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Finley 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.

Surgery center nearby
$8,314
Tri-State Surgery Center, LLC, 4.3 mi
Outpatient here
$11,151
205 Medicare cases, APC 5115
Inpatient here
$12,640
13 Medicare stays, MS-DRG 470

Medicare prices at Finley Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$12,640$49,6253.9×$11,151
Shoulder replacement———$15,909

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 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).

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× what Medicare paid. 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?

Medicare paid Finley Hospital less than 80% of the 15 Iowa hospitals that report inpatient hip or knee replacement.