Knee replacement (total) in Iowa
Below is what hospitals in Iowa charge if you pay cash, and the typical rate insurers negotiated.
Cash prices at 22 hospitals in Iowa run from $2,336 to $13,147. The typical hospital charges $5,002. Where a hospital sits on this scale matters more than the number alone:
typical: $5,002
Cheaper than most hospitalsPricier than most hospitals
23 hospitals. Sort by: Cash price ▲ · Negotiated median · Gross charge · Negotiated low
What these numbers mean.
Cash price is what the hospital lists for patients paying out of pocket.
Negotiated median is the middle of what insurance companies actually agreed to pay.
Gross charge is the sticker price — almost nobody pays it.
What you will actually pay is usually different from both numbers:
with insurance, your deductible, copay, or coinsurance decides what you owe —
the negotiated rate is what the insurer pays, not your bill.
A single line item may not be the whole cost: physician, anesthesia, pathology,
and facility fees can be billed separately.
Prices vary by hospital and change over time; always confirm with the hospital before you go.
| Hospital | Cash price | Where it sits | Insurance pays (typical) | Gross charge |
|---|---|---|---|---|
| Crawford County Memorial Hospital IA · Price file July 27, 2026 | $2,336Insurance typically pays $2,774Sticker price $2,920 | Lowest price of any hospital | $2,774 | $2,920 |
| Boone County Hospital IA · Price file July 27, 2026 | $2,640Insurance typically pays $1,674Sticker price $3,300 | Cheaper than 95% of hospitals | $1,674 | $3,300 |
| Madison County Health Care System IA · Price file October 21, 2026 | $2,725Insurance typically pays $2,923Sticker price $3,406 | Cheaper than 90% of hospitals | $2,923 | $3,406 |
| Shenandoah Medical Center IA · Price file September 21, 2026 | $2,787Insurance typically pays $4,288Sticker price $4,288 | Cheaper than 86% of hospitals | $4,288 | $4,288 |
| Jefferson County Health Center IA · Price file August 20, 2026 | $3,109Insurance typically pays $1,046Sticker price $5,182 | Cheaper than 81% of hospitals | $1,046 | $5,182 |
| Cass County Memorial Hospital IA · Price file June 1, 2026 | $3,403Insurance typically pays $1,150Sticker price $4,861 | Cheaper than 76% of hospitals | $1,150 | $4,861 |
| St Anthony Regional Hospital & Nursing Home IA · Price file November 3, 2026 | $3,670Insurance typically pays $1,662Sticker price $3,670 | Cheaper than 71% of hospitals | $1,662 | $3,670 |
| Iowa Specialty Hospital - Clarion IA · Price file June 11, 2026 | $4,030Insurance typically pays $2,557Sticker price $6,716 | Cheaper than 67% of hospitals | $2,557 | $6,716 |
| Guthrie County Hospital IA · Price file September 26, 2026 | $4,311Insurance typically pays $1,066Sticker price $4,311 | Cheaper than 62% of hospitals | $1,066 | $4,311 |
| Stewart Memorial Community Hospital IA | $4,574Insurance typically pays —Sticker price $5,718 | Cheaper than 57% of hospitals | — | $5,718 |
| Unitypoint Health - Des Moines Iowa Methodist Medi IA · Price file November 4, 2026 | $5,002Insurance typically pays $3,026Sticker price $6,252 | Cheaper than 52% of hospitals | $3,026 | $6,252 |
| Finley Hospital IA · Price file November 4, 2026 | $5,002Insurance typically pays $3,026Sticker price $6,252 | Cheaper than 52% of hospitals | $3,026 | $6,252 |
| Trinity Muscatine IA · Price file November 4, 2026 | $5,002Insurance typically pays $3,026Sticker price $6,252 | Cheaper than 52% of hospitals | $3,026 | $6,252 |
| Jones Regional Medical Center IA · Price file November 4, 2026 | $5,002Insurance typically pays $3,026Sticker price $6,252 | Cheaper than 52% of hospitals | $3,026 | $6,252 |
| Grinnell Regional Medical Center IA · Price file November 4, 2026 | $5,002Insurance typically pays $3,026Sticker price $6,252 | Cheaper than 52% of hospitals | $3,026 | $6,252 |
| St Lukes Hospital IA · Price file November 4, 2026 | $5,002Insurance typically pays $3,026Sticker price $6,252 | Cheaper than 52% of hospitals | $3,026 | $6,252 |
| St Lukes Regional Medical Center IA · Price file November 4, 2026 | $5,002Insurance typically pays $3,026Sticker price $6,252 | Cheaper than 52% of hospitals | $3,026 | $6,252 |
| Unitypoint Health - Marshalltown IA · Price file November 4, 2026 | $5,002Insurance typically pays $3,026Sticker price $6,252 | Cheaper than 52% of hospitals | $3,026 | $6,252 |
| Trinity Regional Medical Center IA · Price file November 4, 2026 | $5,002Insurance typically pays $3,026Sticker price $6,252 | Cheaper than 52% of hospitals | $3,026 | $6,252 |
| Allen Hospital IA · Price file November 4, 2026 | $5,002Insurance typically pays $3,026Sticker price $6,252 | Cheaper than 52% of hospitals | $3,026 | $6,252 |
| Grundy County Memorial Hospital IA · Price file June 29, 2026 | $7,108Insurance typically pays —Sticker price $8,885 | Pricier than 95% of hospitals | — | $8,885 |
| Manning Regional Healthcare Center IA · Price file October 16, 2026 | $13,147Insurance typically pays $12,865Sticker price $18,517 | Highest price of any hospital | $12,865 | $18,517 |
| Ottumwa Regional Health Center IA · Price file July 23, 2026 | —Insurance typically pays —Sticker price $60,608 | — | — | $60,608 |
Procedure code 27447. Prices are from each hospital's own published price file — see methodology.