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 paid | List price | List ÷ paid | Outpatient 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× | — |
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 Medicare paid Methodist Jennie Edmundson an average of $13,475 per inpatient hip or knee replacement stay (MS-DRG 470, 14 stays) and $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× what Medicare paid. 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.
Medicare paid Methodist Jennie Edmundson more than 60% of the 15 Iowa hospitals that report inpatient hip or knee replacement.