Heart valve replacement through a catheter (TAVR), with major complications in Iowa
MS-DRG 266: Endovascular cardiac valve replacement and supplement procedures with mcc
$187,981typical hospital bill
$42,964typical amount paid
$41,320–$57,763range paid across 6 hospitals
Iowa hospitals billed Medicare a typical $187,981 for this stay in 2024, about 4.4 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 | 23 | $161,288 | $41,320 | |
| Mercyone Des Moines Medical Center | Des Moines | 45 | $181,350 | $41,598 | |
| St Lukes Hospital | Cedar Rapids | 27 | $194,371 | $42,074 | |
| Genesis Medical Center-Davenport | Davenport | 48 | $181,591 | $43,854 | |
| Unitypoint Health - Des Moines Iowa Methodist Medi | Des Moines | 15 | $266,741 | $45,620 | |
| University of Iowa Hospital & Clinics | Iowa City | 67 | $217,216 | $57,763 |
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.