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Mercyone Dubuque Medical Center: what a joint replacement costs

Dubuque, IA 52001 · CMS Certification Number 160069. 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
$8,314
Tri-State Surgery Center, LLC, 4.3 mi
Outpatient here
$11,925
350 Medicare cases, APC 5115
Inpatient here
$13,114
12 Medicare stays, MS-DRG 470

Medicare prices at Mercyone Dubuque Medical Center

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$13,114$53,3924.1×$11,925
Shoulder replacement———$16,636
Hip replacement after a fracture (DRG 522)$14,218$58,0244.1×—

Quality

Complications after hip or knee replacement: 3.7% (no different from the national rate). Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 524 beds

Iowa requires a certificate of need for new surgery centers.

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Questions

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

In 2024 Medicare paid Mercyone Dubuque Medical Center an average of $13,114 per inpatient hip or knee replacement stay (MS-DRG 470, 12 stays) and $11,925 per outpatient case (APC 5115, 350 cases).

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

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $53,392, 4.1× 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 Dubuque Medical Center?

Yes for Medicare facility payments. Tri-State Surgery Center, LLC, an orthopedic surgery center 4.3 mi away, is paid about $8,314 by Medicare for a knee replacement (CPT 27447), $4,800 less than an inpatient stay at Mercyone Dubuque Medical Center. Not every patient is a surgery-center candidate.

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

Medicare paid Mercyone Dubuque Medical Center less than 60% of the 15 Iowa hospitals that report inpatient hip or knee replacement.