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Mercyone Newton Medical Center: what a joint replacement costs

Newton, IA 50208 · CMS Certification Number 160032. 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
$11,283
Medicare allowed amount, 16 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Mercyone Newton Medical Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$11,283
Shoulder replacement————

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$20,888—$17,383–$26,6075
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Claimdoc$26,607—1
Nova$26,607—1
Centivo$20,888—1
Amish Hospital Aid$17,606—1
Oscar$17,383—1

From the hospital's price-transparency file (2026-03-31); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-03-31); commercial plans, dollar-amount contracts only.

Quality

Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 68 beds

Iowa requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Mercyone Newton Medical Center for a knee or hip replacement?

The Medicare allowed amount averaged $11,283 per outpatient hip or knee replacement case (APC 5115, 16 cases) in 2024. Inpatient stays were too few to report.

What do commercial insurers pay Mercyone Newton Medical Center 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 $20,888 across 5 insurers, ranging from $17,383 to $26,607.