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Chi 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.

Surgery center nearby
$8,854
Bergan Mercy Surgery Center, LLC, 13.9 mi
Outpatient here
$11,333
40 Medicare cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Chi Health Mercy Council Bluffs

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement———$11,333
Shoulder replacement———$16,757
Hip replacement after a fracture (DRG 522)$15,753$77,1334.9×—

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

Iowa requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Chi Health Mercy Council Bluffs for a knee or hip replacement?

Medicare allowed an average of $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.