Iowa / Allen Hospital
CMS certification 160110 · Waterloo, IA
Allen Hospital: charges and Medicare payments
Allen Hospital reported 1,607 Medicare inpatient stays across 57 DRGs in 2024. Across them it charged 2.72 times what it was paid — among the lower ratios in Iowa, number 21 of 27 hospitals with at least 100 stays (state median 3.32×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 208 stays at an average charge of $29,438, 67% below the national average. It also billed 2,358 outpatient services, charging 5.76 times what Medicare paid.
- 1Medicare inpatient stays 1,607
- 2Charge ÷ paid, inpatient 2.72×
- 3Rank in IA (highest ratio = 1) 21 of 27
- 4CMS price-transparency actions 0
Inpatient stays
For the 57 DRGs that can be compared with the national average, Allen Hospital charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 208 | $29,438 | -67% | $13,966 |
| 885 Psychoses | 89 | $15,832 | -64% | $10,440 |
| 291 Heart Failure and Shock with MCC | 86 | $20,470 | -64% | $9,484 |
| 378 Gastrointestinal Hemorrhage with CC | 63 | $20,538 | -58% | $7,219 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 49 | $18,802 | -62% | $7,506 |
| 189 Pulmonary Edema and Respiratory Failure | 41 | $25,994 | -55% | $9,256 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 41 | $56,871 | -50% | $13,247 |
| 193 Simple Pneumonia and Pleurisy with MCC | 39 | $21,223 | -64% | $9,964 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 37 | $82,628 | -64% | $31,678 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 36 | $26,905 | -58% | $7,714 |
| 177 Respiratory Infections and Inflammations with MCC | 35 | $25,407 | -64% | $11,857 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 35 | $72,947 | -55% | $19,695 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 35 | $17,035 | -58% | $5,933 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 30 | $23,555 | -68% | $11,863 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 29 | $18,501 | -67% | $7,109 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 29 | $15,859 | -56% | $5,706 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 28 | $169,664 | -23% | $33,342 |
| 683 Renal Failure with CC | 28 | $13,921 | -66% | $6,617 |
| 329 Major Small and Large Bowel Procedures with MCC | 26 | $78,661 | -63% | $29,242 |
| 690 Kidney and Urinary Tract Infections without MCC | 25 | $13,043 | -66% | $5,896 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 24 | $15,728 | -58% | $5,802 |
| 233 Coronary Bypass with Cardiac Catheterization or Open... | 23 | $156,434 | -59% | $51,580 |
| 377 Gastrointestinal Hemorrhage with MCC | 23 | $35,595 | -58% | $12,374 |
| 236 Coronary Bypass without Cardiac Catheterization without MCC | 22 | $86,642 | -59% | $28,660 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 22 | $19,244 | -68% | $10,121 |
| 689 Kidney and Urinary Tract Infections with MCC | 22 | $25,301 | -51% | $8,479 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 21 | $20,290 | -64% | $8,711 |
| 312 Syncope and Collapse | 21 | $15,728 | -65% | $6,345 |
| 603 Cellulitis without MCC | 21 | $16,593 | -56% | $6,537 |
| 660 Kidney and Ureter Procedures for Non-Neoplasm with CC | 21 | $24,232 | -64% | $9,847 |
| 039 Extracranial Procedures without CC/MCC | 20 | $23,411 | -63% | $7,955 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 20 | $22,960 | -65% | $9,945 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 19 | $23,038 | -70% | $12,068 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 18 | $35,055 | -69% | $15,134 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 18 | $21,819 | -64% | $9,669 |
| 330 Major Small and Large Bowel Procedures with CC | 17 | $55,990 | -53% | $16,988 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 16 | $25,574 | -74% | $13,393 |
| 234 Coronary Bypass with Cardiac Catheterization or Open... | 16 | $116,974 | -56% | $35,758 |
| 389 Gastrointestinal Obstruction with CC | 16 | $14,058 | -64% | $5,925 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 16 | $65,033 | -53% | $19,950 |
| 331 Major Small and Large Bowel Procedures without CC/MCC | 15 | $37,518 | -56% | $11,661 |
| 432 Cirrhosis and Alcoholic Hepatitis with MCC | 15 | $33,395 | -65% | $13,184 |
| 811 Red Blood Cell Disorders with MCC | 15 | $23,560 | -65% | $10,180 |
| 481 Hip and Femur Procedures except Major Joint with CC | 14 | $53,921 | -46% | $14,689 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 14 | $43,272 | -58% | $14,667 |
| 682 Renal Failure with MCC | 14 | $20,596 | -69% | $10,519 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 14 | $15,589 | -67% | $7,394 |
| 178 Respiratory Infections and Inflammations with CC | 13 | $21,968 | -52% | $7,467 |
| 661 Kidney and Ureter Procedures for Non-Neoplasm without CC/MCC | 13 | $21,460 | -62% | $7,625 |
| 812 Red Blood Cell Disorders without MCC | 13 | $20,923 | -53% | $6,708 |
| 981 Extensive O.R. Procedures Unrelated To Principal Diagnosis... | 13 | $101,937 | -53% | $42,919 |
| 176 Pulmonary Embolism without MCC | 12 | $16,872 | -59% | $6,081 |
| 235 Coronary Bypass without Cardiac Catheterization with MCC | 12 | $133,244 | -54% | $39,550 |
| 854 Infectious and Parasitic Diseases with O.R. Procedures with... | 12 | $33,022 | -66% | $15,210 |
| 305 Hypertension without MCC | 11 | $13,273 | -67% | $5,525 |
| 521 Hip Replacement with Principal Diagnosis of Hip Fracture... | 11 | $64,103 | -53% | $20,736 |
| 552 Medical Back Problems without MCC | 11 | $18,228 | -63% | $6,773 |
Outpatient services
Against the Iowa average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Allen Hospital charged $29,438 on average, 41% less than the Iowa average of $49,919, and was paid $13,966 against a state average of $14,771. For Psychoses (DRG 885), Allen Hospital charged $15,832 on average, 40% less than the Iowa average of $26,385, and was paid $10,440 against a state average of $11,411. For Heart Failure and Shock with MCC (DRG 291), Allen Hospital charged $20,470 on average, 41% less than the Iowa average of $34,817, and was paid $9,484 against a state average of $9,846. For Gastrointestinal Hemorrhage with CC (DRG 378), Allen Hospital charged $20,538 on average, 32% less than the Iowa average of $30,235, and was paid $7,219 against a state average of $7,517. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $17,206 was 13% below the state average of $19,798. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $5,648 was 30% below the state average of $8,055. For Level 3 Endovascular Procedures (outpatient APC 5193), its average charge of $47,505 was 11% below the state average of $53,201. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $2,813 was 52% below the state average of $5,820.
Price-transparency record
No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.