US Health Care Costs

Hip replacement after a hip fracture in Iowa

MS-DRG 522: Hip replacement with principal diagnosis of hip fracture without mcc

$58,664typical hospital bill
$15,252typical amount paid
$13,545–$20,865range paid across 18 hospitals

Iowa hospitals billed Medicare a typical $58,664 for this stay in 2024, about 3.8 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
University of Iowa Health Care Medical Center DownIowa City19$72,783$13,545
Mary Greeley Medical CenterAmes18$59,304$13,621
Mercy Medical Center - Cedar RapidsCedar Rapids19$49,330$14,076
Mercyone Dubuque Medical CenterDubuque23$58,024$14,218
St Lukes HospitalCedar Rapids20$48,746$14,634
Allen HospitalWaterloo14$43,272$14,667
Methodist Jennie EdmundsonCouncil Bluffs13$45,230$15,029
St Lukes Regional Medical CenterSioux City12$48,399$15,049
Mercyone Des Moines Medical CenterDes Moines51$76,349$15,220
Genesis Medical Center-DavenportDavenport31$45,894$15,284
Trinity Regional Medical CenterFort Dodge11$54,267$15,313
Unitypoint Health - Des Moines Iowa Methodist MediDes Moines62$73,288$15,558
Chi Health Mercy Council BluffsCouncil Bluffs11$77,133$15,753
Mercyone Siouxland Medical CenterSioux City20$59,576$15,906
Mercyone North Iowa Medical CenterMason City27$77,815$16,595
Spencer Municipal HospitalSpencer14$40,926$17,203
Southeast Iowa Regional Medical CenterWest Burlington20$66,162$17,578
University of Iowa Hospital & ClinicsIowa City30$99,195$20,865

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.