Iowa / Finley Hospital
CMS certification 160117 · Dubuque, IA
Finley Hospital: charges and Medicare payments
Finley Hospital reported 810 Medicare inpatient stays across 29 DRGs in 2024. Across them it charged 2.64 times what it was paid — among the lower ratios in Iowa, number 22 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: 177 stays at an average charge of $30,757, 66% below the national average. It also billed 1,945 outpatient services, charging 5.51 times what Medicare paid.
- 1Medicare inpatient stays 810
- 2Charge ÷ paid, inpatient 2.64×
- 3Rank in IA (highest ratio = 1) 22 of 27
- 4CMS price-transparency actions 0
Inpatient stays
For the 29 DRGs that can be compared with the national average, Finley 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 | 177 | $30,757 | -66% | $12,888 |
| 291 Heart Failure and Shock with MCC | 114 | $21,753 | -61% | $8,717 |
| 193 Simple Pneumonia and Pleurisy with MCC | 50 | $23,811 | -60% | $8,620 |
| 189 Pulmonary Edema and Respiratory Failure | 35 | $23,966 | -58% | $8,261 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 34 | $17,803 | -64% | $7,413 |
| 177 Respiratory Infections and Inflammations with MCC | 27 | $30,409 | -57% | $11,614 |
| 683 Renal Failure with CC | 22 | $14,403 | -65% | $6,070 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 22 | $75,131 | -67% | $30,266 |
| 689 Kidney and Urinary Tract Infections with MCC | 21 | $18,446 | -64% | $7,872 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 20 | $12,088 | -67% | $5,386 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 20 | $26,508 | -64% | $10,583 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 19 | $13,883 | -62% | $5,438 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 19 | $23,129 | -62% | $8,706 |
| 682 Renal Failure with MCC | 19 | $27,020 | -59% | $9,547 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 17 | $22,066 | -60% | $6,493 |
| 552 Medical Back Problems without MCC | 17 | $17,597 | -64% | $5,956 |
| 638 Diabetes with CC | 16 | $16,468 | -60% | $6,172 |
| 690 Kidney and Urinary Tract Infections without MCC | 16 | $21,465 | -43% | $5,769 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 15 | $20,360 | -73% | $10,019 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 15 | $15,792 | -61% | $5,370 |
| 481 Hip and Femur Procedures except Major Joint with CC | 15 | $48,528 | -52% | $13,412 |
| 312 Syncope and Collapse | 14 | $16,792 | -63% | $5,852 |
| 378 Gastrointestinal Hemorrhage with CC | 14 | $17,564 | -64% | $6,502 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 13 | $27,702 | -72% | $11,329 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 13 | $49,625 | -47% | $12,640 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 12 | $57,506 | -50% | $12,108 |
| 603 Cellulitis without MCC | 12 | $13,429 | -64% | $6,152 |
| 329 Major Small and Large Bowel Procedures with MCC | 11 | $85,893 | -60% | $28,232 |
| 637 Diabetes with MCC | 11 | $19,235 | -71% | $9,489 |
Outpatient services
Against the Iowa average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Finley Hospital charged $30,757 on average, 38% less than the Iowa average of $49,919, and was paid $12,888 against a state average of $14,771. For Heart Failure and Shock with MCC (DRG 291), Finley Hospital charged $21,753 on average, 38% less than the Iowa average of $34,817, and was paid $8,717 against a state average of $9,846. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Finley Hospital charged $23,811 on average, 29% less than the Iowa average of $33,652, and was paid $8,620 against a state average of $10,047. For Pulmonary Edema and Respiratory Failure (DRG 189), Finley Hospital charged $23,966 on average, 39% less than the Iowa average of $39,347, and was paid $8,261 against a state average of $10,151. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $9,809 was 3% above the state average of $9,485. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $47,848 was 3% below the state average of $49,177. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $8,643 was 16% below the state average of $10,301. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $11,379 was 35% below the state average of $17,461.
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.