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HCHospitalCostData

Updated April 2026

GI Hemorrhage with MCC in Iowa

63 Iowa hospitals report Medicare totals for this DRG, averaging $11,171 (below the $14,303 national mean), with a 2× spread from $7,377 to $17,223. 0 carry an A grade, 0 carry an F.

GI Hemorrhage with MCC (DRG 378) is a Digestive procedure tracked in CMS Inpatient Payment files. Across Iowa, 2,895 hospitals report payment data for 600,053 total discharges, with an average Medicare payment of $14,303 (median $13,852). The $5,385-to-$33,082 payment range is wide: the same DRG code can attract very different reimbursements across hospitals, reflecting differences in cost structure, patient complexity within the DRG, and regional pricing dynamics. The Medicare DRG system bundles cases by diagnosis-and-procedure groupings, so payment differences within a single DRG mostly track hospital-specific factors rather than case-mix.

Within Iowa, the 2,895 hospitals reporting this procedure span the full range of ownership types and hospital sizes. The state-specific average ($14,303) is shaped by which hospitals in the state see enough volume to report the DRG code at all. For patients with elective scheduling on GI Hemorrhage 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

Digestive system DRGs cover appendectomy, bowel surgery, gallbladder, GI bleed, and hepatobiliary procedures. Laparoscopic vs. open approach, case complexity, and complication rates explain most cost variation.

GI Hemorrhage with MCC is Medicare DRG 378 in the Digestive category. National Medicare average for this DRG is $14,303 across 2,895 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 2× 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 GI Hemorrhage with MCC

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

#HospitalPaymentGrade
1Mercyone Clinton Medical Center
Clinton
$7,377B
2Iowa Specialty Hospital - Clarion
Clarion
$7,447B
3Regional Medical Center
Manchester
$7,535C
4Keokuk County Health Center
Sigourney
$7,821B
5Genesis Medical Center-Dewitt
Dewitt
$7,963B
6Mercyone Des Moines Medical Center
Des Moines
$8,221C
7Humboldt County Memorial Hospital
Humboldt
$8,407C
8Mitchell County Regional Health
Osage
$8,604C
9Decatur County Hospital
Leon
$8,914C
10Hawarden Regional Healthcare
Hawarden
$8,967C
11Burgess Health Center
Onawa
$9,043C
12Floyd Valley Healthcare
Le Mars
$9,254B
13Greene County Medical Center
Jefferson
$9,301C
14Guttenberg Municipal Hospital
Guttenberg
$9,316C
15Palo Alto County Hospital
Emmetsburg
$9,345C
16Franklin General Hospital
Hampton
$9,578B
17Story County Hospital
Nevada
$9,603B
18Osceola Community Hospital
Sibley
$9,760B
19Sartori Memorial Hospital, Inc
Cedar Falls
$9,818C
20Mercyone Dyersville Medical Center
Dyersville
$9,920C
21Sanford Sheldon Medical Center
Sheldon
$9,947B
22Mercyone Centerville Medical Center
Centerville
$9,987C
23Spencer Municipal Hospital
Spencer
$9,995B
24Crawford County Memorial Hospital
Denison
$10,008C
25Regional Health Services Of Howard County
Cresco
$10,165C
26Adair County Memorial Hospital
Greenfield
$10,246C
27Madison County Health Care System
Winterset
$10,432C
28University Of Iowa Health Care Medical Center Down
Iowa City
$10,613B
29Horn Memorial Hospital
Ida Grove
$10,819C
30Veterans Memorial Hospital
Waukon
$10,865C
31Shenandoah Medical Center
Shenandoah
$10,974B
32Van Buren County Hospital
Keosauqua
$11,002B
33Audubon County Memorial Hospital
Audubon
$11,015C
34Trinity - Bettendorf
Bettendorf
$11,252C
35Hansen Family Hospital
Iowa Falls
$11,271C
36Unitypoint Health - Des Moines Iowa Methodist Medi
Des Moines
$11,507B
37Trinity Regional Medical Center
Fort Dodge
$11,737D
38Gundersen Palmer Lutheran Hospital And Clinics
West Union
$12,060C
39Pocahontas Community Hospital
Pocahontas
$12,135C
40Floyd County Medical Center
Charles City
$12,137B
41Clarke County Hospital
Osceola
$12,295C
42Mercyone Elkader Medical Center
Elkader
$12,381C
43Mercyone Waterloo Medical Center
Waterloo
$12,384B
44Sioux Center Health
Sioux Center
$12,507C
45Trinity Muscatine
Muscatine
$12,537C
46Virginia Gay Hospital
Vinton
$12,573B
47St Lukes Regional Medical Center
Sioux City
$12,807D
48Jackson County Regional Health Center
Maquoketa
$12,855B
49Cherokee Regional Medical Center
Cherokee
$12,862C
50Guthrie County Hospital
Guthrie Center
$13,023C
51University Of Iowa Hospital & Clinics
Iowa City
$13,069B
52Mental Health Institute
Independence
$13,152C
53Cass County Memorial Hospital
Atlantic
$13,326B
54Winnmed
Decorah
$13,376C
55Kossuth Regional Health Center
Algona
$13,531C
56Hegg Memorial Health Center
Rock Valley
$13,601C
57Mercyone Oelwein Medical Center
Oelwein
$13,645C
58Genesis Medical Center-Davenport
Davenport
$14,061D
59Methodist Jennie Edmundson
Council Bluffs
$14,066B
60Lakes Regional Healthcare
Spirit Lake
$14,148C
61Knoxville Hospital & Clinics
Knoxville
$14,173C
62Southeast Iowa Regional Medical Center
West Burlington
$15,803C
63Eagle View Behavioral Health
Bettendorf
$17,223D

Frequently Asked Questions

How much does gi hemorrhage with mcc cost in Iowa?

GI Hemorrhage with MCC (DRG 378) averages $11,171 in total Medicare payment across 63 Iowa hospitals reporting this code. Within the state, payments span $7,377 to $17,223 — about 2× from cheapest to most expensive.

Is GI Hemorrhage with MCC more or less expensive in Iowa than nationally?

Iowa's state-level average of $11,171 sits below the national Medicare average of $14,303 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 2× 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.