IA CMS Medicare PUF 2023 Avg payment #39 of 56

Iowa procedure costs

118 hospitals · 1,790 Medicare providers · 3,395 procedure codes with Iowa locality adjustments.

The short answer

Iowa has 118 hospitals and 1,790 Medicare-billing providers across 3,395 procedure codes. The average Medicare payment per procedure is $198.45; the average submitted (billed) charge is $1,211.02.

Procedure codes
3,395
Providers per hospital
15.2
Billed-to-Medicare ratio
6.1x
Markup rank
#15 of 56

Source: CMS Medicare Physician & Other Practitioners, 2023.

About this dataset, nationwide

According to the Centers for Medicare & Medicaid Services (CMS), the 2023 Medicare Physician & Other Practitioners dataset records payments for 9,297 procedure codes billed across 5,426 hospitals in 56 states and territories; see our methodology for how each figure is sourced and computed.

118
Hospitals
1,790
Providers
$198.45
Avg Medicare Payment
$1,211.02
Avg Billed Charge

Iowa against every US state

Where the state's average Medicare payment per procedure falls, all 56 tracked jurisdictions

$198 higher than 30% of 56 states

$75–$100: 3 states (5%). Below this entry. $100–$125: 1 states (2%). Below this entry. $125–$150: 2 states (4%). Below this entry. $150–$175: 5 states (9%). Below this entry. $175–$200: 7 states (13%). This entry sits in this band. $200–$225: 9 states (16%). Above this entry. $225–$250: 9 states (16%). Above this entry. $250–$275: 11 states (20%). Above this entry. $275–$300: 4 states (7%). Above this entry. $300–$325: 4 states (7%). Above this entry. $325–$350: 1 states (2%). Above this entry. This state $75 $350 every US state, bucketed by value

Each bar is a $25-wide band; taller bars hold more states. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Physician & Other Practitioners, 2023

The priciest procedures in Iowa

Highest average Medicare payment per procedure billed in Iowa. Hover any bar for the exact figure; even these top procedures are billed well above what Medicare reimburses.

Top procedures by Medicare payment - Iowa

Removal Of Plaque And Insert…6034Insertion Of Spinal Neurosti…5864Cystourethroscopy, With Inse…5167Ambulance Service, Conventio…4417Insertion Of Peripheral Or G…4107Removal Of Plaque And Insert…3777Insertion Of Hypoglossal Ner…3615Removal Of Plaque In Artery …3539
Top procedures by Medicare payment - Iowa-Average Medicare payment per procedure (CMS 2023)

Top Procedures by Volume

Procedure Medicare Services
Injection, Faricimab-Svoa, 0.1 Mg $28.98 1.3M
Injection, Denosumab, 1 Mg $18.23 940.2K
Established Patient Office Or Other Outpatient Visit, 30-39 Minutes $73.16 937.3K
Low Osmolar Contrast Material, 300-399 Mg/ml Iodine Concentration, Per Ml $0.12 822.6K
Ground Mileage, Per Statute Mile $7.98 813.2K
Established Patient Office Or Other Outpatient Visit, 20-29 Minutes $51.75 738.6K
Injection, Tocilizumab, 1 Mg $4.61 658.2K
Injection, Ferric Carboxymaltose, 1 Mg $0.87 657.8K
Injection, Pembrolizumab, 1 Mg $42.67 616.9K
Injection, Testosterone Cypionate, 1 Mg $0.02 574.6K
Therapy Procedure Using Exercise To Develop Strength, Endurance, Range Of Motion, And Flexibility, Each 15 Minutes $16.96 562.7K
Chiropractic Manipulative Treatment, 3-4 Spinal Regions $25.86 531.0K
Injection, Certolizumab Pegol, 1 Mg (code May Be Used For Medicare When Drug Administered Under The Direct Supervision Of A Physician, Not For Use When Drug Is Self Administered) $3.90 441.8K
Insertion Of Needle Into Vein For Collection Of Blood Sample $8.25 425.5K
Injection, Romosozumab-Aqqg, 1 Mg $7.93 416.9K
Injection, Darbepoetin Alfa, 1 Microgram (non-Esrd Use) $2.34 373.3K
Injection, Nivolumab, 1 Mg $23.23 365.4K
Injection, Onabotulinumtoxina, 1 Unit $4.76 349.3K
Therapy Procedure Using Functional Activities $23.79 348.0K
Injection, Gadoterate Meglumine, 0.1 Ml $0.11 331.2K
Therapy Procedure Using Manual Technique, Each 15 Minutes $15.19 296.5K
Therapy Procedure To Re-Educate Brain-To-Nerve-To-Muscle Function, Each 15 Minutes $20.29 295.0K
Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, At Least 35 Minutes $57.18 290.5K
Injection, Filgrastim-Sndz, Biosimilar, (zarxio), 1 Microgram $0.17 276.8K
Injection, Ferumoxytol, For Treatment Of Iron Deficiency Anemia, 1 Mg (non-Esrd Use) $0.39 275.4K
Injection, Triamcinolone Acetonide, Not Otherwise Specified, 10 Mg $0.77 255.7K
Provision Of Covid-19 Test, Nonprescription Self-Administered And Self-Collected Use, Fda Approved, Authorized Or Cleared, One Test Count $11.51 254.5K
Injection, Oxaliplatin, 0.5 Mg $0.06 240.8K
Injection, Golimumab, 1 Mg, For Intravenous Use $10.44 227.2K
Injection, Daratumumab, 10 Mg And Hyaluronidase-Fihj $37.72 218.7K

Iowa Healthcare Cost Landscape

CMS lists 118 hospitals in Iowa across 105 cities. DES MOINES holds 4 (3%). The three densest cities together hold 8% of the state roster. Statewide that is 1,790 Medicare-billing providers, 15.2 per listed hospital.

41 hospitals carry a CMS overall star rating (2 five-star, 14 four-star, 12 three-star, 9 two-star, 4 one-star) ; five-star share among rated facilities is 5%. 77 hospitals in this extract have no published overall rating.

Facility-type mix: Critical Access Hospitals 82 (69%); Acute Care Hospitals 30 (25%); Psychiatric 4 (3%); Acute Care - Veterans Administration 2 (2%).

Among the 30 highest-volume procedure codes billed in Iowa, Drugs (Administered) leads with 7.7M services (52% of this top-volume slice) across 15 codes. Next is Medicine at 14%.

Submitted charges average $1,211.02 against $198.45 Medicare payment (6.1x billed-to-Medicare). That ratio ranks #15 of 56 jurisdictions with both figures in this extract. Average Medicare payment itself is #39 of 56.

Volume leaders are not the high-payment codes. Injection, Faricimab-Svoa, 0.1 Mg is in the top volume slice but not the highest Medicare payments; Removal Of Plaque And Insertion Of Stents In Artery Of Leg, Initial Vessel is in the high-payment set without matching volume rank.

These are CMS roster and claims aggregates for Iowa, not a quote for any patient, plan, or visit. See the methodology and CMS Medicare Provider Charge Data.

Where Iowa hospitals sit

City of the CMS hospital roster, not a travel or care recommendation. 105 distinct cities appear on 118 listed facilities.

City Hospitals Share of state roster
DES MOINES 4 3%
IOWA CITY 3 3%
BETTENDORF 2 2%
CEDAR RAPIDS 2 2%
CHEROKEE 2 2%
COUNCIL BLUFFS 2 2%
DUBUQUE 2 2%
INDEPENDENCE 2 2%

Nationwide states with similar hospital scale or Medicare payment

Two CMS-extract-derived peer sets for Iowa: nearest hospital inventory and nearest statewide average Medicare payment. Not clinical substitutes: registry-scale and payment neighborhoods only.

Similar CMS hospital count

Nearest states with ≥5 hospitals (118 here).

Similar average Medicare payment

Nearest states with published averages ($198.45 here).

How Iowa Compares Nationally

Iowa's average Medicare payment is #39 of 56 in this extract. Submitted-over-Medicare markup ranks #15 of 56 (6.1x). Hospital-count peers (nearest CMS roster size to 118): North Carolina 120, Missouri 121, Tennessee 122, Arizona 106. Payment peers (nearest average Medicare payment to $198.45): Wisconsin $201.63, Montana $191.94, Delaware $208.28, New Hampshire $188.37.

Those peer sets are registry neighborhoods, not clinical substitutes. Markup rank and payment rank can diverge: a jurisdiction can sit high on billed-to-Medicare while sitting mid-pack on payment, or the reverse. Figures remain CMS averages for Iowa, not an out-of-pocket quote.

Related registry pages

Iowa averages sit on two maps: Medicare payment and submitted-over-Medicare markup.

Figures here are Iowa CMS averages, not a quote for any patient, plan, or visit.

Data sourced from the CMS Medicare Physician and Other Practitioners dataset. See our methodology for details. Retrieved and formatted by PlainProcedure  · Verify with CMS →

Every figure on PlainProcedure is rendered directly from CMS Medicare Physician & Other Practitioners data, no number is typed in by an editor. This page draws directly on CMS Medicare Physician & Other Practitioners data, no figure is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, the data changelog, or report a data error.