Spirit Lake, IA 51360 · CMS Certification Number 160124. 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 avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $13,677 | $43,362 | 3.2× | $11,245 |
| Shoulder replacement | — | — | — | $15,909 |
Complications after hip or knee replacement: 6.5% (no different from the national rate). Readmissions: 5.9%. Overall Care Compare rating: 2 of 5 stars. Government · Acute · 49 beds
Iowa requires a certificate of need for new surgery centers.
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In 2024 the average total payment to Lakes Regional Healthcare for an inpatient hip or knee replacement stay was $13,677 (MS-DRG 470, 34 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,245 per outpatient case (APC 5115, 66 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $43,362, 3.2× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Lakes Regional Healthcare's average total payment per Medicare stay is higher than 67% of the 15 Iowa hospitals that report inpatient hip or knee replacement.