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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient 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× | — |
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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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).
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.
Medicare paid Spencer Municipal Hospital more than 93% of the 15 Iowa hospitals that report inpatient hip or knee replacement.