Price AtlasInteractive atlas · All states · techysurgeon.comMercyone 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.
Medicare prices at Mercyone Dubuque Medical Center
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $13,114 | $53,392 | 4.1× | $11,925 |
| Shoulder replacement | — | — | — | $16,636 |
| Hip replacement after a fracture (DRG 522) | $14,218 | $58,024 | 4.1× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $23,541 | 1.8× | $18,729–$39,705 | 8 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| The Alliance | $39,705 | 3.0× | 1 |
| Claimdoc | $28,305 | 2.2× | 1 |
| Nova | $28,305 | 2.2× | 1 |
| Centivo | $25,376 | 1.9× | 1 |
| UnitedHealthcare | $21,706 | 1.7× | 1 |
| WPS | $20,756 | 1.6× | 1 |
| Oscar | $19,956 | 1.5× | 1 |
| Amish Hospital Aid | $18,729 | 1.4× | 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: 3.7% (no different from the national rate). Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 524 beds
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Questions
How much does Medicare pay Mercyone Dubuque Medical Center for a knee or hip replacement?
In 2024 the average total payment to Mercyone Dubuque Medical Center for an inpatient hip or knee replacement stay was $13,114 (MS-DRG 470, 12 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $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× 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 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?
Mercyone Dubuque Medical Center's average total payment per Medicare stay is lower than 60% of the 15 Iowa hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Mercyone Dubuque 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 $23,541 across 8 insurers, ranging from $18,729 to $39,705.