Revision of Hip or Knee Replacement Without Cc/Mcc in Iowa
MS-DRG 468: Revision of hip or knee replacement without cc/mcc
$99,284typical hospital bill
$18,905typical amount paid
$18,425–$24,142range paid across 4 hospitals
Iowa hospitals billed Medicare a typical $99,284 for this stay in 2024, about 5.3 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 | 33 | $93,339 | $18,425 | |
| Genesis Medical Center-Davenport | Davenport | 27 | $99,346 | $18,858 | |
| Unitypoint Health - Des Moines Iowa Methodist Medi | Des Moines | 28 | $101,512 | $18,953 | |
| University of Iowa Hospital & Clinics | Iowa City | 11 | $99,221 | $24,142 |
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.