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HCHospitalCostData

Updated April 2026

Syncope and Collapse in Iowa

67 Iowa hospitals report Medicare totals for this DRG, averaging $6,307 (below the $7,980 national mean), with a 2× spread from $3,867 to $9,333. 1 carry an A grade, 0 carry an F.

The Neurological procedure Syncope and Collapse carries DRG code 312 in the CMS classification system. 2,788 hospitals in Iowa report payment data, averaging $7,980 per procedure — median $7,704, ranging from $2,643 to $17,114. The $2,643-to-$17,114 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 2,788 hospitals reporting this procedure span the full range of ownership types and hospital sizes. The state-specific average ($7,980) is shaped by which hospitals in the state see enough volume to report the DRG code at all. For patients with elective scheduling on Syncope and Collapse, 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

Neurology and neurosurgery DRGs span stroke care, craniotomy, spinal procedures, and seizure management. Outcomes vary substantially by hospital volume and stroke-center designation, which the CMS Care Compare site flags directly.

Syncope and Collapse is Medicare DRG 312 in the Neurological category. National Medicare average for this DRG is $7,980 across 2,788 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 Syncope and Collapse

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

#HospitalPaymentGrade
1Winnmed
Decorah
$3,867C
2Horn Memorial Hospital
Ida Grove
$4,317C
3Floyd Valley Healthcare
Le Mars
$4,383B
4Franklin General Hospital
Hampton
$4,512B
5Jefferson County Health Center
Fairfield
$4,568C
6Audubon County Memorial Hospital
Audubon
$4,707C
7Adair County Memorial Hospital
Greenfield
$4,915C
8Mitchell County Regional Health
Osage
$4,928C
9Keokuk County Health Center
Sigourney
$5,151B
10Lakes Regional Healthcare
Spirit Lake
$5,204C
11Regional Health Services Of Howard County
Cresco
$5,253C
12Mercyone Siouxland Medical Center
Sioux City
$5,316D
13Mercy Medical Center - Cedar Rapids
Cedar Rapids
$5,336C
14Broadlawns Medical Center
Des Moines
$5,372C
15Hansen Family Hospital
Iowa Falls
$5,493C
16Ringgold County Hospital
Mount Ayr
$5,543B
17Palo Alto County Hospital
Emmetsburg
$5,633C
18Mercyone Elkader Medical Center
Elkader
$5,653C
19Iowa City Va Medical Center
Iowa City
$5,731A
20Trinity - Bettendorf
Bettendorf
$5,754C
21Iowa Specialty Hospital - Belmond
Belmond
$5,837C
22Monroe County Hospital
Albia
$5,889B
23Sioux Center Health
Sioux Center
$5,900C
24Dallas County Hospital
Perry
$5,923C
25Genesis Medical Center-Dewitt
Dewitt
$5,944B
26Community Memorial Hospital Medical Center
Sumner
$5,951C
27Jackson County Regional Health Center
Maquoketa
$6,005B
28Mercyone North Iowa Medical Center
Mason City
$6,056B
29Grinnell Regional Medical Center
Grinnell
$6,113B
30Unitypoint Health - Marshalltown
Marshalltown
$6,154C
31Floyd County Medical Center
Charles City
$6,165B
32Washington County Hospital And Clinics
Washington
$6,205B
33Iowa Specialty Hospital - Clarion
Clarion
$6,244B
34Spencer Municipal Hospital
Spencer
$6,275B
35Regional Medical Center
Manchester
$6,298C
36Mercyone Des Moines Medical Center
Des Moines
$6,304C
37Boone County Hospital
Boone
$6,321B
38Allen Hospital
Waterloo
$6,521B
39Clive Behavioral Health
Clive
$6,560C
40Kossuth Regional Health Center
Algona
$6,570C
41Crawford County Memorial Hospital
Denison
$6,637C
42Gundersen Palmer Lutheran Hospital And Clinics
West Union
$6,671C
43Pella Regional Health Center
Pella
$6,678B
44Story County Hospital
Nevada
$6,773B
45Mercyone Oelwein Medical Center
Oelwein
$6,799C
46Veterans Memorial Hospital
Waukon
$6,867C
47Orange City Area Health System
Orange City
$6,911B
48Mercyone Dyersville Medical Center
Dyersville
$6,964C
49Stewart Memorial Community Hospital
Lake City
$6,984C
50Sanford Sheldon Medical Center
Sheldon
$7,026B
51Van Diest Medical Center
Webster City
$7,094C
52Mental Health Institute
Independence
$7,145C
53Chi Health Missouri Valley
Missouri Valley
$7,160C
54Ottumwa Regional Health Center
Ottumwa
$7,210C
55Clarke County Hospital
Osceola
$7,226C
56Avera Merrill Pioneer Hospital
Rock Rapids
$7,271C
57Guttenberg Municipal Hospital
Guttenberg
$7,377C
58Osceola Community Hospital
Sibley
$7,409B
59Virginia Gay Hospital
Vinton
$7,411B
60Chi Health Mercy Council Bluffs
Council Bluffs
$7,499B
61Myrtue Medical Center
Harlan
$7,622B
62Burgess Health Center
Onawa
$7,644C
63Sartori Memorial Hospital, Inc
Cedar Falls
$7,690C
64Trinity Regional Medical Center
Fort Dodge
$7,692D
65Lucas County Health Center
Chariton
$8,212C
66Hegg Memorial Health Center
Rock Valley
$8,425C
67Shenandoah Medical Center
Shenandoah
$9,333B

Frequently Asked Questions

How much does syncope and collapse cost in Iowa?

Syncope and Collapse (DRG 312) averages $6,307 in total Medicare payment across 67 Iowa hospitals reporting this code. Within the state, payments span $3,867 to $9,333 — about 2× from cheapest to most expensive.

Is Syncope and Collapse more or less expensive in Iowa than nationally?

Iowa's state-level average of $6,307 sits below the national Medicare average of $7,980 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.