Iowa / Grinnell Regional Medical Center
CMS certification 160147 · Grinnell, IA
Grinnell Regional Medical Center: charges and Medicare payments
Grinnell Regional Medical Center reported 131 Medicare inpatient stays across 6 DRGs in 2024. Across them it charged 2.52 times what it was paid — among the lower ratios in Iowa, number 23 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: 62 stays at an average charge of $26,947, 70% below the national average. It also billed 108 outpatient services, charging 6.25 times what Medicare paid.
- 1Medicare inpatient stays 131
- 2Charge ÷ paid, inpatient 2.52×
- 3Rank in IA (highest ratio = 1) 23 of 27
- 4CMS price-transparency actions 0
Inpatient stays
For the 6 DRGs that can be compared with the national average, Grinnell Regional Medical Center 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 | 62 | $26,947 | -70% | $12,614 |
| 291 Heart Failure and Shock with MCC | 18 | $24,984 | -56% | $7,745 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 17 | $22,027 | -55% | $6,576 |
| 189 Pulmonary Edema and Respiratory Failure | 12 | $26,542 | -54% | $7,992 |
| 193 Simple Pneumonia and Pleurisy with MCC | 11 | $20,250 | -66% | $8,563 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 11 | $29,877 | -59% | $10,395 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 25 | $12,590 | $2,349 |
| Level 1 Nerve Procedures | 21 | $10,475 | $1,594 |
| Level 5 Musculoskeletal Procedures | 19 | $50,188 | $11,283 |
| Level 1 Laparoscopy and Related Services | 17 | $31,426 | $4,952 |
| Level 4 Urology and Related Services | 15 | $15,116 | $2,992 |
| Level 2 Upper GI Procedures | 11 | $7,904 | $1,633 |
Against the Iowa average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Grinnell Regional Medical Center charged $26,947 on average, 46% less than the Iowa average of $49,919, and was paid $12,614 against a state average of $14,771. For Heart Failure and Shock with MCC (DRG 291), Grinnell Regional Medical Center charged $24,984 on average, 28% less than the Iowa average of $34,817, and was paid $7,745 against a state average of $9,846. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Grinnell Regional Medical Center charged $22,027 on average, 24% less than the Iowa average of $28,872, and was paid $6,576 against a state average of $8,049. For Pulmonary Edema and Respiratory Failure (DRG 189), Grinnell Regional Medical Center charged $26,542 on average, 33% less than the Iowa average of $39,347, and was paid $7,992 against a state average of $10,151. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $12,590 was 28% below the state average of $17,461. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $10,475 was 2% above the state average of $10,301. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $50,188 was 2% above the state average of $49,177. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $31,426 was 12% above the state average of $28,164.
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.