Cedar Rapids, IA 52402 · CMS Certification Number 160045. 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 | $12,910 | $51,961 | 4.0× | $11,245 |
| Shoulder replacement | — | — | — | $16,038 |
| Hip replacement after a fracture (DRG 522) | $14,634 | $48,746 | 3.3× | — |
Complications after hip or knee replacement: 3.5% (no different from the national rate). Readmissions: 5.7%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 532 beds
Iowa requires a certificate of need for new surgery centers.
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In 2024 Medicare paid St Lukes Hospital an average of $12,910 per inpatient hip or knee replacement stay (MS-DRG 470, 19 stays) and $11,245 per outpatient case (APC 5115, 319 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $51,961, 4.0× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Surgery Center Cedar Rapids, an orthopedic surgery center same ZIP away, is paid about $8,447 by Medicare for a knee replacement (CPT 27447), $4,463 less than an inpatient stay at St Lukes Hospital. Not every patient is a surgery-center candidate.
Medicare paid St Lukes Hospital less than 73% of the 15 Iowa hospitals that report inpatient hip or knee replacement.