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SPENCER MUNICIPAL HOSPITAL

Spencer, IA · CCN 160112 · Rates published

1,894 distinct procedures filed
40 distinct payers
186,051 rate rows
2026-09-21 last MRF observed

182,457 of 186,051 rate rows are consumer-grade (98.1%)

3,594 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 3,013
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 219
exceeds 10× this hospital's gross charge — excluded from medians 191
placeholder amount (≤ $0.02) — excluded from medians 131
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 16
exceeds 3× this hospital's gross charge for a DRG stay — excluded 16
percent-of-charges filed in the dollar field — excluded from medians 8
↓ Download audit trail (JSON)
Source MRF file https://www.spencerhospital.org/webres/File/Pricing/426005883_spencer-municipal-hospital_standardcharges%20(6).csv
Found on page https://www.spencerhospital.org/patients-visitors/patients/price-transparency/
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-09-21
Content fingerprint b6eb8b2facdeb979… · 4,399,707 bytes · first seen 2026-05-08

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
466
MS_DRG
Revision Of Hip Or Knee Replacement With Mcc 7 $32,085.42 $49,748.71 $37,633.44 nat. median
$36,541

1.0× median
326
MS_DRG
Stomach, Esophageal And Duodenal Procedures With Mcc 7 $26,997.53 $42,433.15 $36,057.36 nat. median
$35,986

1.0× median
853
MS_DRG
Infectious And Parasitic Diseases With O.r. Procedure With Mcc 7 $31,419.27 $41,457.74 $35,704.56 nat. median
$34,733

1.0× median
981
MS_DRG
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 7 $30,528.24 $48,935.87 $33,920.27 nat. median
$33,546

1.0× median
329
MS_DRG
Major Small And Large Bowel Procedures With Mcc 7 $26,922.56 $36,509.58 $33,209.07 nat. median
$33,435

1.0× median
856
MS_DRG
Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 7 $26,887.22 $33,214.56 $29,945.69 nat. median
$31,991

0.9× median
956
MS_DRG
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 7 $24,484.80 $45,615.21 $27,837.14 nat. median
$27,340

1.0× median
907
MS_DRG
Other O.r. Procedures For Injuries With Mcc 7 $21,087.51 $30,532.30 $27,755.27 nat. median
$27,194

1.0× median
467
MS_DRG
Revision Of Hip Or Knee Replacement With Cc 7 $22,946.61 $40,430.08 $26,896.16 nat. median
$25,622

1.0× median
94
MS_DRG
Bacterial And Tuberculous Infections Of Nervous System With Mcc 7 $22,899.76 $41,533.22 $26,233.46 nat. median
$24,752

1.1× median
622
MS_DRG
Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 7 $23,158.73 $32,362.91 $25,989.24 nat. median
$24,822

1.0× median
335
MS_DRG
Peritoneal Adhesiolysis With Mcc 7 $23,234.86 $35,706.90 $25,816.51 nat. median
$25,494

1.0× median
521
MS_DRG
Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 7 $18,675.59 $33,156.61 $24,602.63 nat. median
$21,753

1.1× median
510
MS_DRG
Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 7 $19,653.56 $32,893.89 $24,552.01 nat. median
$20,743

1.2× median
451
MS_DRG
Single Level Spinal Fusion Except Cervical Without Mcc 7 $21,019.32 $28,514.25 $23,588.34 nat. median
$21,019

1.1× median
411
MS_DRG
Cholecystectomy With C.d.e. With Mcc 7 $20,511.39 $24,120.66 $23,584.06 nat. median
$20,798

1.1× median
579
MS_DRG
Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 7 $20,977.21 $41,608.70 $23,413.36 nat. median
$23,000

1.0× median
264
MS_DRG
Other Circulatory System O.r. Procedures 7 $21,736.36 $24,393.02 $23,092.62 nat. median
$23,998

1.0× median
485
MS_DRG
Knee Procedures With Principal Diagnosis Of Infection With Mcc 7 $16,723.51 $23,564.25 $22,164.39 nat. median
$23,038

1.0× median
469
MS_DRG
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 7 $17,754.19 $36,331.04 $21,929.10 nat. median
$22,918

1.0× median
829
MS_DRG
Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 7 $17,774.01 $23,074.28 $21,703.54 nat. median
$22,178

1.0× median
570
MS_DRG
Skin Debridement With Mcc 7 $13,159.23 $31,723.98 $21,263.25 nat. median
$20,813

1.0× median
668
MS_DRG
Transurethral Procedures With Mcc 7 $13,544.44 $40,518.62 $21,110.70 nat. median
$20,640

1.0× median
480
MS_DRG
Hip And Femur Procedures Except Major Joint With Mcc 7 $18,949.53 $41,674.02 $21,055.03 nat. median
$21,963

1.0× median
353
MS_DRG
Hernia Procedures Except Inguinal And Femoral With Mcc 7 $18,491.86 $33,033.24 $20,980.57 nat. median
$20,717

1.0× median
J9316
HCPCS
Pertuzu-trastuzu 15 Ml Vial 12 $54.10 $31,812.65 $20,906.65 nat. median
$221

outlier · 94.7×
468
MS_DRG
Revision Of Hip Or Knee Replacement Without Cc/mcc 7 $17,880.47 $38,958.26 $19,867.19 nat. median
$19,904

1.0× median
255
MS_DRG
Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 7 $17,551.23 $22,549.07 $19,696.38 nat. median
$18,892

1.0× median
288
MS_DRG
Acute And Subacute Endocarditis With Mcc 7 $16,360.70 $24,466.48 $19,564.99 nat. median
$18,971

1.0× median
493
MS_DRG
Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 7 $16,501.70 $22,027.25 $19,354.92 nat. median
$18,426

1.1× median
483
MS_DRG
Major Joint/limb Reattachment Procedure Of Upper Extremities 7 $18,035.98 $20,240.38 $19,093.14 nat. median
$19,495

1.0× median
208
MS_DRG
Respiratory System Diagnosis With Ventilator Support <=96 Hours 7 $17,885.03 $20,070.98 $19,056.67 nat. median
$19,623

1.0× median
659
MS_DRG
Kidney And Ureter Procedures For Non-neoplasm With Mcc 7 $15,869.49 $25,830.89 $18,369.92 nat. median
$18,590

1.0× median
J9022
HCPCS
Atezolizumab 1200 Mg/20 Ml Vl 12 $74.71 $25,373.55 $17,988.25 nat. median
$1,229

outlier · 14.6×
982
MS_DRG
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 7 $13,449.64 $31,348.05 $17,774.20 nat. median
$17,763

1.0× median
Q4116
HCPCS
Graft Tiss Aldrm 320SqCM Perf 7 $14,944.80 $17,746.95 $17,746.95 nat. median
$1,706

outlier · 10.4×
522
MS_DRG
Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 7 $13,779.29 $25,691.55 $17,449.89 nat. median
$15,839

1.1× median
330
MS_DRG
Major Small And Large Bowel Procedures With Cc 7 $15,597.92 $32,873.57 $17,331.02 nat. median
$17,741

1.0× median
417
MS_DRG
Laparoscopic Cholecystectomy Without C.d.e. With Mcc 7 $14,016.69 $22,565.02 $17,252.94 nat. median
$17,369

1.0× median
481
MS_DRG
Hip And Femur Procedures Except Major Joint With Cc 7 $13,628.33 $21,940.87 $17,004.54 nat. median
$15,706

1.1× median
56
MS_DRG
Degenerative Nervous System Disorders With Mcc 7 $11,804.67 $22,383.61 $16,879.28 nat. median
$14,194

1.2× median
357
MS_DRG
Other Digestive System O.r. Procedures With Cc 7 $14,500.14 $22,745.01 $16,812.65 nat. median
$16,355

1.0× median
475
MS_DRG
Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 7 $14,515.65 $23,942.07 $16,452.61 nat. median
$16,005

1.0× median
934
MS_DRG
Full Thickness Burn Without Skin Graft Or Inhalation Injury 7 $9,857.24 $18,493.58 $16,061.87 nat. median
$13,828

1.2× median
808
MS_DRG
Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 7 $14,294.18 $20,524.21 $15,962.44 nat. median
$15,758

1.0× median
516
MS_DRG
Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 7 $13,521.62 $24,019.42 $15,935.53 nat. median
$15,130

1.1× median
470
MS_DRG
Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without… 7 $12,550.82 $27,653.98 $15,919.50 nat. median
$14,330

1.1× median
511
MS_DRG
Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 7 $13,530.08 $23,644.94 $15,842.47 nat. median
$14,865

1.1× median
629
MS_DRG
Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 7 $13,242.82 $30,742.77 $15,752.05 nat. median
$15,832

1.0× median
857
MS_DRG
Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 7 $13,934.15 $19,569.12 $15,482.38 nat. median
$15,311

1.0× median

Other procedures at this hospital

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Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
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