Dubuque, IA 52001 · CMS Certification Number 160117. 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 | $12,640 | $49,625 | 3.9× | $11,151 |
| Shoulder replacement | — | — | — | $15,909 |
Complications after hip or knee replacement: 5.7% (no different from the national rate). Readmissions: 7.3%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 158 beds
Iowa requires a certificate of need for new surgery centers.
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In 2024 Medicare paid Finley Hospital an average of $12,640 per inpatient hip or knee replacement stay (MS-DRG 470, 13 stays) and $11,151 per outpatient case (APC 5115, 205 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $49,625, 3.9× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Tri-State Surgery Center, LLC, an orthopedic surgery center 4.3 mi away, is paid about $8,314 by Medicare for a knee replacement (CPT 27447), $4,326 less than an inpatient stay at Finley Hospital. Not every patient is a surgery-center candidate.
Medicare paid Finley Hospital less than 80% of the 15 Iowa hospitals that report inpatient hip or knee replacement.