Iowa / Unitypoint Health - Marshalltown
CMS certification 160001 · Marshalltown, IA · 3 entries in CMS's price-transparency list
Unitypoint Health - Marshalltown: charges and Medicare payments
Unitypoint Health - Marshalltown reported 156 Medicare inpatient stays across 7 DRGs in 2024. Across them it charged 1.59 times what it was paid — among the lower ratios in Iowa, number 26 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 $23,823, 74% below the national average. It also billed 767 outpatient services, charging 5.16 times what Medicare paid.
- 1Medicare inpatient stays 156
- 2Charge ÷ paid, inpatient 1.59×
- 3Rank in IA (highest ratio = 1) 26 of 27
- 4CMS price-transparency actions 3
Inpatient stays
For the 7 DRGs that can be compared with the national average, Unitypoint Health - Marshalltown 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 | $23,823 | -74% | $17,510 |
| 291 Heart Failure and Shock with MCC | 25 | $17,478 | -69% | $11,384 |
| 193 Simple Pneumonia and Pleurisy with MCC | 20 | $23,205 | -61% | $11,737 |
| 177 Respiratory Infections and Inflammations with MCC | 17 | $22,390 | -68% | $14,845 |
| 189 Pulmonary Edema and Respiratory Failure | 15 | $20,137 | -65% | $10,955 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 15 | $17,207 | -65% | $9,386 |
| 689 Kidney and Urinary Tract Infections with MCC | 11 | $24,078 | -53% | $10,419 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 1 Intraocular Procedures | 483 | $9,135 | $2,135 |
| Comprehensive Observation Services | 60 | $11,871 | $2,483 |
| Level 5 Musculoskeletal Procedures | 48 | $45,940 | $12,082 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 34 | $7,082 | $1,490 |
| Level 4 Musculoskeletal Procedures | 29 | $30,666 | $6,576 |
| Level 3 Musculoskeletal Procedures | 20 | $10,006 | $2,975 |
| Level 1 Laparoscopy and Related Services | 20 | $20,896 | $5,093 |
| Level 2 Musculoskeletal Procedures | 17 | $6,266 | $1,477 |
| Level 3 Vascular Procedures | 17 | $9,478 | $2,930 |
| Level 1 Nerve Procedures | 17 | $8,409 | $1,775 |
| Level 2 Upper GI Procedures | 11 | $7,756 | $1,749 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 11 | $14,854 | $3,180 |
Against the Iowa average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Unitypoint Health - Marshalltown charged $23,823 on average, 52% less than the Iowa average of $49,919, and was paid $17,510 against a state average of $14,771. For Heart Failure and Shock with MCC (DRG 291), Unitypoint Health - Marshalltown charged $17,478 on average, 50% less than the Iowa average of $34,817, and was paid $11,384 against a state average of $9,846. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Unitypoint Health - Marshalltown charged $23,205 on average, 31% less than the Iowa average of $33,652, and was paid $11,737 against a state average of $10,047. For Respiratory Infections and Inflammations with MCC (DRG 177), Unitypoint Health - Marshalltown charged $22,390 on average, 47% less than the Iowa average of $42,217, and was paid $14,845 against a state average of $12,510. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $9,135 was 4% below the state average of $9,485. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $11,871 was 32% below the state average of $17,461. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $45,940 was 7% below the state average of $49,177. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $7,082 was 12% below the state average of $8,055.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Unitypoint Health - Marshalltown in Marshalltown, IA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2023-12-07 (CMS case 2036)
- Warning Notice — 2026-03-16 (CMS case 7279)
- Closure Notice — 2026-06-18 (CMS case 7279)
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.