Iowa / St Lukes Regional Medical Center
CMS certification 160146 · Sioux City, IA
St Lukes Regional Medical Center: charges and Medicare payments
St Lukes Regional Medical Center reported 1,341 Medicare inpatient stays across 43 DRGs in 2024. Across them it charged 2.79 times what it was paid — among the lower ratios in Iowa, number 19 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: 270 stays at an average charge of $42,094, 53% below the national average. It also billed 1,010 outpatient services, charging 5.53 times what Medicare paid.
- 1Medicare inpatient stays 1,341
- 2Charge ÷ paid, inpatient 2.79×
- 3Rank in IA (highest ratio = 1) 19 of 27
- 4CMS price-transparency actions 0
Inpatient stays
For the 43 DRGs that can be compared with the national average, St Lukes 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 | 270 | $42,094 | -53% | $14,946 |
| 885 Psychoses | 95 | $10,554 | -76% | $10,615 |
| 291 Heart Failure and Shock with MCC | 91 | $24,522 | -57% | $9,806 |
| 177 Respiratory Infections and Inflammations with MCC | 59 | $38,648 | -45% | $12,526 |
| 193 Simple Pneumonia and Pleurisy with MCC | 50 | $27,637 | -54% | $9,541 |
| 189 Pulmonary Edema and Respiratory Failure | 49 | $28,286 | -51% | $8,601 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 46 | $87,351 | -62% | $33,662 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 41 | $19,629 | -60% | $7,957 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 31 | $29,203 | -52% | $9,968 |
| 683 Renal Failure with CC | 31 | $21,977 | -46% | $7,116 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 30 | $77,111 | -44% | $20,937 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 29 | $36,783 | -50% | $11,862 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 28 | $35,253 | -54% | $10,729 |
| 378 Gastrointestinal Hemorrhage with CC | 26 | $19,158 | -61% | $7,634 |
| 312 Syncope and Collapse | 25 | $17,922 | -61% | $6,591 |
| 682 Renal Failure with MCC | 24 | $28,013 | -58% | $10,869 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 23 | $19,727 | -65% | $7,726 |
| 690 Kidney and Urinary Tract Infections without MCC | 23 | $12,905 | -66% | $5,920 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 21 | $28,352 | -56% | $10,232 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 20 | $24,850 | -51% | $6,561 |
| 481 Hip and Femur Procedures except Major Joint with CC | 20 | $51,477 | -49% | $14,670 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 19 | $32,597 | -67% | $13,891 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 19 | $56,363 | -51% | $14,226 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 18 | $20,840 | -63% | $9,309 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 18 | $13,249 | -63% | $5,796 |
| 314 Other Circulatory System Diagnoses with MCC | 18 | $43,532 | -54% | $13,655 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 17 | $14,216 | -62% | $5,856 |
| 389 Gastrointestinal Obstruction with CC | 15 | $16,440 | -58% | $6,029 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 14 | $28,789 | -55% | $7,898 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 14 | $68,666 | -58% | $20,090 |
| 948 Signs and Symptoms without MCC | 14 | $15,935 | -58% | $6,024 |
| 981 Extensive O.R. Procedures Unrelated To Principal Diagnosis... | 14 | $102,612 | -53% | $27,471 |
| 603 Cellulitis without MCC | 13 | $19,389 | -48% | $6,639 |
| 194 Simple Pneumonia and Pleurisy with CC | 12 | $21,990 | -43% | $6,293 |
| 377 Gastrointestinal Hemorrhage with MCC | 12 | $39,699 | -54% | $12,798 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 12 | $15,909 | -60% | $5,918 |
| 394 Other Digestive System Diagnoses with CC | 12 | $11,904 | -75% | $7,110 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 12 | $48,399 | -53% | $15,049 |
| 689 Kidney and Urinary Tract Infections with MCC | 12 | $18,903 | -63% | $8,545 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 11 | $63,139 | -53% | $20,645 |
| 330 Major Small and Large Bowel Procedures with CC | 11 | $51,013 | -57% | $18,352 |
| 674 Other Kidney and Urinary Tract Procedures with CC | 11 | $54,104 | -50% | $20,842 |
| 854 Infectious and Parasitic Diseases with O.R. Procedures with... | 11 | $53,227 | -46% | $15,606 |
Outpatient services
Against the Iowa average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), St Lukes Regional Medical Center charged $42,094 on average, 16% less than the Iowa average of $49,919, and was paid $14,946 against a state average of $14,771. For Psychoses (DRG 885), St Lukes Regional Medical Center charged $10,554 on average, 60% less than the Iowa average of $26,385, and was paid $10,615 against a state average of $11,411. For Heart Failure and Shock with MCC (DRG 291), St Lukes Regional Medical Center charged $24,522 on average, 30% less than the Iowa average of $34,817, and was paid $9,806 against a state average of $9,846. For Respiratory Infections and Inflammations with MCC (DRG 177), St Lukes Regional Medical Center charged $38,648 on average, 8% less than the Iowa average of $42,217, and was paid $12,526 against a state average of $12,510. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $8,749 was 50% below the state average of $17,461. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $5,771 was 28% below the state average of $8,055. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $19,846 was 0% below the state average of $19,798. For Level 3 Pacemaker and Similar Procedures (outpatient APC 5223), its average charge of $41,827 was 5% above the state average of $39,884.
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.