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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient 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× | — |
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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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).
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.
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.
Medicare paid Mercyone Dubuque Medical Center less than 60% of the 15 Iowa hospitals that report inpatient hip or knee replacement.