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Mercyone 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.

Surgery center nearby
$8,093
The Surgery Center at United Medical Park, 10.7 mi
Outpatient here
$11,080
112 Medicare cases, APC 5115
Inpatient here
$12,269
25 Medicare stays, MS-DRG 470

Medicare prices at Mercyone Cedar Falls Medical Center

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$12,269$85,9967.0×$11,080
Shoulder replacement———$15,502

Quality

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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Questions

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

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).

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× what Medicare paid. 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?

Medicare paid Mercyone Cedar Falls Medical Center less than 93% of the 15 Iowa hospitals that report inpatient hip or knee replacement.