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HCHospitalCostData

Updated April 2026

Renal Failure with CC in Iowa

64 Iowa hospitals report Medicare totals for this DRG, averaging $8,585 (below the $10,815 national mean), with a 2× spread from $5,579 to $13,173. 2 carry an A grade, 0 carry an F.

Renal Failure with CC (DRG 683) is a Renal procedure tracked in CMS Inpatient Payment files. Across Iowa, 2,677 hospitals report payment data for 559,819 total discharges, with an average Medicare payment of $10,815 (median $10,457). The $3,327-to-$24,691 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 2,677 hospitals reporting this procedure span the full range of ownership types and hospital sizes. The state-specific average ($10,815) is shaped by which hospitals in the state see enough volume to report the DRG code at all. For patients with elective scheduling on Renal Failure with CC, 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

Kidney and urinary DRGs include renal failure, dialysis access, kidney stone management, and urinary tract surgery. Many of these admissions are short-stay but high-volume, so small per-case price differences add up across a hospital population.

Renal Failure with CC is Medicare DRG 683 in the Renal category. National Medicare average for this DRG is $10,815 across 2,677 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 Renal Failure with CC

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

#HospitalPaymentGrade
1Winnmed
Decorah
$5,579C
2Jefferson County Health Center
Fairfield
$5,924C
3Broadlawns Medical Center
Des Moines
$6,086C
4Kossuth Regional Health Center
Algona
$6,300C
5Adair County Memorial Hospital
Greenfield
$6,515C
6Mercyone Siouxland Medical Center
Sioux City
$6,664D
7Keokuk County Health Center
Sigourney
$6,718B
8Stewart Memorial Community Hospital
Lake City
$6,722C
9Cass County Memorial Hospital
Atlantic
$6,829B
10Mental Health Institute
Cherokee
$6,849B
11Madison County Health Care System
Winterset
$6,934C
12Ringgold County Hospital
Mount Ayr
$7,043B
13Decatur County Hospital
Leon
$7,098C
14Myrtue Medical Center
Harlan
$7,163B
15Iowa Specialty Hospital - Clarion
Clarion
$7,221B
16Sioux Center Health
Sioux Center
$7,349C
17Mahaska Health Partnership
Oskaloosa
$7,427C
18Floyd County Medical Center
Charles City
$7,538B
19Lucas County Health Center
Chariton
$7,626C
20Mercyone Dyersville Medical Center
Dyersville
$7,727C
21Pella Regional Health Center
Pella
$7,783B
22Genesis Medical Center-Davenport
Davenport
$7,844D
23Palo Alto County Hospital
Emmetsburg
$7,974C
24Grundy County Memorial Hospital
Grundy Center
$7,978C
25Sartori Memorial Hospital, Inc
Cedar Falls
$7,991C
26Pocahontas Community Hospital
Pocahontas
$8,094C
27Mary Greeley Medical Center
Ames
$8,108B
28Manning Regional Healthcare Center
Manning
$8,116C
29Greene County Medical Center
Jefferson
$8,498C
30Greater Regional Medical Center
Creston
$8,542B
31Virginia Gay Hospital
Vinton
$8,558B
32Story County Hospital
Nevada
$8,687B
33Knoxville Hospital & Clinics
Knoxville
$8,741C
34St Anthony Regional Hospital & Nursing Home
Carroll
$8,763C
35Mercyone Dubuque Medical Center
Dubuque
$8,784A
36Loring Hospital
Sac City
$8,834C
37Buena Vista Regional Medical Center
Storm Lake
$8,923B
38Jackson County Regional Health Center
Maquoketa
$8,926B
39Franklin General Hospital
Hampton
$9,023B
40St Lukes Regional Medical Center
Sioux City
$9,040D
41Mercyone Oelwein Medical Center
Oelwein
$9,073C
42Spencer Municipal Hospital
Spencer
$9,073B
43Chi Health Missouri Valley
Missouri Valley
$9,100C
44Sanford Sheldon Medical Center
Sheldon
$9,149B
45Avera Merrill Pioneer Hospital
Rock Rapids
$9,248C
46St Lukes Hospital
Cedar Rapids
$9,325A
47Mercyone North Iowa Medical Center
Mason City
$9,382B
48Clarinda Regional Health Center
Clarinda
$9,400B
49Osceola Community Hospital
Sibley
$9,449B
50Jones Regional Medical Center
Anamosa
$9,491C
51Hancock County Health System
Britt
$9,522C
52Veterans Memorial Hospital
Waukon
$9,598C
53Shenandoah Medical Center
Shenandoah
$9,967B
54Clarke County Hospital
Osceola
$10,038C
55Trinity Regional Medical Center
Fort Dodge
$10,131D
56Chi Health Mercy Council Bluffs
Council Bluffs
$10,259B
57Ottumwa Regional Health Center
Ottumwa
$10,321C
58George C Grape Community Hospital
Hamburg
$10,565C
59Mercyone Clinton Medical Center
Clinton
$10,682B
60Unitypoint Health - Des Moines Iowa Methodist Medi
Des Moines
$11,138B
61Chi Health - Mercy Corning
Corning
$11,218B
62University Of Iowa Health Care Medical Center Down
Iowa City
$11,437B
63Gundersen Palmer Lutheran Hospital And Clinics
West Union
$12,201C
64Avera Holy Family Hospital
Estherville
$13,173C

Frequently Asked Questions

How much does renal failure with cc cost in Iowa?

Renal Failure with CC (DRG 683) averages $8,585 in total Medicare payment across 64 Iowa hospitals reporting this code. Within the state, payments span $5,579 to $13,173 — about 2× from cheapest to most expensive.

Is Renal Failure with CC more or less expensive in Iowa than nationally?

Iowa's state-level average of $8,585 sits below the national Medicare average of $10,815 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.