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Allen Hospital: what a joint replacement costs

Waterloo, IA 50703 · CMS Certification Number 160110. 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
$8,093
The Surgery Center at United Medical Park, 9.5 mi
Outpatient here
$11,079
Medicare allowed amount, 116 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Allen Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$11,079
Shoulder replacement———$15,909
Hip replacement after a fracture (DRG 522)$14,667$43,2723.0×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$21,042—$19,132–$24,3363
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
UnitedHealthcare$24,336—1
HealthPartners$21,042—1
Aetna$19,132—1

From the hospital's price-transparency file (2026-01-28); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-01-28); commercial plans, dollar-amount contracts only.

Quality

Complications after hip or knee replacement: 4.6% (no different from the national rate). Readmissions: 5.6%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 234 beds

Iowa requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Allen Hospital for a knee or hip replacement?

The Medicare allowed amount averaged $11,079 per outpatient hip or knee replacement case (APC 5115, 116 cases) in 2024. Inpatient stays were too few to report.

Is a knee replacement cheaper at a surgery center near Allen Hospital?

Yes for Medicare facility payments. The Surgery Center at United Medical Park, an orthopedic surgery center 9.5 mi away, is paid about $8,093 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.

What do commercial insurers pay Allen Hospital 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 $21,042 across 3 insurers, ranging from $19,132 to $24,336.