53,687$9,536
Chi Health Mercy Council BluffsCouncil Bluffs59$38,705$9,546
St Lukes Regional Medical CenterSioux City91$24,522$9,806
Unitypoint Health - Des Moines Iowa Methodist MediDes Moines260$38,023$9,827
Mercyone Siouxland Medical CenterSioux City67$30,686$9,878
Mercyone Waterloo Medical CenterWaterloo41$29,857$10,095
Spencer Municipal HospitalSpencer52$18,121$10,493
Mercyone North Iowa Medical CenterMason City159$41,400$10,612
Southeast Iowa Regional Medical CenterWest Burlington155$30,555$10,720
Mercyone Clinton Medical CenterClinton42$33,015$11,189
Unitypoint Health - MarshalltownMarshalltown25$17,478$11,384
Ottumwa Regional Health CenterOttumwa27$37,331$11,506
Trinity MuscatineMuscatine33$19,558$13,214
University of Iowa Hospital & ClinicsIowa City158$76,938$15,596

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.