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Mercyone Genesis: what a joint replacement costs

Davenport, IA 52803 · CMS Certification Number 160033. 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
$8,092
Crow Valley Orthopaedic Surgery Center, 4.9 mi
Outpatient here
$11,085
Medicare allowed amount, 285 cases, APC 5115
Inpatient here
$13,249
Avg total payment (incl. patient share), 134 Medicare stays, MS-DRG 470

Medicare prices at Mercyone Genesis

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$13,249$45,2063.4×$11,085
Shoulder replacement$17,427$64,5973.7×$15,866
Hip replacement after a fracture (DRG 522)$15,284$45,8943.0×—

Quality

Complications after hip or knee replacement: 4.3% (no different from the national rate). Readmissions: 5.5%. Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 502 beds

Iowa requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Mercyone Genesis for a knee or hip replacement?

In 2024 the average total payment to Mercyone Genesis for an inpatient hip or knee replacement stay was $13,249 (MS-DRG 470, 134 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,085 per outpatient case (APC 5115, 285 cases).

What is Mercyone Genesis's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $45,206, 3.4× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.

Is a knee replacement cheaper at a surgery center near Mercyone Genesis?

Yes for Medicare facility payments. Crow Valley Orthopaedic Surgery Center, an orthopedic surgery center 4.9 mi away, is paid about $8,092 by Medicare for a knee replacement (CPT 27447), $5,157 less than an inpatient stay at Mercyone Genesis. Not every patient is a surgery-center candidate.

How does Mercyone Genesis compare with other Iowa hospitals?

Mercyone Genesis's average total payment per Medicare stay is higher than 53% of the 15 Iowa hospitals that report inpatient hip or knee replacement.