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HCHospitalCostData

Avera Merrill Pioneer Hospital

1100 S 10TH AVE, Rock Rapids, IA 51246

Avera Merrill Pioneer Hospital in Rock Rapids, IA has an average Medicare payment of $13,345 and a Value Score of C (61/100). Compare prices for 12 procedures. Based on CMS inpatient data.

Critical Access Hospitals|Voluntary non-profit - Private|(712) 472-2591
C
Value Score
61/100
$13K
Avg Payment
Not Rated
Quality Rating
12
Procedures Priced
Yes
Emergency Services

About Avera Merrill Pioneer Hospital

Avera Merrill Pioneer Hospital does not carry an overall CMS Hospital Compare star rating — typically because the hospital is too small, too specialized, or reports too few of the underlying measures to compute the composite. Outcome measures are mixed: 0 mortality, 0 safety, and 0 readmission measures rate better than benchmark; 0 mortality, 0 safety, and 0 rate worse. The composite outcome score is 50/100.

Average Medicare payment per documented procedure at Avera Merrill Pioneer Hospital is $13,345, near the national median for acute-care hospitals. The combined value score — quality versus cost — works out to 61/100, an above-average showing.

Ownership is non-profit, the dominant pattern in U.S. acute care. Non-profit hospitals generally reinvest operating margins rather than distribute them; the federal CMS measure set treats them identically to other ownership categories for reporting purposes. The CMS payment record for Avera Merrill Pioneer Hospital lists 12 distinct DRG codes — a mid-range procedure mix, including Major Hip and Knee Joint Replacement, Septicemia or Severe Sepsis without Ventilator, Kidney and Urinary Tract Infections without MCC. Emergency services are available, which is the norm for acute-care hospitals and a meaningful factor for any patient choosing a facility for unplanned care.

Source: CMS Provider Data Catalog — Hospital Compare quality measures, CMS Inpatient Payment data files.

Procedure Prices

Procedure (DRG)Total Payment
Major Hip and Knee Joint Replacement
DRG 470 · Orthopedic
$21,564
Septicemia or Severe Sepsis without Ventilator
DRG 871 · Infectious
$10,167
Kidney and Urinary Tract Infections without MCC
DRG 690 · Renal
$6,090
Respiratory System Diagnosis with Ventilator Support >96 Hours
DRG 208 · Respiratory
$43,685
Cellulitis with MCC
DRG 603 · Infectious
$14,550
Syncope and Collapse
DRG 312 · Neurological
$7,271
Heart Failure and Shock with MCC
DRG 291 · Cardiac
$12,295
Esophagitis, Gastroenteritis with MCC
DRG 392 · Digestive
$7,830
Simple Pneumonia and Pleurisy with MCC
DRG 193 · Respiratory
$12,936
Pulmonary Edema and Respiratory Failure
DRG 189 · Respiratory
$9,426
Vaginal Delivery without Complicating Diagnoses
DRG 775 · Obstetric
$5,073
Renal Failure with CC
DRG 683 · Renal
$9,248

Pricing data from CMS Hospital Price Transparency. Quality ratings from CMS Hospital Compare.

How Avera Merrill Pioneer Hospital Compares

Avera Merrill Pioneer Hospital has an average Medicare payment of $13,345, 7% above the Iowa state average of $12,512. That is 16% lower than the national hospital average of $15,878. Most of its procedures fall under Respiratory, where the typical payment is $22,953 (42% below this hospital's average). Its Value Score of C (61/100) reflects a blend of price percentile, CMS quality rating, and patient outcome measures.

Avera Merrill Pioneer Hospital Cost & Quality FAQ

Avera Merrill Pioneer Hospital has an average payment of $13,345 across 12 priced procedures. Costs vary significantly by procedure, compare individual prices in the procedure table above.

Avera Merrill Pioneer Hospital does not currently have a CMS star rating on file. Quality measures may still be available for individual metrics like mortality and readmission rates.

Avera Merrill Pioneer Hospital has a Value Score of C (61/100). This score combines cost efficiency, quality ratings, and patient outcomes to help compare hospitals. Voluntary non-profit - Private facilities like this one are critical access hospitals.

Yes, Avera Merrill Pioneer Hospital offers emergency services. The hospital is located at 1100 S 10TH AVE, Rock Rapids, IA 51246. Phone: (712) 472-2591.

Hospital payment data reflects Medicare inpatient claims. Value Scores combine cost efficiency, CMS star ratings, and patient outcome measures. Actual out-of-pocket costs may vary based on insurance and individual circumstances.