The Price of Medicare Procedures in Iowa



This table shows the 100 most frequently charged procedures/diagnosis in Iowa to the Inpatient Prospective Payment System (IPPS). This table will give a basic idea of the cost of medicare for hospital procedures. Hospitals determine what they bill according to a "chargemaster". The charge master serves as a price point for the beginning of negotiations between you and the health care provider.



ProcedureProvider StateTotal DischargesHospital Charge(s)Medicare Payment(s)Your Cost
Acute Myocardial Infarction Discharged Alive No Complications
 Iowa 252 $17798 $4742 $13056
Acute Myocardial Infarction Discharged Alive With Complications
 Iowa 438 $22575 $7029 $15546
Acute Myocardial Infarction Discharged Alive With Major Complications
 Iowa 692 $30156 $10757 $19399
Alcohol Drug Abuse No Rehabilitation Therapy No Major Complications
 Iowa 419 $11417 $4078 $7339
Atherosclerosis No Major Complications
 Iowa 261 $10968 $3517 $7451
Back And Neck Proc Exc Spinal Fusion No Complications
 Iowa 390 $18753 $5923 $12830
Bronchitis And Asthma No Complications
 Iowa 84 $12220 $3732 $8488
Bronchitis And Asthma With Complications
 Iowa 188 $15396 $5082 $10314
Cardiac Arrhythmia And Conduction Disorders No Complications
 Iowa 1195 $10063 $3469 $6594
Cardiac Arrhythmia And Conduction Disorders With Complications
 Iowa 966 $14064 $5086 $8978
Cardiac Arrhythmia And Conduction Disorders With Major Complications
 Iowa 728 $20085 $7436 $12649
Cellulitis No Major Complications
 Iowa 1310 $13154 $5126 $8028
Cellulitis With Major Complications
 Iowa 168 $26085 $8796 $17289
Cervical Spinal Fusion No Complications
 Iowa 161 $39235 $12970 $26265
Chest Pain
 Iowa 1007 $11577 $3347 $8230
Chronic Obstructive Pulmonary Disease No Complications
 Iowa 876 $12605 $4509 $8096
Chronic Obstructive Pulmonary Disease With Complications
 Iowa 1192 $16587 $5845 $10742
Chronic Obstructive Pulmonary Disease With Major Complications
 Iowa 1367 $19159 $7031 $12128
Circulatory Disorders Except Ami With Card Cath No Major Complications
 Iowa 1358 $24739 $6989 $17750
Circulatory Disorders Except Ami With Card Cath With Major Complications
 Iowa 171 $43086 $14181 $28905
Cranial And Peripheral Nerve Disorders No Major Complications
 Iowa 114 $17919 $6159 $11760
Degenerative Nervous System Disorders No Major Complications
 Iowa 188 $17371 $6085 $11286
Diabetes With Complications
 Iowa 303 $13724 $4958 $8766
Disorders Of Pancreas Except Malignancy With Complications
 Iowa 131 $21242 $7413 $13829
Dysequilibrium
 Iowa 183 $13245 $3783 $9462
Esophagitis Gastroent And Misc Digest Disorders No Major Complications
 Iowa 2091 $14219 $4496 $9723
Esophagitis Gastroent And Misc Digest Disorders With Major Complications
 Iowa 307 $24297 $7479 $16818
Extracranial Procedures No Complications
 Iowa 518 $22330 $6128 $16202
Fractures Of Hip And Pelvis No Major Complications
 Iowa 227 $11460 $4417 $7043
Fx Sprn Strn And Disl Except Femur Hip Pelvis Thigh No Major Complications
 Iowa 174 $13200 $4313 $8887
Gi Hemorrhage No Complications
 Iowa 243 $12859 $4392 $8467
Gi Hemorrhage With Complications
 Iowa 1500 $17952 $6324 $11628
Gi Hemorrhage With Major Complications
 Iowa 428 $32007 $11147 $20860
Gi Obstruction No Complications
 Iowa 443 $11408 $3874 $7534
Gi Obstruction With Complications
 Iowa 555 $16379 $5800 $10579
Heart Failure And Shock No Complications
 Iowa 878 $11964 $4146 $7818
Heart Failure And Shock With Complications
 Iowa 1947 $16806 $6239 $10567
Heart Failure And Shock With Major Complications
 Iowa 1488 $25059 $8916 $16143
Hip And Femur Procedures Except Major Joint No Complications
 Iowa 212 $30047 $9789 $20258
Hip And Femur Procedures Except Major Joint With Complications
 Iowa 1105 $35552 $11140 $24412
Hip And Femur Procedures Except Major Joint With Major Complications
 Iowa 307 $54187 $18464 $35723
Hypertension No Major Complications
 Iowa 145 $13125 $3848 $9277
Infectious And Parasitic Diseases Or Procedure With Major Complications
 Iowa 367 $97206 $35390 $61816
Intracranial Hemorrhage Or Cerebral Infarction No Complications
 Iowa 565 $17007 $5213 $11794
Intracranial Hemorrhage Or Cerebral Infarction With Complications
 Iowa 1075 $20141 $7017 $13124
Intracranial Hemorrhage Or Cerebral Infarction With Major Complications
 Iowa 475 $32824 $11990 $20834
Kidney And Urinary Tract Infections No Major Complications
 Iowa 1626 $13302 $4858 $8444
Kidney And Urinary Tract Infections With Major Complications
 Iowa 482 $18269 $7082 $11187
Laparoscopic Cholecystectomy No Cde No Complications
 Iowa 90 $28686 $7455 $21231
Laparoscopic Cholecystectomy No Cde With Complications
 Iowa 169 $37275 $10337 $26938
Major Cardiovasc Procedures No Major Complications
 Iowa 413 $71090 $19795 $51295
Major Gastrointestinal Disorders And Peritoneal Infections With Complications
 Iowa 290 $19824 $7888 $11936
Major Joint Replacement Of Lower Extremity No Major Complications
 Iowa 6599 $37395 $12819 $24576
Major Joint Replacement Of Lower Extremity With Major Complications
 Iowa 371 $53093 $18952 $34141
Major Small And Large Bowel Procedures With Complications
 Iowa 573 $45138 $15879 $29259
Major Small And Large Bowel Procedures With Major Complications
 Iowa 391 $91016 $32145 $58871
Medical Back Problems No Major Complications
 Iowa 700 $15255 $5177 $10078
Misc Disorders Of Metabolism Fluids Electrolytes No Major Complications
 Iowa 1460 $12163 $4344 $7819
Misc Disorders Of Metabolism Fluids Electrolytes With Major Complications
 Iowa 457 $21581 $7193 $14388
Other Circulatory System Diagnoses With Complications
 Iowa 177 $20406 $7149 $13257
Other Circulatory System Diagnoses With Major Complications
 Iowa 308 $36717 $12107 $24610
Other Digestive System Diagnoses With Complications
 Iowa 260 $18871 $6435 $12436
Other Kidney And Urinary Tract Diagnoses With Complications
 Iowa 171 $22459 $7319 $15140
Other Kidney And Urinary Tract Diagnoses With Major Complications
 Iowa 233 $27088 $10023 $17065
Other Vascular Procedures No Complications
 Iowa 303 $40106 $10382 $29724
Other Vascular Procedures With Complications
 Iowa 294 $54938 $16383 $38555
Other Vascular Procedures With Major Complications
 Iowa 117 $72927 $22174 $50753
Perc Cardiovasc Proc No Coronary Artery Stent No Major Complications
 Iowa 165 $46701 $12313 $34388
Perc Cardiovasc Proc With Drug Eluting Stent No Major Complications
 Iowa 1483 $47353 $12273 $35080
Perc Cardiovasc Proc With Drug Eluting Stent With Major Complications
 Iowa 477 $67998 $19871 $48127
Perc Cardiovasc Proc With Nondrug Eluting Stent No Major Complications
 Iowa 303 $41314 $10548 $30766
Peripheral Vascular Disorders No Complications
 Iowa 64 $12612 $4097 $8515
Peripheral Vascular Disorders With Complications
 Iowa 278 $16807 $6124 $10683
Permanent Cardiac Pacemaker Implant No Complications
 Iowa 336 $40664 $11975 $28689
Permanent Cardiac Pacemaker Implant With Complications
 Iowa 297 $48590 $15767 $32823
Poisoning And Toxic Effects Of Drugs No Major Complications
 Iowa 370 $11248 $3968 $7280
Poisoning And Toxic Effects Of Drugs With Major Complications
 Iowa 117 $28680 $9600 $19080
Psychoses
 Iowa 1650 $10781 $5895 $4886
Pulmonary Edema And Respiratory Failure
 Iowa 1282 $24601 $7871 $16730
Pulmonary Embolism No Major Complications
 Iowa 419 $18419 $6487 $11932
Red Blood Cell Disorders No Major Complications
 Iowa 592 $15354 $4947 $10407
Red Blood Cell Disorders With Major Complications
 Iowa 121 $24129 $7894 $16235
Renal Failure No Complications
 Iowa 215 $12090 $4140 $7950
Renal Failure With Complications
 Iowa 1481 $16911 $6278 $10633
Renal Failure With Major Complications
 Iowa 871 $30832 $10243 $20589
Respiratory Infections And Inflammations With Complications
 Iowa 540 $21855 $8886 $12969
Respiratory Infections And Inflammations With Major Complications
 Iowa 724 $31794 $11832 $19962
Respiratory System Diagnosis With Ventilator Support 96 Plus Hrs
 Iowa 111 $115843 $35960 $79883
Respiratory System Diagnosis With Ventilator Support Less 96 Hrs
 Iowa 661 $47645 $14831 $32814
Seizures No Major Complications
 Iowa 350 $14183 $5363 $8820
Septicemia Or Severe Sepsis No Mv 96 Plus Hrs No Major Complications
 Iowa 1180 $18145 $6920 $11225
Septicemia Or Severe Sepsis No Mv 96 Plus Hrs With Major Complications
 Iowa 2734 $32614 $11654 $20960
Septicemia Or Severe Sepsis With Mv 96 Plus Hrs
 Iowa 68 $103961 $41341 $62620
Signs And Symptoms No Major Complications
 Iowa 404 $13487 $4375 $9112
Simple Pneumonia And Pleurisy No Complications
 Iowa 1009 $12176 $4314 $7862
Simple Pneumonia And Pleurisy With Complications
 Iowa 2280 $16050 $6064 $9986
Simple Pneumonia And Pleurisy With Major Complications
 Iowa 1604 $24809 $8640 $16169
Spinal Fusion Except Cervical No Major Complications
 Iowa 643 $66462 $24175 $42287
Syncope And Collapse
 Iowa 834 $14006 $4339 $9667
Transient Ischemia
 Iowa 445 $14840 $4557 $10283


Source: CMS

As part of the Obama administration’s goal to make our healthcare more accountable, transparent and affordable the CMS.gov has released data from more then 3000 hospitals that receive payments for the 100 highest frequently billed charges under Medicare. For more information visit CMS.gov.

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