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Mercyone North Iowa Medical Center: what a joint replacement costs

Mason City, IA 50401 · CMS Certification Number 160064. 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
$8,060
Mason City Ambulatory Surgery Center LLC, same ZIP
Outpatient here
$12,565
Medicare allowed amount, 193 cases, APC 5115
Inpatient here
$14,545
Avg total payment (incl. patient share), 41 Medicare stays, MS-DRG 470

Medicare prices at Mercyone North Iowa Medical Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$14,545$67,1854.6×$12,565
Shoulder replacement———$17,354
Hip replacement after a fracture (DRG 522)$16,595$77,8154.7×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$26,1721.8×$18,502–$33,8432
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
UnitedHealthcare$33,8432.3×1
Oscar$18,5021.3×1

From the hospital's price-transparency file (2026-03-31); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-03-31); commercial plans, dollar-amount contracts only.

Quality

Complications after hip or knee replacement: 3.8% (no different from the national rate). Readmissions: 5.6%. Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 350 beds

Iowa requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Mercyone North Iowa Medical Center for a knee or hip replacement?

In 2024 the average total payment to Mercyone North Iowa Medical Center for an inpatient hip or knee replacement stay was $14,545 (MS-DRG 470, 41 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $12,565 per outpatient case (APC 5115, 193 cases).

What is Mercyone North Iowa Medical Center's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $67,185, 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 Mercyone North Iowa Medical Center?

Yes for Medicare facility payments. Mason City Ambulatory Surgery Center LLC, an orthopedic surgery center same ZIP away, is paid about $8,060 by Medicare for a knee replacement (CPT 27447), $6,485 less than an inpatient stay at Mercyone North Iowa Medical Center. Not every patient is a surgery-center candidate.

How does Mercyone North Iowa Medical Center compare with other Iowa hospitals?

Mercyone North Iowa Medical Center's average total payment per Medicare stay is higher than 87% of the 15 Iowa hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay Mercyone North Iowa Medical Center 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 $26,172 across 2 insurers, ranging from $18,502 to $33,843.