Iowa City, IA 52242 · CMS Certification Number 160058. 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 | $17,774 | $82,160 | 4.6× | $11,534 |
| Shoulder replacement | $23,405 | $118,533 | 5.1× | $16,306 |
| Hip replacement after a fracture (DRG 522) | $20,865 | $99,195 | 4.8× | — |
Complications after hip or knee replacement: 5% (no different from the national rate). Readmissions: 5.1%. Overall Care Compare rating: 2 of 5 stars. Government · Acute · 1103 beds
Iowa requires a certificate of need for new surgery centers.
Open the interactive price tagBuild a reportAll Iowa hospitals
In 2024 Medicare paid University of Iowa Health Care Medical Center an average of $17,774 per inpatient hip or knee replacement stay (MS-DRG 470, 34 stays) and $11,534 per outpatient case (APC 5115, 344 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $82,160, 4.6× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Iowa City Ambulatory Surgical Center LLC, an orthopedic surgery center 1.8 mi away, is paid about $8,750 by Medicare for a knee replacement (CPT 27447), $9,024 less than an inpatient stay at University of Iowa Health Care Medical Center. Not every patient is a surgery-center candidate.
Medicare paid University of Iowa Health Care Medical Center more than 100% of the 15 Iowa hospitals that report inpatient hip or knee replacement.