Price AtlasInteractive atlas · All states · techysurgeon.comFinley Hospital: what a joint replacement costs
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.
Medicare prices at Finley Hospital
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $12,640 | $49,625 | 3.9× | $11,151 |
| Shoulder replacement | — | — | — | $15,909 |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $15,981 | 1.3× | $10,452–$21,957 | 7 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| HealthPartners | $21,957 | 1.7× | 1 |
| Aetna | $17,931 | 1.4× | 1 |
| UnitedHealthcare | $17,929 | 1.4× | 1 |
| Medical Associates Health Plan | $15,981 | 1.3× | 1 |
| Quartz Health | $13,440 | 1.1× | 1 |
| BC Illinois Community | $13,101 | 1.0× | 1 |
| Wellmark BCBS | $10,452 | 0.8× | 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.
Quality
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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Questions
How much does Medicare pay Finley Hospital for a knee or hip replacement?
In 2024 the average total payment to Finley Hospital for an inpatient hip or knee replacement stay was $12,640 (MS-DRG 470, 13 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,151 per outpatient case (APC 5115, 205 cases).
What is Finley Hospital's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $49,625, 3.9× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Is a knee replacement cheaper at a surgery center near Finley Hospital?
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.
How does Finley Hospital compare with other Iowa hospitals?
Finley Hospital's average total payment per Medicare stay is lower than 80% of the 15 Iowa hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Finley 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 $15,981 across 7 insurers, ranging from $10,452 to $21,957.