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Iowa: one knee, three prices

What Medicare pays Iowa hospitals and surgery centers for knee, hip and shoulder replacement, what hospitals list, and which cost the most and the least.

Surgery center
$8,447
Median Medicare knee rate, 17 orthopedic surgery centers
Hospital, same day
$11,283
Median Medicare allowed amount
Hospital, overnight
$13,249
Median avg total payment (incl. patient share), 15 hospitals

Iowa requires a certificate of need for new surgery centers.

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Lowest average total payment per stay

HospitalCityInpatient avg total paymentList priceOutpatient allowed
Mercyone Cedar Falls Medical CenterCedar Falls$12,269$85,996$11,080
Mary Greeley Medical CenterAmes$12,476$46,104$11,234
Finley HospitalDubuque$12,640$49,625$11,151
St Lukes HospitalCedar Rapids$12,910$51,961$11,245
Mercy Medical Center - Cedar RapidsCedar Rapids$12,975$47,881$11,286
Mercyone Dubuque Medical CenterDubuque$13,114$53,392$11,925
Mercyone Des Moines Medical CenterDes Moines$13,122$60,835$11,168
Mercyone GenesisDavenport$13,249$45,206$11,085
Methodist Jennie EdmundsonCouncil Bluffs$13,475$43,752$11,751
Lakes Regional HealthcareSpirit Lake$13,677$43,362$11,245

Highest average total payment per stay

HospitalCityInpatient avg total paymentList priceOutpatient allowed
University of Iowa Health Care Medical CenterIowa City$17,774$82,160$11,534
Spencer Municipal HospitalSpencer$15,347$41,934$11,144
Mercyone North Iowa Medical CenterMason City$14,545$67,185$12,565
Mercyone Waterloo Medical CenterWaterloo$14,121$78,594—
Unitypoint Health - Des Moines Iowa Methodist MediDes Moines$13,679$69,009$11,208
Lakes Regional HealthcareSpirit Lake$13,677$43,362$11,245
Methodist Jennie EdmundsonCouncil Bluffs$13,475$43,752$11,751
Mercyone GenesisDavenport$13,249$45,206$11,085
Mercyone Des Moines Medical CenterDes Moines$13,122$60,835$11,168
Mercyone Dubuque Medical CenterDubuque$13,114$53,392$11,925

Every Iowa hospital (30)

Orthopedic surgery centers (17)

Questions

How much does Medicare pay for a knee replacement in Iowa?

In 2024 the median average total payment to Iowa hospitals was $13,249 per Medicare inpatient hip or knee replacement stay (MS-DRG 470, 15 hospitals; Medicare's payment plus the patient's share), and the median Medicare allowed amount was $11,283 per outpatient case. An orthopedic surgery center is paid about $8,447 for a knee.

Which Iowa hospitals have the lowest Medicare payment for a joint replacement?

Mercyone Cedar Falls Medical Center ($12,269), Mary Greeley Medical Center ($12,476), Finley Hospital ($12,640) (average total payment per inpatient stay, patient share included).

What do Iowa hospitals list for a joint replacement?

The median list (chargemaster) price is $51,961, about 3.9× the median average total payment for a Medicare stay.

Does Iowa have a certificate-of-need law?

Iowa requires a certificate of need for new surgery centers. CON covers new institutional health services including ASCs; a 2024 law exempted cosmetic and plastic surgery at ASCs and a 2026 law (HF 2635) raised thresholds.