Iowa / Ottumwa Regional Health Center
CMS certification 160089 · Ottumwa, IA · 2 entries in CMS's price-transparency list
Ottumwa Regional Health Center: charges and Medicare payments
Ottumwa Regional Health Center reported 198 Medicare inpatient stays across 10 DRGs in 2024. Across them it charged 3.58 times what it was paid — mid-range in Iowa, number 10 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: 53 stays at an average charge of $53,490, 41% below the national average. It also billed 425 outpatient services, charging 7.87 times what Medicare paid.
- 1Medicare inpatient stays 198
- 2Charge ÷ paid, inpatient 3.58×
- 3Rank in IA (highest ratio = 1) 10 of 27
- 4CMS price-transparency actions 2
Inpatient stays
For the 10 DRGs that can be compared with the national average, Ottumwa Regional Health 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 | 53 | $53,490 | -41% | $16,544 |
| 291 Heart Failure and Shock with MCC | 27 | $37,331 | -34% | $11,506 |
| 193 Simple Pneumonia and Pleurisy with MCC | 23 | $42,931 | -28% | $11,053 |
| 177 Respiratory Infections and Inflammations with MCC | 16 | $43,746 | -38% | $13,854 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 15 | $46,334 | -39% | $13,344 |
| 683 Renal Failure with CC | 15 | $31,522 | -23% | $7,500 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 13 | $28,002 | -22% | $6,257 |
| 481 Hip and Femur Procedures except Major Joint with CC | 13 | $65,108 | -35% | $17,227 |
| 189 Pulmonary Edema and Respiratory Failure | 12 | $49,819 | -13% | $10,184 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 11 | $38,473 | -22% | $8,523 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 1 Endovascular Procedures | 105 | $23,912 | $2,994 |
| Comprehensive Observation Services | 64 | $21,311 | $2,497 |
| Level 5 Musculoskeletal Procedures | 51 | $54,977 | $12,138 |
| Level 3 Urology and Related Services | 43 | $17,284 | $1,812 |
| Level 2 Upper GI Procedures | 26 | $18,175 | $1,757 |
| Level 3 Pacemaker and Similar Procedures | 24 | $58,261 | $9,855 |
| Level 5 Urology and Related Services | 23 | $30,270 | $4,779 |
| Level 4 Urology and Related Services | 20 | $23,308 | $2,963 |
| Level 2 Pacemaker and Similar Procedures | 19 | $46,748 | $7,847 |
| Level 4 Musculoskeletal Procedures | 14 | $33,193 | $6,231 |
| Level 1 Laparoscopy and Related Services | 13 | $41,469 | $5,329 |
| Level 3 Musculoskeletal Procedures | 12 | $18,759 | $2,989 |
| Level 2 Neurostimulator and Related Procedures | 11 | $27,451 | $5,859 |
Against the Iowa average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Ottumwa Regional Health Center charged $53,490 on average, 7% more than the Iowa average of $49,919, and was paid $16,544 against a state average of $14,771. For Heart Failure and Shock with MCC (DRG 291), Ottumwa Regional Health Center charged $37,331 on average, 7% more than the Iowa average of $34,817, and was paid $11,506 against a state average of $9,846. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Ottumwa Regional Health Center charged $42,931 on average, 28% more than the Iowa average of $33,652, and was paid $11,053 against a state average of $10,047. For Respiratory Infections and Inflammations with MCC (DRG 177), Ottumwa Regional Health Center charged $43,746 on average, 4% more than the Iowa average of $42,217, and was paid $13,854 against a state average of $12,510. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $23,912 was 21% above the state average of $19,798. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $21,311 was 22% above the state average of $17,461. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $54,977 was 12% above the state average of $49,177. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $17,284 was 86% above the state average of $9,306.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Ottumwa Regional Health Center in Ottumwa, IA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-06-17 (CMS case 5215)
- Warning Notice — 2026-07-10 (CMS case 8228)
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.