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.
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | — | — | — | $11,079 |
| Shoulder replacement | — | — | — | $15,909 |
| Hip replacement after a fracture (DRG 522) | $14,667 | $43,272 | 3.0× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $21,042 | — | $19,132–$24,336 | 3 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| 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.
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.
Open the interactive price tagBuild a reportAll Iowa hospitals
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.
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.
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.