Council Bluffs, IA 51503 · CMS Certification Number 160047. 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 avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $13,475 | $43,752 | 3.2× | $11,751 |
| Shoulder replacement | — | — | — | $16,085 |
| Hip replacement after a fracture (DRG 522) | $15,029 | $45,230 | 3.0× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $28,868 | 2.1× | $21,143–$34,313 | 5 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Medica | $34,313 | 2.5× | 1 |
| UnitedHealthcare | $34,293 | 2.5× | 1 |
| Elite Choice - MJE | $28,868 | 2.1× | 1 |
| Aetna | $21,350 | 1.6× | 1 |
| NE Furniture Mart | $21,143 | 1.6× | 1 |
From the hospital's price-transparency file (2026-02-15); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-02-15); commercial plans, dollar-amount contracts only.
Complications after hip or knee replacement: 4.3% (no different from the national rate). Readmissions: 5.7%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 236 beds
Iowa requires a certificate of need for new surgery centers.
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In 2024 the average total payment to Methodist Jennie Edmundson for an inpatient hip or knee replacement stay was $13,475 (MS-DRG 470, 14 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,751 per outpatient case (APC 5115, 110 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $43,752, 3.2× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Bergan Mercy Surgery Center, LLC, an orthopedic surgery center 13.9 mi away, is paid about $8,854 by Medicare for a knee replacement (CPT 27447), $4,621 less than an inpatient stay at Methodist Jennie Edmundson. Not every patient is a surgery-center candidate.
Methodist Jennie Edmundson's average total payment per Medicare stay is higher than 60% of the 15 Iowa hospitals that report inpatient hip or knee replacement.
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $28,868 across 5 insurers, ranging from $21,143 to $34,313.