Price AtlasInteractive atlas · All states · techysurgeon.comSpencer Municipal Hospital: what a joint replacement costs
Spencer, IA 51301 · CMS Certification Number 160112. 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 Spencer Municipal Hospital
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $15,347 | $41,934 | 2.7× | $11,144 |
| Shoulder replacement | — | — | — | $15,909 |
| Hip replacement after a fracture (DRG 522) | $17,203 | $40,926 | 2.4× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $25,137 | 1.6× | — | 1 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Wellmark BCBS | $25,137 | 1.6× | 1 |
From the hospital's price-transparency file (2026-01-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-01-01); commercial plans, dollar-amount contracts only.
Quality
Complications after hip or knee replacement: 4.5% (no different from the national rate). Readmissions: 5.5%. Overall Care Compare rating: 4 of 5 stars. Government · Acute · 93 beds
Iowa requires a certificate of need for new surgery centers.
Open the interactive price tagBuild a reportAll Iowa hospitals
Questions
How much does Medicare pay Spencer Municipal Hospital for a knee or hip replacement?
In 2024 the average total payment to Spencer Municipal Hospital for an inpatient hip or knee replacement stay was $15,347 (MS-DRG 470, 53 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,144 per outpatient case (APC 5115, 189 cases).
What is Spencer Municipal Hospital's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $41,934, 2.7× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
How does Spencer Municipal Hospital compare with other Iowa hospitals?
Spencer Municipal Hospital's average total payment per Medicare stay is higher than 93% of the 15 Iowa hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Spencer Municipal 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 $25,137 across 1 insurer.