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Trinity Muscatine: what a joint replacement costs

Muscatine, IA 52761 · CMS Certification Number 160013. What Medicare pays this hospital for knee, hip and shoulder replacement, what it lists, how it compares, and what a surgery center nearby is paid.

Surgery center nearby
—
No orthopedic surgery center within 25 miles
Outpatient here
$12,041
Medicare allowed amount, 15 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Trinity Muscatine

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$12,041
Shoulder replacement————

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$17,500—$10,452–$23,3924
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Aetna$23,392—1
UnitedHealthcare$21,900—1
BC Illinois Community$13,101—1
Wellmark BCBS$10,452—1

From the hospital's price-transparency file (2026-01-28); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-01-28); commercial plans, dollar-amount contracts only.

Quality

Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 80 beds

Iowa requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Trinity Muscatine for a knee or hip replacement?

The Medicare allowed amount averaged $12,041 per outpatient hip or knee replacement case (APC 5115, 15 cases) in 2024. Inpatient stays were too few to report.

What do commercial insurers pay Trinity Muscatine for a hip or knee replacement?

From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $17,500 across 4 insurers, ranging from $10,452 to $23,392.