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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
110 Medicare cases, APC 5115
Inpatient here
$13,475
14 Medicare stays, MS-DRG 470

Medicare prices at Methodist Jennie Edmundson

OperationInpatient paidList priceList ÷ paidOutpatient 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×—

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 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).

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× 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 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?

Medicare paid Methodist Jennie Edmundson more than 60% of the 15 Iowa hospitals that report inpatient hip or knee replacement.