Price AtlasInteractive atlas · All states · techysurgeon.comChi Health Mercy Council Bluffs: what a joint replacement costs
Council Bluffs, IA 51503 · CMS Certification Number 160028. 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.
Medicare prices at Chi Health Mercy Council Bluffs
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | — | — | — | $11,333 |
| Shoulder replacement | — | — | — | $16,757 |
| Hip replacement after a fracture (DRG 522) | $15,753 | $77,133 | 4.9× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $31,997 | — | $31,600–$38,766 | 9 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| UnitedHealthcare | $38,766 | — | 1 |
| Timpte | $33,804 | — | 1 |
| Midlands Choice | $33,644 | — | 1 |
| Medica | $32,691 | — | 1 |
| Creighton University Employees | $31,997 | — | 1 |
| Amps | $31,611 | — | 1 |
| Greater Omaha Packing | $31,600 | — | 1 |
| Millard Public Schools | $31,600 | — | 1 |
| One World | $31,600 | — | 1 |
From the hospital's price-transparency file (2026-02-28); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-02-28); commercial plans, dollar-amount contracts only.
Quality
Complications after hip or knee replacement: 4.9% (no different from the national rate). Readmissions: 7.4%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 194 beds
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Questions
How much does Medicare pay Chi Health Mercy Council Bluffs for a knee or hip replacement?
The Medicare allowed amount averaged $11,333 per outpatient hip or knee replacement case (APC 5115, 40 cases) in 2024. Inpatient stays were too few to report.
Is a knee replacement cheaper at a surgery center near Chi Health Mercy Council Bluffs?
Yes for Medicare facility payments. Bergan Mercy Surgery Center, LLC, an orthopedic surgery center 13.9 mi away, is paid about $8,854 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.
What do commercial insurers pay Chi Health Mercy Council Bluffs 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 $31,997 across 9 insurers, ranging from $31,600 to $38,766.