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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
193 Medicare cases, APC 5115
Inpatient here
$14,545
41 Medicare stays, MS-DRG 470

Medicare prices at Mercyone North Iowa Medical Center

OperationInpatient paidList priceList ÷ paidOutpatient 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×—

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 Medicare paid Mercyone North Iowa Medical Center an average of $14,545 per inpatient hip or knee replacement stay (MS-DRG 470, 41 stays) and $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× 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 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?

Medicare paid Mercyone North Iowa Medical Center more than 87% of the 15 Iowa hospitals that report inpatient hip or knee replacement.