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Methodist Jennie Edmundson: what a joint replacement costs

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.

Surgery center nearby
$8,854
Bergan Mercy Surgery Center, LLC, 13.9 mi
Outpatient here
$11,751
Medicare allowed amount, 110 cases, APC 5115
Inpatient here
$13,475
Avg total payment (incl. patient share), 14 Medicare stays, MS-DRG 470

Medicare prices at Methodist Jennie Edmundson

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$13,475$43,7523.2×$11,751
Shoulder replacement———$16,085
Hip replacement after a fracture (DRG 522)$15,029$45,2303.0×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$28,8682.1×$21,143–$34,3135
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Medica$34,3132.5×1
UnitedHealthcare$34,2932.5×1
Elite Choice - MJE$28,8682.1×1
Aetna$21,3501.6×1
NE Furniture Mart$21,1431.6×1

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.

Quality

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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Questions

How much does Medicare pay Methodist Jennie Edmundson for a knee or hip replacement?

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).

What is Methodist Jennie Edmundson's list price for a joint replacement?

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.

Is a knee replacement cheaper at a surgery center near Methodist Jennie Edmundson?

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.

How does Methodist Jennie Edmundson compare with other Iowa hospitals?

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.

What do commercial insurers pay Methodist Jennie Edmundson 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 $28,868 across 5 insurers, ranging from $21,143 to $34,313.