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Spencer 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.

Surgery center nearby
—
No orthopedic surgery center within 25 miles
Outpatient here
$11,144
189 Medicare cases, APC 5115
Inpatient here
$15,347
53 Medicare stays, MS-DRG 470

Medicare prices at Spencer Municipal Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$15,347$41,9342.7×$11,144
Shoulder replacement———$15,909
Hip replacement after a fracture (DRG 522)$17,203$40,9262.4×—

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.

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Questions

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

In 2024 Medicare paid Spencer Municipal Hospital an average of $15,347 per inpatient hip or knee replacement stay (MS-DRG 470, 53 stays) and $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× what Medicare paid. 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?

Medicare paid Spencer Municipal Hospital more than 93% of the 15 Iowa hospitals that report inpatient hip or knee replacement.