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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $12,269 | $85,996 | 7.0× | $11,080 |
| Shoulder replacement | — | — | — | $15,502 |
Complications after hip or knee replacement: 3.4% (no different from the national rate). Readmissions: 5.5%. Nonprofit · Acute · 83 beds
Iowa requires a certificate of need for new surgery centers.
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In 2024 Medicare paid Mercyone Cedar Falls Medical Center an average of $12,269 per inpatient hip or knee replacement stay (MS-DRG 470, 25 stays) and $11,080 per outpatient case (APC 5115, 112 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $85,996, 7.0× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
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.
Medicare paid Mercyone Cedar Falls Medical Center less than 93% of the 15 Iowa hospitals that report inpatient hip or knee replacement.