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HCHospitalCostData

Updated April 2026

Cardiac Arrhythmia and Conduction Disorders with MCC in Iowa

64 Iowa hospitals report Medicare totals for this DRG, averaging $9,341 (below the $11,768 national mean), with a 3× spread from $4,829 to $13,120. 1 carry an A grade, 0 carry an F.

Cardiac Arrhythmia and Conduction Disorders with MCC (DRG 308) is a Cardiac procedure tracked in CMS Inpatient Payment files. Across Iowa, 2,745 hospitals report payment data for 565,015 total discharges, with an average Medicare payment of $11,768 (median $11,444). A $25,428 maximum and $4,039 minimum on the same DRG procedure is normal for the Medicare payment system — DRG codes bundle cases that may differ in complexity, and hospital wage-index adjustments alone can move payments by 30% across regions.

Within Iowa, the 2,745 hospitals reporting this procedure span the full range of ownership types and hospital sizes. The state-specific average ($11,768) is shaped by which hospitals in the state see enough volume to report the DRG code at all. For patients with elective scheduling on Cardiac Arrhythmia and Conduction Disorders with MCC, the cost-comparison logic is straightforward: the per-procedure payment range is meaningfully wide, so the hospital chosen affects total cost. For patients in an emergency, the choice is functionally fixed — but the listed prices still matter for insurance-coverage and out-of-pocket planning.

About This Procedure

Cardiovascular DRGs cover heart attack, coronary bypass, valve replacement, vascular surgery, and arrhythmia management. These procedures combine high implant costs with intensive perioperative monitoring, which is why they consistently rank among the most expensive Medicare DRGs.

Cardiac Arrhythmia and Conduction Disorders with MCC is Medicare DRG 308 in the Cardiac category. National Medicare average for this DRG is $11,768 across 2,745 reporting hospitals. The state-level view here filters that universe down to Iowa only.

Cost Picture in Iowa

Iowa's average for this DRG sits below the national Medicare mean. State-level differences are explained primarily by the regional Medicare wage index — the multiplier CMS applies to standardize DRG payments to local labor costs — alongside hospital case mix and the concentration of academic referral centers in the state's larger metros.

Within the state, the 3× spread between the lowest- and highest-reporting facility usually reflects length-of-stay differences, complication adjustments for sicker patients, teaching-status add-ons, and outlier payments for unusually long stays. Two hospitals reporting the same DRG can post meaningfully different totals without anything “wrong” happening at either site. For non-Medicare patients, the more relevant figure is the negotiated commercial rate published in each hospital's machine-readable file under the CMS Hospital Price Transparency Rule.

Quality Alongside Price

For a planned admission, the most useful complement to the cost view is the hospital-specific quality data on CMS Care Compare. The site publishes risk-adjusted measures of mortality, readmission, complication, infection, and patient experience for every Medicare-participating hospital. The Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicators feed many of these CMS measures.

For complex procedures, hospital-level case volume correlates with outcomes in published research, even after risk adjustment. CMS publishes case counts on Care Compare alongside outcome measures.

Hospitals in Iowa Reporting Cardiac Arrhythmia and Conduction Disorders with MCC

Sorted lowest to highest Medicare total payment. Pricing is informational and should be considered alongside CMS quality measures.

#HospitalPaymentGrade
1Crawford County Memorial Hospital
Denison
$4,829C
2Cass County Memorial Hospital
Atlantic
$5,550B
3Buena Vista Regional Medical Center
Storm Lake
$6,147B
4Floyd Valley Healthcare
Le Mars
$6,207B
5Southeast Iowa Regional Medical Center
West Burlington
$7,027C
6Monroe County Hospital
Albia
$7,323B
7Myrtue Medical Center
Harlan
$7,706B
8Mercyone Dyersville Medical Center
Dyersville
$7,720C
9Stewart Memorial Community Hospital
Lake City
$7,736C
10Waverly Health Center
Waverly
$8,122C
11Methodist Jennie Edmundson
Council Bluffs
$8,349B
12Knoxville Hospital & Clinics
Knoxville
$8,567C
13Mercyone North Iowa Medical Center
Mason City
$8,583B
14Audubon County Memorial Hospital
Audubon
$8,588C
15Ringgold County Hospital
Mount Ayr
$8,662B
16Hegg Memorial Health Center
Rock Valley
$8,685C
17Virginia Gay Hospital
Vinton
$8,692B
18Mercyone Centerville Medical Center
Centerville
$8,700C
19Mercyone Elkader Medical Center
Elkader
$8,723C
20Loring Hospital
Sac City
$8,778C
21Sanford Sheldon Medical Center
Sheldon
$8,808B
22Dallas County Hospital
Perry
$8,837C
23Mercyone Oelwein Medical Center
Oelwein
$8,846C
24Cherokee Regional Medical Center
Cherokee
$8,980C
25Spencer Municipal Hospital
Spencer
$9,081B
26Jackson County Regional Health Center
Maquoketa
$9,125B
27Regional Health Services Of Howard County
Cresco
$9,186C
28Burgess Health Center
Onawa
$9,224C
29Decatur County Hospital
Leon
$9,343C
30Kossuth Regional Health Center
Algona
$9,358C
31Allen Hospital
Waterloo
$9,361B
32Sartori Memorial Hospital, Inc
Cedar Falls
$9,364C
33Chi Health Mercy Council Bluffs
Council Bluffs
$9,386B
34Winnmed
Decorah
$9,455C
35Hancock County Health System
Britt
$9,464C
36Osceola Community Hospital
Sibley
$9,517B
37Greene County Medical Center
Jefferson
$9,575C
38Horn Memorial Hospital
Ida Grove
$9,598C
39Mercyone Waterloo Medical Center
Waterloo
$9,652B
40Madison County Health Care System
Winterset
$9,699C
41Hawarden Regional Healthcare
Hawarden
$9,716C
42Shenandoah Medical Center
Shenandoah
$9,793B
43Guttenberg Municipal Hospital
Guttenberg
$9,926C
44Keokuk County Health Center
Sigourney
$9,942B
45Mental Health Institute
Cherokee
$10,073B
46Franklin General Hospital
Hampton
$10,171B
47Floyd County Medical Center
Charles City
$10,222B
48St Lukes Hospital
Cedar Rapids
$10,255A
49Manning Regional Healthcare Center
Manning
$10,285C
50Chi Health Missouri Valley
Missouri Valley
$10,292C
51University Of Iowa Health Care Medical Center Down
Iowa City
$10,327B
52Mercyone Newton Medical Center
Newton
$10,407C
53St Lukes Regional Medical Center
Sioux City
$10,419D
54Regional Medical Center
Manchester
$10,453C
55Trinity Muscatine
Muscatine
$10,522C
56Jefferson County Health Center
Fairfield
$10,540C
57Pella Regional Health Center
Pella
$10,790B
58Genesis Medical Center-Dewitt
Dewitt
$10,909B
59Wayne County Hospital
Corydon
$10,985B
60Chi Health - Mercy Corning
Corning
$11,381B
61University Of Iowa Hospital & Clinics
Iowa City
$11,438B
62Ottumwa Regional Health Center
Ottumwa
$12,568C
63Gundersen Palmer Lutheran Hospital And Clinics
West Union
$12,762C
64Orange City Area Health System
Orange City
$13,120B

Frequently Asked Questions

How much does cardiac arrhythmia and conduction disorders with mcc cost in Iowa?

Cardiac Arrhythmia and Conduction Disorders with MCC (DRG 308) averages $9,341 in total Medicare payment across 64 Iowa hospitals reporting this code. Within the state, payments span $4,829 to $13,120 — about 3× from cheapest to most expensive.

Is Cardiac Arrhythmia and Conduction Disorders with MCC more or less expensive in Iowa than nationally?

Iowa's state-level average of $9,341 sits below the national Medicare average of $11,768 for this DRG. State differences are driven primarily by the regional Medicare wage index, case mix, and the share of high-acuity referral hospitals.

Why is the spread between hospitals so wide?

Variation within a state runs 3× because the same DRG can come with different lengths of stay, complication adjustments, teaching-status add-ons, and outlier payments. The CMS Hospital Price Transparency Rule publishes machine-readable rate files that allow direct comparisons against negotiated commercial rates, which often differ from Medicare totals.

Are these the prices a privately insured patient would pay?

No. Figures here are Medicare DRG payments. Privately insured patients are billed under their plan's negotiated network rate, published in each hospital's price-transparency file. Uninsured patients should ask the hospital for the cash-pay rate, also disclosed under federal price-transparency rules.

Should I choose a hospital based only on price?

No. HospitalCostData is informational. Surgeon experience, hospital volume for the procedure, complication rates, and your specific clinical situation matter at least as much as price. Always discuss options with your physician and review CMS Care Compare quality data alongside any pricing benchmark.

See the methodology page for DRG sourcing and Medicare wage-index context.

Sources & Citations

  • CMS Medicare Inpatient Hospital Payments (IPPS). DRG-level average covered charges, total payments, and Medicare payments per facility. data.cms.gov
  • CMS Hospital Compare (Care Compare). Star ratings, mortality, readmission, safety-of-care, and patient-experience measures. medicare.gov/care-compare
  • CMS Hospital Price Transparency Rule. Standard charge files required from every Medicare-participating hospital. cms.gov/hospital-price-transparency
  • Agency for Healthcare Research and Quality (AHRQ). National benchmarks, quality indicators, and clinical context for hospital outcome measures. ahrq.gov

Dataset last refreshed: April 2026. Underlying CMS files are public domain. Suggested citation: “HospitalCostData, hospitalcostdata.com, accessed May 24, 2026.”

This page is informational only and does not constitute medical, legal, or financial advice. Care decisions should be made with a licensed physician.

Source: CMS Hospital Price Transparency, 2026.