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University of Iowa Health Care Medical Center: what a joint replacement costs

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.

Surgery center nearby
$8,750
Iowa City Ambulatory Surgical Center LLC, 1.8 mi
Outpatient here
$11,534
Medicare allowed amount, 344 cases, APC 5115
Inpatient here
$17,774
Avg total payment (incl. patient share), 34 Medicare stays, MS-DRG 470

Medicare prices at University of Iowa Health Care Medical Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$17,774$82,1604.6×$11,534
Shoulder replacement$23,405$118,5335.1×$16,306
Hip replacement after a fracture (DRG 522)$20,865$99,1954.8×—

Quality

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.

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Questions

How much does Medicare pay University of Iowa Health Care Medical Center for a knee or hip replacement?

In 2024 the average total payment to University of Iowa Health Care Medical Center for an inpatient hip or knee replacement stay was $17,774 (MS-DRG 470, 34 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,534 per outpatient case (APC 5115, 344 cases).

What is University of Iowa Health Care Medical Center's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $82,160, 4.6× 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 University of Iowa Health Care Medical Center?

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.

How does University of Iowa Health Care Medical Center compare with other Iowa hospitals?

University of Iowa Health Care Medical Center's average total payment per Medicare stay is higher than 100% of the 15 Iowa hospitals that report inpatient hip or knee replacement.