Pneumonia, with complications in Iowa
MS-DRG 194: Simple pneumonia and pleurisy with cc
$24,016typical hospital bill
$6,067typical amount paid
$5,563–$8,855range paid across 15 hospitals
Iowa hospitals billed Medicare a typical $24,016 for this stay in 2024, about 4.0 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)
| Hospital | City | Medicare stays | Billed | Paid | |
|---|---|---|---|---|---|
| University of Iowa Health Care Medical Center Down | Iowa City | 15 | $31,470 | $5,563 | |
| Mary Greeley Medical Center | Ames | 33 | $22,404 | $5,703 | |
| St Lukes Hospital | Cedar Rapids | 19 | $15,213 | $5,713 | |
| Mercyone Dubuque Medical Center | Dubuque | 37 | $25,739 | $5,739 | |
| Genesis Medical Center-Davenport | Davenport | 53 | $17,933 | $5,961 | |
| Mercyone Des Moines Medical Center | Des Moines | 28 | $35,433 | $6,032 | |
| Methodist Jennie Edmundson | Council Bluffs | 20 | $20,058 | $6,044 | |
| Mercy Medical Center - Cedar Rapids | Cedar Rapids | 84 | $21,972 | $6,067 | |
| Lakes Regional Healthcare | Spirit Lake | 21 | $16,083 | $6,158 | |
| St Lukes Regional Medical Center | Sioux City | 12 | $21,990 | $6,293 | |
| Unitypoint Health - Des Moines Iowa Methodist Medi | Des Moines | 18 | $26,021 | $6,347 | |
| Mercyone North Iowa Medical Center | Mason City | 24 | $24,886 | $6,705 | |
| Southeast Iowa Regional Medical Center | West Burlington | 18 | $24,016 | $6,852 | |
| Mercyone Clinton Medical Center | Clinton | 21 | $31,398 | $7,024 | |
| University of Iowa Hospital & Clinics | Iowa City | 18 | $39,825 | $8,855 |
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.