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Ottumwa Regional Health Center: what a joint replacement costs

Ottumwa, IA 52501 · CMS Certification Number 160089. 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
—
No orthopedic surgery center within 25 miles
Outpatient here
$12,138
Medicare allowed amount, 51 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Ottumwa Regional Health Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$12,138
Shoulder replacement————

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$27,674—$15,872–$29,0605
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
UnitedHealthcare$29,060—1
Bcbsppo$27,998—1
UHCDeerePremier$27,674—1
Bcbshmo$25,450—1
DevotedHealth$15,872—1

From the hospital's price-transparency file (2026-07-23); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-07-23); commercial plans, dollar-amount contracts only.

Quality

Overall Care Compare rating: 2 of 5 stars. For-profit · Acute · 235 beds

Iowa requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Ottumwa Regional Health Center for a knee or hip replacement?

The Medicare allowed amount averaged $12,138 per outpatient hip or knee replacement case (APC 5115, 51 cases) in 2024. Inpatient stays were too few to report.

What do commercial insurers pay Ottumwa Regional Health 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 $27,674 across 5 insurers, ranging from $15,872 to $29,060.