Iowa / Mercyone Siouxland Medical Center
CMS certification 160153 · Sioux City, IA · 3 entries in CMS's price-transparency list
Mercyone Siouxland Medical Center: charges and Medicare payments
Mercyone Siouxland Medical Center reported 921 Medicare inpatient stays across 37 DRGs in 2024. Across them it charged 3.4 times what it was paid — mid-range in Iowa, number 13 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: 165 stays at an average charge of $44,836, 50% below the national average. It also billed 878 outpatient services, charging 5.36 times what Medicare paid.
- 1Medicare inpatient stays 921
- 2Charge ÷ paid, inpatient 3.4×
- 3Rank in IA (highest ratio = 1) 13 of 27
- 4CMS price-transparency actions 3
Inpatient stays
For the 37 DRGs that can be compared with the national average, Mercyone Siouxland 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 | 165 | $44,836 | -50% | $14,491 |
| 291 Heart Failure and Shock with MCC | 67 | $30,686 | -46% | $9,878 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 43 | $40,811 | -46% | $11,705 |
| 193 Simple Pneumonia and Pleurisy with MCC | 35 | $38,817 | -35% | $10,280 |
| 689 Kidney and Urinary Tract Infections with MCC | 35 | $51,114 | 0% | $8,655 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 35 | $97,543 | -57% | $34,117 |
| 481 Hip and Femur Procedures except Major Joint with CC | 33 | $65,071 | -35% | $15,396 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 29 | $43,735 | -40% | $11,896 |
| 885 Psychoses | 29 | $20,356 | -54% | $9,960 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 26 | $65,363 | -43% | $13,305 |
| 177 Respiratory Infections and Inflammations with MCC | 24 | $48,451 | -31% | $12,136 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 24 | $89,386 | -45% | $20,656 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 23 | $82,149 | -41% | $20,759 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 21 | $46,761 | -53% | $13,933 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 20 | $59,576 | -42% | $15,906 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 19 | $76,910 | -51% | $23,079 |
| 682 Renal Failure with MCC | 19 | $36,350 | -45% | $11,935 |
| 690 Kidney and Urinary Tract Infections without MCC | 19 | $22,650 | -40% | $6,273 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 19 | $32,232 | -34% | $7,925 |
| 025 Craniotomy and Endovascular Intracranial Procedures with MCC | 16 | $76,697 | -67% | $32,969 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 16 | $28,199 | -49% | $7,466 |
| 312 Syncope and Collapse | 16 | $22,117 | -51% | $6,642 |
| 683 Renal Failure with CC | 16 | $26,160 | -36% | $6,937 |
| 269 Aortic and Heart Assist Procedures except Pulsation Balloon... | 14 | $76,778 | -60% | $33,124 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 14 | $37,949 | -66% | $16,333 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 13 | $30,018 | -41% | $8,457 |
| 389 Gastrointestinal Obstruction with CC | 13 | $24,878 | -36% | $6,248 |
| 603 Cellulitis without MCC | 13 | $24,230 | -35% | $8,230 |
| 660 Kidney and Ureter Procedures for Non-Neoplasm with CC | 13 | $32,530 | -52% | $10,249 |
| 854 Infectious and Parasitic Diseases with O.R. Procedures with... | 13 | $81,764 | -17% | $14,861 |
| 521 Hip Replacement with Principal Diagnosis of Hip Fracture... | 12 | $91,412 | -32% | $24,121 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 12 | $31,700 | -47% | $9,890 |
| 189 Pulmonary Edema and Respiratory Failure | 11 | $26,731 | -54% | $9,246 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 11 | $126,077 | -43% | $42,978 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 11 | $29,886 | -47% | $9,015 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 11 | $23,384 | -37% | $6,100 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 11 | $28,200 | -41% | $7,784 |
Outpatient services
Against the Iowa average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Mercyone Siouxland Medical Center charged $44,836 on average, 10% less than the Iowa average of $49,919, and was paid $14,491 against a state average of $14,771. For Heart Failure and Shock with MCC (DRG 291), Mercyone Siouxland Medical Center charged $30,686 on average, 12% less than the Iowa average of $34,817, and was paid $9,878 against a state average of $9,846. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Mercyone Siouxland Medical Center charged $40,811 on average, 11% less than the Iowa average of $45,889, and was paid $11,705 against a state average of $11,840. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Mercyone Siouxland Medical Center charged $38,817 on average, 15% more than the Iowa average of $33,652, and was paid $10,280 against a state average of $10,047. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $13,593 was 22% below the state average of $17,461. For Level 3 Endovascular Procedures (outpatient APC 5193), its average charge of $44,205 was 17% below the state average of $53,201. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $15,430 was 22% below the state average of $19,798. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $7,293 was 9% below the state average of $8,055.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Mercyone Siouxland Medical Center in Sioux City, IA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2023-07-28 (CMS case 1261)
- Warning Notice — 2025-04-16 (CMS case 3822)
- Closure Notice — 2025-07-18 (CMS case 3822)
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.