Iowa / Southeast Iowa Regional Medical Center
CMS certification 160057 · West Burlington, IA · 3 entries in CMS's price-transparency list
Southeast Iowa Regional Medical Center: charges and Medicare payments
Southeast Iowa Regional Medical Center reported 1,640 Medicare inpatient stays across 50 DRGs in 2024. Across them it charged 2.73 times what it was paid — among the lower ratios in Iowa, number 20 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: 262 stays at an average charge of $37,839, 58% below the national average. It also billed 2,912 outpatient services, charging 5.17 times what Medicare paid.
- 1Medicare inpatient stays 1,640
- 2Charge ÷ paid, inpatient 2.73×
- 3Rank in IA (highest ratio = 1) 20 of 27
- 4CMS price-transparency actions 3
Inpatient stays
For the 50 DRGs that can be compared with the national average, Southeast Iowa 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 | 262 | $37,839 | -58% | $16,541 |
| 291 Heart Failure and Shock with MCC | 155 | $30,555 | -46% | $10,720 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 66 | $42,789 | -44% | $13,486 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 65 | $23,492 | -52% | $8,580 |
| 177 Respiratory Infections and Inflammations with MCC | 58 | $34,505 | -51% | $14,207 |
| 193 Simple Pneumonia and Pleurisy with MCC | 58 | $29,676 | -50% | $11,016 |
| 189 Pulmonary Edema and Respiratory Failure | 56 | $26,408 | -54% | $10,344 |
| 885 Psychoses | 50 | $27,933 | -37% | $12,670 |
| 378 Gastrointestinal Hemorrhage with CC | 40 | $26,432 | -46% | $8,202 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 39 | $93,657 | -59% | $42,990 |
| 481 Hip and Femur Procedures except Major Joint with CC | 33 | $52,085 | -48% | $17,282 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 31 | $26,499 | -56% | $10,969 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 30 | $25,658 | -49% | $7,636 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 29 | $23,752 | -53% | $9,208 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 29 | $68,672 | -40% | $15,198 |
| 683 Renal Failure with CC | 29 | $20,432 | -50% | $7,472 |
| 682 Renal Failure with MCC | 27 | $37,817 | -43% | $12,677 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 26 | $25,247 | -30% | $6,292 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 25 | $29,913 | -47% | $9,996 |
| 377 Gastrointestinal Hemorrhage with MCC | 24 | $41,232 | -52% | $14,986 |
| 690 Kidney and Urinary Tract Infections without MCC | 24 | $23,863 | -37% | $6,729 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 23 | $30,048 | -46% | $8,480 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 23 | $59,954 | -56% | $22,459 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 23 | $24,107 | -40% | $6,622 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 23 | $17,431 | -53% | $6,508 |
| 689 Kidney and Urinary Tract Infections with MCC | 22 | $31,571 | -38% | $9,755 |
| 854 Infectious and Parasitic Diseases with O.R. Procedures with... | 22 | $42,979 | -56% | $16,911 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 21 | $34,353 | -66% | $16,554 |
| 389 Gastrointestinal Obstruction with CC | 21 | $19,597 | -50% | $6,657 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 21 | $35,759 | -51% | $13,807 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 20 | $66,162 | -35% | $17,578 |
| 194 Simple Pneumonia and Pleurisy with CC | 18 | $24,016 | -37% | $6,852 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 18 | $59,952 | -57% | $24,509 |
| 603 Cellulitis without MCC | 18 | $28,298 | -24% | $8,243 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 16 | $16,828 | -58% | $7,119 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 16 | $50,835 | -55% | $20,079 |
| 390 Gastrointestinal Obstruction without CC/MCC | 16 | $17,859 | -36% | $4,994 |
| 314 Other Circulatory System Diagnoses with MCC | 15 | $39,245 | -59% | $17,610 |
| 282 Acute Myocardial Infarction, Discharged Alive without CC/MCC | 14 | $32,487 | -25% | $6,009 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 13 | $35,296 | -46% | $11,660 |
| 312 Syncope and Collapse | 13 | $36,678 | -19% | $8,053 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 13 | $93,760 | -43% | $24,190 |
| 329 Major Small and Large Bowel Procedures with MCC | 13 | $105,540 | -51% | $38,021 |
| 292 Heart Failure and Shock with CC | 12 | $32,643 | -16% | $7,618 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 12 | $30,528 | -50% | $10,658 |
| 552 Medical Back Problems without MCC | 12 | $28,083 | -43% | $8,044 |
| 643 Endocrine Disorders with MCC | 12 | $30,773 | -58% | $13,694 |
| 882 Neuroses except Depressive | 12 | $9,198 | -77% | $7,982 |
| 178 Respiratory Infections and Inflammations with CC | 11 | $30,884 | -32% | $8,245 |
| 330 Major Small and Large Bowel Procedures with CC | 11 | $63,475 | -47% | $21,094 |
Outpatient services
Against the Iowa average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Southeast Iowa Regional Medical Center charged $37,839 on average, 24% less than the Iowa average of $49,919, and was paid $16,541 against a state average of $14,771. For Heart Failure and Shock with MCC (DRG 291), Southeast Iowa Regional Medical Center charged $30,555 on average, 12% less than the Iowa average of $34,817, and was paid $10,720 against a state average of $9,846. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Southeast Iowa Regional Medical Center charged $42,789 on average, 7% less than the Iowa average of $45,889, and was paid $13,486 against a state average of $11,840. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Southeast Iowa Regional Medical Center charged $23,492 on average, 19% less than the Iowa average of $28,872, and was paid $8,580 against a state average of $8,049. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $15,768 was 10% below the state average of $17,461. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $1,077 was 81% below the state average of $5,820. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $8,716 was 18% below the state average of $10,604. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $3,992 was 57% below the state average of $9,306.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Southeast Iowa Regional Medical Center in West Burlington, IA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2026-02-17 (CMS case 7029)
- CAP Request — 2026-05-19 (CMS case 7029)
- Closure Notice — 2026-05-27 (CMS case 7029)
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.