Price AtlasInteractive atlas · All states · techysurgeon.comMercyone Cedar Falls Medical Center: what a joint replacement costs
Cedar Falls, IA 50613 · CMS Certification Number 160040. 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 Mercyone Cedar Falls Medical Center
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $12,269 | $85,996 | 7.0× | $11,080 |
| Shoulder replacement | — | — | — | $15,502 |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $22,099 | 1.8× | $16,976–$28,928 | 7 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| UnitedHealthcare | $28,928 | 2.4× | 1 |
| Claimdoc | $26,279 | 2.1× | 1 |
| Nova | $26,279 | 2.1× | 1 |
| Aetna | $22,099 | 1.8× | 1 |
| Centivo | $21,703 | 1.8× | 1 |
| Amish Hospital Aid | $17,388 | 1.4× | 1 |
| Oscar | $16,976 | 1.4× | 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
Complications after hip or knee replacement: 3.4% (no different from the national rate). Readmissions: 5.5%. Nonprofit · Acute · 83 beds
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Questions
How much does Medicare pay Mercyone Cedar Falls Medical Center for a knee or hip replacement?
In 2024 the average total payment to Mercyone Cedar Falls Medical Center for an inpatient hip or knee replacement stay was $12,269 (MS-DRG 470, 25 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,080 per outpatient case (APC 5115, 112 cases).
What is Mercyone Cedar Falls Medical Center's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $85,996, 7.0× 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 Cedar Falls Medical Center?
Yes for Medicare facility payments. The Surgery Center at United Medical Park, an orthopedic surgery center 10.7 mi away, is paid about $8,093 by Medicare for a knee replacement (CPT 27447), $4,176 less than an inpatient stay at Mercyone Cedar Falls Medical Center. Not every patient is a surgery-center candidate.
How does Mercyone Cedar Falls Medical Center compare with other Iowa hospitals?
Mercyone Cedar Falls Medical Center's average total payment per Medicare stay is lower than 93% of the 15 Iowa hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Mercyone Cedar Falls 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 $22,099 across 7 insurers, ranging from $16,976 to $28,928.