88/100
#130 nationally
Spencer Municipal Hospital
1200 1St Avenue East, Spencer, IA 51301 · (712) 264-6198
Charges close to what care is actually paid for
For every $1 of care Medicare actually paid for here, Spencer Municipal Hospital billed $3.00 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 3.0x
- volume-weighted across all its priced work
- Procedures priced
- 39
- inpatient and outpatient combined
- Rank in IA
- #2
- lower markup ranks higher
- CMS quality stars
- 4/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 90% of U.S. hospitals.
Better than 87% of U.S. hospitals.
Better than 90% of U.S. hospitals.
Better than 81% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
514 | $6,890 | $1,984 | -41% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
189 | $37,855 | $11,144 | -39% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
189 | $13,726 | $2,982 | -34% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
137 | $11,018 | $2,341 | -43% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
120 | $14,946 | $4,397 | -46% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
73 | $10,340 | $1,742 | -20% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
71 | $25,875 | $5,982 | -35% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
68 | $3,545 | $584 | +13% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
64 | $30,618 | $16,068 | -53% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
64 | $5,434 | $1,652 | -52% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
$3,545 | $584 | +13% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$10,340 | $1,742 | -20% |
|
Level 5 Gynecologic Procedures
APC 5415 · Hospital outpatient visit |
$21,558 | $4,255 | -28% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$13,726 | $2,982 | -34% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$6,693 | $1,387 | -34% |
|
Level 2 Intraocular Procedures
APC 5492 · Hospital outpatient visit |
$13,698 | $3,478 | -34% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$25,875 | $5,982 | -35% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
$52,417 | $15,909 | -37% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
$39,471 | $39,808 | -78% |
|
Major Small and Large Bowel Procedures with Complications
MS-DRG 330 · Inpatient stay |
$32,675 | $19,362 | -67% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
$14,697 | $8,451 | -63% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$17,530 | $10,757 | -62% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
$20,145 | $12,110 | -62% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
$22,944 | $8,802 | -62% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
$12,690 | $6,463 | -61% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
$13,480 | $7,369 | -59% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.