Heart valve replacement through a catheter (TAVR) in Iowa
MS-DRG 267: Endovascular cardiac valve replacement and supplement procedures without mcc
$157,358typical hospital bill
$33,628typical amount paid
$32,633–$43,179range paid across 10 hospitals
Iowa hospitals billed Medicare a typical $157,358 for this stay in 2024, about 4.7 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 | |
|---|---|---|---|---|---|
| Mercy Medical Center - Cedar Rapids | Cedar Rapids | 50 | $155,368 | $32,633 | |
| Mercyone Des Moines Medical Center | Des Moines | 101 | $142,690 | $33,174 | |
| Allen Hospital | Waterloo | 28 | $169,664 | $33,342 | |
| Genesis Medical Center-Davenport | Davenport | 90 | $163,068 | $33,370 | |
| St Lukes Hospital | Cedar Rapids | 27 | $185,234 | $33,566 | |
| Mercyone Dubuque Medical Center | Dubuque | 43 | $106,370 | $33,689 | |
| Unitypoint Health - Des Moines Iowa Methodist Medi | Des Moines | 47 | $233,663 | $33,912 | |
| Mercyone North Iowa Medical Center | Mason City | 39 | $133,983 | $36,558 | |
| Mercyone Siouxland Medical Center | Sioux City | 11 | $126,077 | $42,978 | |
| University of Iowa Hospital & Clinics | Iowa City | 56 | $159,349 | $43,179 |
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.