Iowa / Mercyone Cedar Falls Medical Center
CMS certification 160040 · Cedar Falls, IA · 2 entries in CMS's price-transparency list
Mercyone Cedar Falls Medical Center: charges and Medicare payments
Mercyone Cedar Falls Medical Center reported 25 Medicare inpatient stays across 1 DRGs in 2024. Across them it charged 7.01 times what it was paid. Its most frequent stay was DRG 470, Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC: 25 stays at an average charge of $85,996, 8% below the national average. It also billed 951 outpatient services, charging 9.03 times what Medicare paid.
- 1Medicare inpatient stays 25
- 2Charge ÷ paid, inpatient 7.01×
- 3Rank in IA (highest ratio = 1) –
- 4CMS price-transparency actions 2
Inpatient stays
For the 1 DRGs that can be compared with the national average, Mercyone Cedar Falls 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 |
|---|---|---|---|---|
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 25 | $85,996 | -8% | $12,269 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 1 Intraocular Procedures | 462 | $12,695 | $1,985 |
| Level 5 Musculoskeletal Procedures | 112 | $87,573 | $11,080 |
| Level 2 Intraocular Procedures | 70 | $24,066 | $3,478 |
| Level 2 Upper GI Procedures | 59 | $15,770 | $1,627 |
| Level 4 Musculoskeletal Procedures | 52 | $48,661 | $6,026 |
| Level 3 Musculoskeletal Procedures | 45 | $26,148 | $2,671 |
| Level 1 Nerve Procedures | 37 | $19,780 | $1,616 |
| Level 6 Musculoskeletal Procedures | 35 | $105,963 | $15,502 |
| Level 2 Musculoskeletal Procedures | 34 | $18,266 | $1,375 |
| Comprehensive Observation Services | 31 | $12,773 | $2,266 |
| Level 3 Intraocular Procedures | 14 | $22,939 | $4,471 |
Against the Iowa average
For Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC (DRG 470), Mercyone Cedar Falls Medical Center charged $85,996 on average, 49% more than the Iowa average of $57,857, and was paid $12,269 against a state average of $13,856. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $12,695 was 34% above the state average of $9,485. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $87,573 was 78% above the state average of $49,177. For Level 2 Intraocular Procedures (outpatient APC 5492), its average charge of $24,066 was 3% below the state average of $24,804. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $15,770 was 49% above the state average of $10,604.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Mercyone Cedar Falls Medical Center in Cedar Falls, IA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2023-05-23 (CMS case 1642)
- Met Requirements — 2025-04-22 (CMS case 3961)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
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.