Unitypoint Health · Marshalltown, IA
3 of 5
CMS star rating
16
Beds
938
Inpatient discharges a year
$83.9M
Net patient revenue a year
30
In-network payers
Marshalltown is a 16-bed voluntary non-profit - private hospital in Marshalltown, IA, affiliated with Unitypoint Health. Below you'll find publicly disclosed negotiated rates and facility details, including 30 in-network payers and 328 disclosed rate categories.
The 24 services Marshalltown most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.
CT imaging
CPT 74177
$1,173 - $2,600
from 4 insurers · median $2,399
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 66984
$1,853 - $2,031
from 2 insurers · median $1,942
483 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
CT imaging
CPT 70450
$586 - $1,298
from 4 insurers · median $1,073
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$1,015 - $2,250
from 4 insurers · median $2,069
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$939 - $2,081
from 4 insurers · median $1,914
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$565 - $1,252
from 4 insurers · median $1,143
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$909 - $2,016
from 4 insurers · median $1,888
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78815
$1,809 - $4,010
from 4 insurers · median $3,751
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$110 - $245
from 4 insurers · median $196
Common here, based on CMS Medicare volume
MRI imaging
CPT 73721
$1,491 - $3,304
from 4 insurers · median $2,384
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$1,261 - $2,794
from 4 insurers · median $2,532
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$65 - $145
from 4 insurers · median $133
Common here, based on CMS Medicare volume
MRI imaging
CPT 74183
$1,430 - $3,171
from 4 insurers · median $2,597
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 20610
$428 - $948
from 4 insurers · median $882
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$776 - $1,094
from 3 insurers · median $998
Common here, based on CMS Medicare volume
Ultrasound
CPT 76830
$291 - $644
from 4 insurers · median $584
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 77080
$204 - $451
from 4 insurers · median $415
Common here, based on CMS Medicare volume
MRI imaging
CPT 70551
$666 - $1,476
from 4 insurers · median $1,381
Common here, based on CMS Medicare volume
Ultrasound
CPT 76705
$202 - $447
from 4 insurers · median $413
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$832 - $2,730
from 3 insurers · median $912
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$953 - $2,244
from 3 insurers · median $1,045
Common here, based on CMS Medicare volume
Ultrasound
CPT 76642
$255 - $566
from 4 insurers · median $433
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 73630
$116 - $258
from 4 insurers · median $237
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93971
$277 - $613
from 4 insurers · median $574
Common here, based on CMS Medicare volume
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 24 | 421% | 5 | 14 |
| Insurer B* | 23 | 392% | 17 | 6 |
| Insurer C* | 24 | 384% | 13 | 10 |
| Insurer D* | 20 | 257% | 14 | 6 |
How we chose these services: 1 appear in this hospital's own Medicare claims, 23 are common here based on CMS Medicare volume, and 0 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Marshalltown, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
3 of 5 stars
Doctors and services
No Medicare-funded residents
Finances
$83.9M net patient revenue
Ownership and leadership
Owned by Allen Health Systems Inc
The employer identification numbers (EINs) health plans and networks list for Marshalltown in the in-network rate files they publish, with the organization NPIs billed under each.
| Tax ID (EIN) | Plans and networks listing it | Organization NPIs |
|---|---|---|
| 81-5034179UnityPoint Health Marshalltown | 54Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Aspirus Health Plan and 49 more | 1629503057 Unitypoint Health - Marshalltown1255866687 Unitypoint Health - Marshalltown1083149611 Unitypoint Health - Marshalltownand 19 more |
Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.
3 South Fourth Avenue, Marshalltown, IA 50158
(641) 754-5151
How Marshalltown compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
3 of 5
Lower than 42% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
Worse on 1 of 4 measures
0 better, 3 no different, 1 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
No different on 1 measures
0 better, 1 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Better on 1 of 6 measures
1 better, 5 no different, 0 worse than the US rate
Patients back in the hospital or ER soon after leaving
Patient survey rating
3 of 5
Lower than 40% of US hospitals
From the HCAHPS survey of recent inpatients
Would definitely recommend
62%
Lower than 81% of US hospitals
US median: 71%
Surveyed patients who would definitely recommend the hospital
Hospital-acquired condition penalty
Penalized
Among the worst-performing 25% of US hospitals
Medicare cuts payments 1% for the worst-performing 25% of hospitals on infections and injuries acquired in the hospital
Serious complications (PSI 90)
0.93
Lower than 65% of US hospitals
US median: 0.96
Risk-adjusted composite of complications such as bedsores, falls with hip fracture and blood clots after surgery; lower is better
Time in the ER before going home
162 min
Higher than 59% of US hospitals
US median: 148 min
Median minutes from arrival to leaving for ER patients who were sent home; lower is better
Sepsis care
76%
Higher than 76% of US hospitals
US median: 65%
Patients with severe sepsis or septic shock who got every step of the recommended early treatment; higher is better
| Measure | Result | Period |
|---|---|---|
| Overall star ratingCMS: Overall hospital quality star rating | 3 of 5 | |
| Death rates | Worse on 1 of 4 measures | |
| Safety | No different on 1 measures | |
| Readmissions | Better on 1 of 6 measures | |
| Patient survey ratingCMS: Summary star rating | 3 of 5 | 2024-10-01 to 2025-09-30 |
| Would definitely recommendCMS: "YES", patients would definitely recommend the hospital | 62% | 2024-10-01 to 2025-09-30 |
| Hospital-acquired condition penaltyCMS: HAC Reduction Program payment reduction | Penalized | 2026 |
| Serious complications (PSI 90)CMS: Patient safety and adverse events composite (PSI 90) | 0.93 | 2022-07-01 to 2024-06-30 |
| Time in the ER before going homeCMS: Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better | 162 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 76% | 2024-10-01 to 2025-09-30 |
Source: CMS Provider Data Catalog, released 2026-08-13. US comparisons rank this facility among every facility CMS reports for each measure. See Medicare Care Compare.
How Medicare adjusts Marshalltown's inpatient payments for its readmissions, quality and cost results.
-0.24% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
+1.63% on Medicare payments
Value-based purchasing
Hospital Value-Based Purchasing bonus or reduction for quality and cost, as estimated in the FY 2027 IPPS final rule.
Source: CMS IPPS final rule Impact File (FY 2027).
Each result CMS publishes for Marshalltown, beside the US median and the average of IA hospitals. The rank says what share of US hospitals the result is better or worse than; counts and confidence limits are not ranked.
Risk-adjusted 30-day death rates and surgical complications; lower is better.
| Measure | Marshalltown | US median | IA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 | Not Available | 4.344 | |||
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 388 cases | 3.9 | 3.9 | 4.347 | Better than 49% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 12.16 | |||
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 | Not Available | 2.667 | |||
| Death rate for COPD patients2022-07-01 to 2025-06-30 | Not Available | 9.519 | |||
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 73 cases | 15.5 | 11 | 13.01 | Worse than 98% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 140 cases | 21.6 | 15.2 | 16.4 | Worse than 98% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 · 32 cases | 10.9 | 11.6 | 11.3 | Better than 64% of US hospitals | |
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 581 cases | 0.53 | 0.51 | 0.8413 | No Different Than the National Rate | Worse than 52% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 | Not Available | 187 | |||
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 763 cases | 0.21 | 0.2 | 0.2253 | No Different Than the National Rate | Worse than 54% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 695 cases | 0.27 | 0.27 | 0.2856 | No Different Than the National Rate | Worse than 46% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 92 cases | 2.31 | 2.29 | 2.411 | No Different Than the National Rate | Worse than 55% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 | Not Available | 1.697 | Number of Cases Too Small | ||
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 25 cases | 8.42 | 8.88 | 9.791 | No Different Than the National Rate | Better than 62% of US hospitals |
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 95 cases | 3.33 | 3.4 | 3.742 | No Different Than the National Rate | Better than 57% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 · 25 cases | 5.07 | 5.105 | 5.374 | No Different Than the National Rate | Better than 53% of US hospitals |
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 | Not Available | 1.73 | Number of Cases Too Small | ||
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 35 cases | 1.04 | 1.02 | 1.043 | No Different Than the National Rate | Worse than 57% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | Marshalltown | US median | IA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 0.915 | |||
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 73 cases | -14.6 | 1.25 | -4.234 | Better than 72% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 132 cases | -8.6 | 3.85 | -6.738 | Better than 67% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)2024-07-01 to 2025-06-30 | Not Available | ||||
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)2022-01-01 to 2024-12-31 · 757 cases | 13.3 | 12.9 | 12.89 | No Different Than the National Rate | Worse than 67% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 10.07 | Number of Cases Too Small | ||
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 5.881 | Number of Cases Too Small | ||
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 134 cases | 1 | 1 | 1.024 | No Different than expected | Worse than 32% of US hospitals |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 | Not Available | 14.3 | |||
| Rate of readmission for CABG2023-07-01 to 2025-06-30 | Not Available | 10.58 | |||
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 · 34 cases | 19.6 | 19.8 | 19.68 | Better than 58% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 82 cases | 21 | 21.3 | 21.18 | Better than 60% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 | Not Available | 5.704 | |||
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 147 cases | 17.3 | 17.2 | 16.98 | Worse than 50% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | Marshalltown | US median | IA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.1944 | |||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.325 | |||
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 86 | 1,370 | 1,588 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.05 | 0.9835 | 1.519 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 0.9457 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.6257 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.1513 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.026 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 514 | 1,799 | 1,799 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.273 | 1.377 | 1.992 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 0.9688 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.4956 | |||
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2281 | |||
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 3.002 | |||
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 13 | 61 | 88.39 | ||
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 0.309 | 1.591 | 2.285 | ||
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 1 | 1 | 1.758 | ||
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | Not Available | 0.9152 | |||
| SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.131 | |||
| SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 3.328 | |||
| SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30 | Not Available | 55.45 | |||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | Not Available | 0.474 | |||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | Not Available | 0.4848 | |||
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | Not Available | 0.888 | |||
| MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2611 | |||
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.565 | |||
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 4,306 | 14,451 | 14,608 | ||
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 0.097 | 0.567 | 0.9252 | ||
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 0.6765 | ||
| MRSA Bacteremia2024-10-01 to 2025-09-30 | Not Available | 0.6471 | |||
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.1573 | |||
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.7 | |||
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 4,306 | 13,646 | 12,946 | ||
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 0.878 | 5.683 | 5.819 | ||
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 2 | 2 | 2.429 | ||
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | Not Available | 0.4308 |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | Marshalltown | US median | IA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 189 cases | 81 | 73 | 78.08 | Better than 78% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 189 cases | 4 | 8 | 5.763 | Better than 80% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 189 cases | 15 | 18 | 16.15 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 189 cases | 92 | 87 | 87.71 | Better than 88% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 189 cases | 5 | 4 | 3.688 | The top rating, shared by 12% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 189 cases | 77 | 80 | 82.7 | Worse than 65% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 189 cases | 91 | 91 | 91.94 | Worse than 49% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 189 cases | 5 | 4 | 2.598 | Worse than 61% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 189 cases | 3 | 3 | 3.688 | Worse than 49% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 189 cases | 18 | 16 | 14.7 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 189 cases | 77 | 79 | 82.29 | Worse than 63% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 189 cases | 90 | 91 | 91.44 | Worse than 55% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 189 cases | 6 | 5 | 3.897 | Worse than 56% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 189 cases | 3 | 3 | 3.458 | Worse than 37% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 189 cases | 17 | 16 | 13.81 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 189 cases | 57 | 61 | 64.85 | Worse than 72% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 189 cases | 73 | 77 | 78.21 | Worse than 78% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 189 cases | 27 | 19 | 15.07 | Worse than 91% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 189 cases | 2 | 3 | 3 | Worse than 53% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 189 cases | 16 | 19 | 20.08 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 189 cases | 85 | 86 | 87.9 | Worse than 57% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 189 cases | 15 | 13 | 11.25 | Worse than 63% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 189 cases | 3 | 3 | 3.875 | Worse than 45% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 189 cases | 85 | 87 | 88.75 | Worse than 63% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 189 cases | 12 | 14 | 12.09 | Better than 68% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 189 cases | 88 | 86 | 87.91 | Better than 68% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 189 cases | 73 | 74 | 76.91 | Worse than 52% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 189 cases | 8 | 7 | 5.171 | Worse than 63% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 189 cases | 19 | 19 | 17.92 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 189 cases | 77 | 77 | 80.46 | Worse than 49% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 189 cases | 8 | 6 | 4.303 | Worse than 77% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 189 cases | 15 | 17 | 15.24 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 189 cases | 81 | 85 | 87.3 | Worse than 80% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 189 cases | 3 | 3 | 2.895 | Better than 49% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 189 cases | 16 | 11 | 9.803 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 189 cases | 12 | 8 | 5.68 | Worse than 81% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 189 cases | 21 | 20 | 16.62 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 189 cases | 67 | 72 | 77.7 | Worse than 68% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 189 cases | 87 | 88 | 89.17 | Worse than 58% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 189 cases | 3 | 3 | 3.625 | Worse than 45% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 189 cases | 70 | 74 | 75.21 | Worse than 76% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 189 cases | 17 | 9 | 8.053 | Worse than 96% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 189 cases | 13 | 16 | 16.74 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 189 cases | 73 | 75 | 76.58 | Worse than 60% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 189 cases | 5 | 5 | 3.974 | Better than 49% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 189 cases | 22 | 20 | 19.45 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 189 cases | 72 | 77 | 79.34 | Worse than 76% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 189 cases | 7 | 4 | 3.092 | Worse than 81% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 189 cases | 21 | 19 | 17.57 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 189 cases | 85 | 86 | 88.28 | Worse than 56% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 189 cases | 3 | 3 | 1.829 | Worse than 50% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 189 cases | 12 | 11 | 9.895 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 189 cases | 58 | 59 | 64.8 | Worse than 53% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 189 cases | 9 | 9 | 6.454 | Worse than 47% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 189 cases | 33 | 31 | 28.74 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 189 cases | 82 | 82 | 83.67 | Better than 48% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 189 cases | 3 | 3 | 3.667 | Worse than 44% of US hospitals | |
| "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)2024-10-01 to 2025-09-30 · 189 cases | 7 | 5 | 3.505 | Worse than 67% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 189 cases | 62 | 71 | 75.76 | Worse than 81% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 189 cases | 84 | 87 | 88.6 | Worse than 74% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 189 cases | 31 | 23 | 20.73 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 189 cases | 3 | 4 | 4.021 | Worse than 58% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 189 cases | 44 | 47 | 50.74 | Worse than 64% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 189 cases | 37 | 30 | 24.91 | Worse than 83% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 189 cases | 19 | 22 | 24.36 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 189 cases | 3 | 3 | 3.688 | Worse than 40% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 189 cases | 17 | 12 | 10.79 | Worse than 86% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 189 cases | 83 | 88 | 89.21 | Worse than 86% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | Marshalltown | US median | IA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | low | ||||
| Global Malnutrition Composite Score2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Diagnosis Documented2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Risk Screening2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutrition Assessment2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutritional Care Plan2024-01-01 to 2024-12-31 | Not Available | ||||
| Hospital Harm - Severe Hyperglycemia2024-01-01 to 2024-12-31 | Not Available | 8.161 | |||
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 · 329 cases | 1 | 1 | 0.7059 | Worse than 34% of US hospitals | |
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 · 536 cases | 0 | 0 | 0.2727 | The best result, shared by 84% of US hospitals | |
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 511 cases | 82 | 79 | 78.77 | Better than 54% of US hospitals | |
| Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 402 cases | 176 | 154 | 133 | Worse than 64% of US hospitals | |
| Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better2024-10-01 to 2025-09-30 · 346 cases | 162 | 148 | 127 | Worse than 59% of US hospitals | |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better2024-10-01 to 2025-09-30 · 23 cases | 645 | 247 | 233 | Worse than 98% of US hospitals | |
| Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 37 cases | 330 | 293 | 266 | Worse than 64% of US hospitals | |
| Left before being seen2024-01-01 to 2024-12-31 · 19,326 cases | 2 | 1 | 1.253 | Worse than 58% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 · 30 cases | 73 | 74 | 65.73 | Worse than 51% of US hospitals | |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 73 cases | 100 | 97 | 96.7 | The best result, shared by 27% of US hospitals | |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery2024-01-01 to 2024-12-31 | Not Available | ||||
| ST-Segment Elevation Myocardial Infarction (STEMI)2024-01-01 to 2024-12-31 | Not Available | 66 | |||
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 271 cases | 16 | 15 | 16.26 | Worse than 57% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 78 cases | 76 | 65 | 62.54 | Better than 76% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 | Not Available | 74.87 | |||
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 | Not Available | 83.88 | |||
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 78 cases | 82 | 82 | 79.3 | Better than 48% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 51 cases | 98 | 94 | 92.57 | Better than 77% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 | Not Available | 96.05 | |||
| Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31 | Not Available | 63.6 | |||
| Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31 | Not Available | 94.67 | |||
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 | Not Available | 81.6 | |||
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 | Not Available | 92.06 |
How often scans were ordered when they may not be needed; lower is better.
| Measure | Marshalltown | US median | IA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 3.5 | 5 | 5.165 | Better than 68% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 8.9 | 6.6 | 6.297 | Worse than 74% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | Marshalltown | US median | IA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 0.84 | 0.99 | 0.943 | Better than 96% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | Marshalltown | US median | IA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 10 | 20 | 16.47 | Worse than 70% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 3.333 | 5 | 4.245 | Worse than 64% of US hospitals | |
| VBP efficiency and cost reduction domain scoreFY 2026 | 100 | 10 | 38.89 | The best result, shared by 2% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 33.33 | 2.5 | 10.19 | Better than 99% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 48 | 34 | 34.52 | Better than 72% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 16 | 8.75 | 8.969 | Better than 88% of US hospitals | |
| VBP safety domain scoreFY 2026 | Not Available | 42.15 | |||
| VBP safety weighted domain scoreFY 2026 | Not Available | 10.68 | |||
| VBP total performance scoreFY 2026 | 52.67 | 29.5 | 33.13 | Better than 95% of US hospitals |
| By fiscal year | FY 2021 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 10 | Not Available | 10 | 0 | 10 |
| VBP clinical outcomes weighted domain score | 3.333 | Not Available | 3.333 | 0 | 3.333 |
| VBP efficiency and cost reduction domain score | 100 | 90 | 80 | 60 | 100 |
| VBP efficiency and cost reduction weighted domain score | 33.33 | 22.5 | 26.67 | 20 | 33.33 |
| VBP person and community engagement domain score | 19 | Not Available | 26 | 37 | 48 |
| VBP person and community engagement weighted domain score | 6.333 | Not Available | 8.667 | 12.33 | 16 |
| VBP safety domain score | Not Available | Not Available | Not Available | Not Available | Not Available |
| VBP safety weighted domain score | Not Available | Not Available | Not Available | Not Available | Not Available |
| VBP total performance score | 43 | Not Available | 38.67 | 32.33 | 52.67 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | Marshalltown | US median | IA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 | N/A | 0.9747 | |||
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | N/A | 0.9586 | |||
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 | 0.9652 | 0.9969 | 0.9798 | Better than 79% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 88 cases | 1.034 | 0.9983 | 0.9801 | Worse than 72% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | N/A | 0.9631 | |||
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 · 125 cases | 0.9483 | 0.9955 | 0.9632 | Better than 81% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | 1.03 | N/A | N/A | N/A | N/A | N/A |
| READM-30-CABG-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-COPD-HRRP | 0.9544 | 0.969 | N/A | N/A | N/A | 0.9652 |
| READM-30-HF-HRRP | 0.9949 | 1.034 | 0.9824 | 0.9596 | 0.9899 | 1.034 |
| READM-30-HIP-KNEE-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-PN-HRRP | 0.9237 | 0.9026 | 0.901 | 0.9296 | 0.9119 | 0.9483 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | Marshalltown | US median | IA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.6165 | |||
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 2.099 | 0.346 | 0.6026 | Worse than 99% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.883 | |||
| HAC Reduction Program payment reductionFY 2026 | Yes | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.5263 | |||
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 0.9252 | 0.9628 | 1.094 | Better than 65% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 1.039 | |||
| Total HAC scoreFY 2026 | 0.8756 | -0.0453 | 0.3567 | Worse than 92% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| HAC Reduction Program payment reduction | No | No | N/A | No | Yes | Yes |
| Total HAC score | -0.8082 | -0.5128 | 0 | 0.0939 | 1.142 | 0.8756 |
Source: CMS Care Compare hospital files, latest release 2026-09-30, with program results for earlier fiscal years from CMS's archived snapshots. US medians and ranks count every hospital CMS reports; state averages are plain means of the state's reporting hospitals, not CMS's patient-weighted state rates.
Not accredited
Accreditation
None
Medical school affiliation
Private (not for profit)
Ownership type
49
Medicare-certified beds
45
Registered nurses (full-time equivalent)
1969
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Marshalltown reported to Medicare in its latest cost report, covering Jan 1, 2025 to Dec 31, 2025.
938
Inpatient discharges
Medicare 39%, Medicaid 9%
3,280
Inpatient days
56% of available bed days used
265
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 836353). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Marshalltown reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 1,316 | 292 | 1,672 | 3,280 |
| Discharges | 369 | 87 | 482 | 938 |
| Average length of stay | 3.6 days | 3.4 days | 3.5 days | 3.5 days |
| Average daily census | 3.6 | 0.8 | 4.6 | 9.0 |
1,062
Medicare Advantage days
284 discharges
597
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 16 | 3,280 | 1,316 | 56% |
Source: CMS cost report (HCRIS, Form 2552-10), report 836353, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Marshalltown treats Medicare patients for most often, in 2024. 156 Medicare discharges in 7 published DRGs; 0% surgical; 81% in DRGs with complications (CC or MCC).
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical | 53 | $23,823 | $16,091 | $12,054 | 1.98 |
| Heart failure and shock with MCCMS-DRG 291, medical | 25 | $17,478 | $10,206 | $8,844 | 1.28 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 20 | $23,205 | $10,430 | $11,742 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 17 | $22,390 | $13,597 | $11,329 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 15 | $20,137 | $9,429 | $10,189 | 1.23 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 15 | $17,207 | $7,428 | $8,707 | 1.03 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 11 | $24,078 | $9,079 | $12,184 | 1.17 |
Source: CMS Medicare Inpatient Hospitals by Provider and Service (2024 data, released 2026-04-10), traditional Medicare only; CMS omits DRGs with fewer than 11 discharges. Estimated cost is average charges times the hospital's Medicare cost-to-charge ratio from the IPPS Impact File. Weights are the MS-DRG relative weights for the same year.
The comprehensive outpatient service groups (APCs) Marshalltown billed Medicare for most in 2024: 767 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Level 1 Intraocular ProceduresAPC 5491 | 483 | 288 | $9,135 | $1,696 | $1,752 |
| Comprehensive Observation ServicesAPC 8011 | 60 | 60 | $11,871 | $1,971 | $2,090 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 48 | 46 | $45,940 | $10,450 | $10,772 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 34 | 30 | $7,082 | $1,186 | $1,220 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 29 | 28 | $30,666 | $5,240 | $5,339 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 20 | 19 | $10,006 | $2,371 | $2,373 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 20 | 20 | $20,896 | $4,015 | $4,358 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 17 | 17 | $6,266 | $1,175 | $1,196 |
| Level 3 Vascular ProceduresAPC 5183 | 17 | 17 | $9,478 | $2,334 | $2,405 |
| Level 1 Nerve ProceduresAPC 5431 | 17 | 17 | $8,409 | $1,414 | $1,407 |
See all 12 Medicare outpatient services at Marshalltown
Source: CMS Medicare Outpatient Hospitals by Provider and Service (2024 data, released 2026-06-24), comprehensive APCs for traditional Medicare; CMS omits services with fewer than 11 claims. The US average weights every hospital by its services.
ZIP codes with the most Medicare inpatient stays at Marshalltown in 2025. Market share is this hospital's part of every hospital's Medicare stays from the ZIP code. Its published Medicare stays went from 565 in 2020 to 544 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 50158 | 404 | 74% | 1,457 | $9.3M | 35% | 35% |
| 52339 | 43 | 8% | 148 | $920,421 | 24% | 20% |
| 52342 | 32 | 6% | 119 | $757,108 | 23% | 35% |
| 50247 | 22 | 4% | 89 | $598,347 | 41% | 19% |
| 50142 | 18 | 3% | 78 | $495,835 | 100% | 52% |
| 50005 | 14 | 3% | 47 | $318,207 | 100% | |
| 50148 | 11 | 2% | 33 | $214,944 | 100% |
Source: CMS Hospital Service Area file. Shares are of the 544 stays from ZIP codes CMS publishes; it omits ZIP codes with fewer than 11 stays, so market shares count published stays only.
Staff by profession and the rooms and units Marshalltown reported at its latest Medicare certification survey (2022). Counts are people, not full-time equivalents.
6
Operating rooms
3
Endoscopy rooms
5
Off-site locations
45
Registered nurses
2
Licensed practical nurses
1
Physicians
1
Nurse practitioners
2
Pharmacists
4
Respiratory therapists
2
Radiology technicians
1
Nuclear medicine technicians
3
Laboratory technicians
4
Medical technologists
2
Dietitians
1
Social workers
153
Other personnel
Source: CMS Provider of Services file.
222 clinicians who bill Medicare list Marshalltown as a hospital affiliation. Showing 24 of them. Book a demo to see the commercial rates insurers publish for them, or start a free trial.
Sonam Patel, M.D.
Hematology & Oncology Physician
NPI 1306230230
See commercial rates for Sonam Patel, M.D.Joseph Merchant, M.D.
Hematology & Oncology Physician
NPI 1699765826
See commercial rates for Joseph Merchant, M.D.Austin Greco, M.D.
Hematology & Oncology Physician
NPI 1033645486
See commercial rates for Austin Greco, M.D.Joseph Pollpeter, M.D.
Family Medicine Physician
NPI 1700877164
See commercial rates for Joseph Pollpeter, M.D.John Mcgarity, D.O.
Diagnostic Radiology Physician
NPI 1538591896
See commercial rates for John Mcgarity, D.O.Tyler Mccurdy, D.O.
Diagnostic Radiology Physician
NPI 1902267198
See commercial rates for Tyler Mccurdy, D.O.Dean Gute, MD
Diagnostic Radiology Physician
NPI 1225144975
See commercial rates for Dean Gute, MDLaura Lasack, MD
Family Medicine Physician
NPI 1861468084
See commercial rates for Laura Lasack, MDJason Grennan, MD
Diagnostic Radiology Physician
NPI 1457313314
See commercial rates for Jason Grennan, MDLynne Desotel, MD
Family Medicine Physician
NPI 1568545960
See commercial rates for Lynne Desotel, MDMaria Olberding, M.D.
Family Medicine Physician
NPI 1003807900
See commercial rates for Maria Olberding, M.D.Jacob Alexander, MD
Nephrology Physician
NPI 1558357376
See commercial rates for Jacob Alexander, MDPeter Rhee, MD
Ophthalmology Physician
NPI 1730280421
See commercial rates for Peter Rhee, MDCarol Barlow, ARNP
Nurse Practitioner
NPI 1225592074
See commercial rates for Carol Barlow, ARNPBrian Silvia, M.D.
Orthopaedic Surgery Physician
NPI 1124173034
See commercial rates for Brian Silvia, M.D.Himanshu Tandon, M.D.
Cardiovascular Disease Physician
NPI 1952501918
See commercial rates for Himanshu Tandon, M.D.Rajeev Fernando, MBBS
Cardiovascular Disease Physician
NPI 1952651382
See commercial rates for Rajeev Fernando, MBBSLavanya Amuluru Md, MD
Nephrology Physician
NPI 1265588834
See commercial rates for Lavanya Amuluru Md, MDGregory Christiansen, M.D.
Ophthalmology Physician
NPI 1831175629
See commercial rates for Gregory Christiansen, M.D.Craig Stark, M.D.
Cardiovascular Disease Physician
NPI 1245212075
See commercial rates for Craig Stark, M.D.Robert Filippone, D.O.
Diagnostic Radiology Physician
NPI 1477512002
See commercial rates for Robert Filippone, D.O.Nicolas Hamouche, M.D.
Ophthalmology Physician
NPI 1922097252
See commercial rates for Nicolas Hamouche, M.D.Brenda Burrough, MD
Hospitalist Physician
NPI 1326163098
See commercial rates for Brenda Burrough, MDWafic Itani, MD
Cardiovascular Disease Physician
NPI 1700306024
See commercial rates for Wafic Itani, MDSource: CMS Doctors and Clinicians facility affiliations, released 2026-10-15, with names and specialties from NPPES. Affiliation means the clinician bills Medicare for care at this hospital; it is not employment.
Revenue, expenses and income Marshalltown reported to Medicare for Jan 1, 2025 to Dec 31, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $197.2M | 235.0% |
| Inpatient | $22.3M | 26.6% |
| Outpatient | $174.9M | 208.4% |
| Contractual allowances and discounts | -$113.3M | -135.0% |
| Net patient revenue | $83.9M | 100.0% |
| Operating expenses | -$83.6M | -99.7% |
| Operating income from patient care | $275,790 | 0.3% |
| Other income | $2.8M | 3.4% |
| COVID-19 relief funding | $308,845 | 0.4% |
| Other | $2.5M | 3.0% |
| Net income | $3.1M | 3.7% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $34.2M | 18.5% |
| Medicaid (including managed care) | $24.5M | 13.2% |
| Other payers and self-pay | $126.3M | 68.3% |
| Total charges | $185M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 836353, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Traditional Medicare is the program charges on Worksheets D-3 and D Part V; Medicaid is from Worksheet S-10.
Computed from Marshalltown's latest cost report.
0.3%
Operating margin
Operating income from patient care / net patient revenue
3.6%
Total margin
Net income / net patient revenue plus other income
12.3%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
49% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$50.13
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
3.2%
Return on assets
Net income for a year / total assets
6.8%
Return on equity
Net income for a year / fund balance
0.65
Current ratio
Current assets / current liabilities
0.19
Quick ratio
Cash, temporary investments and net receivables / current liabilities
0 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
41 days
Days in patient receivables
Net patient receivables / daily net patient revenue
244 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
0.88
Asset turnover
Total revenue for a year / total assets
4.2 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 836353, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Marshalltown owned and owed at the end of its reporting period (Dec 2025), across all fund types: $98.2M in total assets and a $46M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $11,505 | 0.0% |
| Patient receivables, net | $9.4M | 9.6% |
| Inventory | $1.8M | 1.9% |
| Total current assets | $33.2M | 33.8% |
| Property and equipment, net of depreciation | $64M | 65.1% |
| Investments and other assets | $1M | 1.0% |
| Total assets | $98.2M | 100.0% |
| Current liabilities | $50.9M | 51.8% |
| Total liabilities | $52.2M | 53.1% |
| Fund balance (net assets) | $46M | 46.9% |
Source: CMS cost report (HCRIS, Form 2552-10), report 836353, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Marshalltown provided without full payment, as reported on Worksheet S-10 of its cost report.
$708,521
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$4M
Bad debt
Patient bills written off as uncollectible, at charges
$5.1M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$111,848
CHIP shortfall
Cost of stand-alone CHIP patients minus CHIP payments
$7.5M
Total unreimbursed and uncompensated care
9.0% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)
Source: CMS cost report (HCRIS, Form 2552-10), report 836353, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Marshalltown's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Dec 2020 | Dec 2021 | Dec 2022 | Dec 2023 | Dec 2024 | Dec 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $56.7M | $65.4M | $65.9M | $72M | $82.3M | $83.9M |
| Operating expenses | $61.4M | $64.4M | $70.7M | $73.8M | $79.9M | $83.6M |
| Operating margin | -8.2% | 1.4% | -7.2% | -2.5% | 2.9% | 0.3% |
| Net income | $5.8M | $6.3M | $3.9M | $2M | $6.2M | $3.1M |
| Total assets | $49.5M | $74.4M | $82.6M | $81.8M | $90.6M | $98.2M |
| Discharges | 1,060 | 897 | 846 | 841 | 959 | 938 |
| Inpatient days | 3,584 | 2,942 | 2,891 | 2,903 | 3,247 | 3,280 |
| Medicare Advantage days | 725 | 531 | 609 | 900 | 1,189 | 1,062 |
| Beds | 27 | 27 | 27 | 16 | 16 | 16 |
| Employees (FTE) | 304 | 369 | 265 | 260 | 262 | 265 |
Source: CMS cost report (HCRIS, Form 2552-10), report 836353, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Marshalltown reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Rural health clinic | $6.5M | $17.2M | $19M | 0.91 | 23,802 |
| Emergency | $6.5M | $9M | $33.4M | 0.27 | 8,616 |
| Operating room | $2.1M | $6.7M | $23.9M | 0.28 | 20,795 |
| Laboratory | $1.3M | $6.1M | $13.4M | 0.46 | 2,263 |
| Ambulance services | $2.2M | $5.6M | $8.4M | 0.67 | 7,120 |
| Radiology-diagnostic | $1.6M | $5.4M | $29.2M | 0.18 | 15,213 |
| Drugs charged to patients | $5.4M | $21.5M | 0.25 | ||
| Rural health clinic iii | $2.2M | $5.3M | $7.3M | 0.73 | |
| Impl. dev. charged to patients | $2.8M | $7.7M | 0.37 | ||
| Medical supplies charged to patient | $2.5M | $3.8M | 0.66 | ||
| Respiratory therapy | $759,646 | $1.4M | $1.5M | 0.94 | 450 |
| Rural health clinic ii | $375,729 | $1.1M | $1.2M | 0.94 | |
| Observation beds (non-distinct part | $784,577 | $882,376 | 0.89 | ||
| Ultra sound | $320,983 | $618,620 | $3.5M | 0.18 | |
| Wound care | $766,473 | $505,881 | $1.3M | 0.39 | 2,743 |
| Electrocardiology | $187,627 | $497,450 | $734,163 | 0.68 | 3,253 |
| Physical therapy | $2,304 | $367,999 | $843,692 | 0.44 | |
| Spec care ob/gyn clinic | $342,664 | ||||
| Provider based clinic | $777,934 | $267,412 | $654,739 | 0.41 | |
| Clinic | $73,713 | $157,359 | $22,308 | 7.05 | 360 |
| Sleep lab | $58,437 | $101,207 | 1,363 | ||
| Anesthesiology | $84,069 | $2.2M | 0.04 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $2.1M | $5.1M | $4.6M | 1.12 | 16,012 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $2.5M | $16.8M | 65,423 | $35.74 | 23,515 |
| Cap rel costs-bldg & fixt | $7.6M | 261,409 | |||
| Operation of plant | $438,254 | $2.1M | 12,860 | $34.87 | 17,343 |
| Housekeeping | $785,504 | $1.3M | 34,432 | $23.32 | 300 |
| Pharmacy | $711,305 | $1.2M | 15,041 | $48.39 | 1,532 |
| Nursing administration | $649,570 | $1M | 10,617 | $62.60 | 120 |
| Dietary | $365,402 | $674,623 | 16,855 | $22.13 | 2,315 |
| Social service | $189,795 | 5,864 | $32.37 | ||
| Central services & supply | $101,352 | 1,500 | |||
| Employee benefits department | $825,754 | -$1.1M | 1,570 | $34.86 |
Source: CMS cost report (HCRIS, Form 2552-10), report 836353, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.
The factors Medicare uses to set what it pays Marshalltown for an inpatient stay.
1.40
Case mix index
Higher than 17% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
No Medicare-funded residents
Teaching status
Medicare-funded interns and residents per bed (FY 2027).
11.2%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
371
Medicare inpatient stays
Medicare claims CMS based FY 2027 payment rates on.
Rural
Location type
Geographic area CMS assigns before any wage index reclassification (FY 2027).
| IPPS fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 | FY 2027 |
|---|---|---|---|---|---|---|---|
| Case mix index | 1.46 | 1.46 | 1.57 | 1.42 | 1.42 | 1.45 | 1.40 |
| Wage index | 0.884 | 0.886 | 0.859 | 0.859 | 0.839 | 0.909 | 0.890 |
| Readmissions adjustment | -0.13% | -0.06% | -0.17% | 0.00% | 0.00% | 0.00% | -0.24% |
| Value-based purchasing adjustment | +0.93% | +0.76% | +0.76% | -0.08% | +1.67% | +0.89% | +1.63% |
| Medicare inpatient stays | 587 | 587 | 409 | 393 | 387 | 384 | 371 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations Marshalltown reports to Medicare as owners or with operational control. 2 individuals also hold ownership interests; they are not listed here.
Allen Health Systems Inc
Operational/managerial control, since 2016
Iowa Health System
Operational/managerial control, since 2016
Sources: CMS Hospital All Owners.
The officers and board members on Marshalltown's Medicare enrollment and on the IRS Form 990 filed under its tax ID.
Source: CMS Hospital All Owners (PECOS), the people the hospital lists on its Medicare enrollment; the first 13 of 20 are shown.
Unitypoint Health-Marshalltown files the Form 990 for the tax ID insurers list for Marshalltown, so these people may lead the wider organization rather than Marshalltown alone.
| Name | Title |
|---|---|
| Jennifer Friedly | Board Member/market President |
| Kyle Christiason MD | Board Chair |
| Natalie Hunter | Market VP Operations |
| Zachary French | Market VP Finance |
| Sharon King | Hospital Administrator |
Board members: Pradeep Ramesh MD, Joan Headington, Edita Begic, Stacey Bentley, Bryan Earnest, Carol Hibbs, Lance Horbach.
Source: IRS Form 990 Part VII filed by Unitypoint Health-Marshalltown (EIN 81-5034179), via the IRS e-file data. A health system's return can cover several hospitals.
340B drug pricing program
Not participating
340B ID SCH160001-00, registered as a sole community hospital. Authorizing official: Pamela K. Delagardelle, President/ceo.
Source: HRSA 340B Office of Pharmacy Affairs Information System.
Accountable care organization (Medicare Shared Savings Program)
UnityPoint Accountable Care, L.C.
ACO A5170, current agreement since 2026. Public reporting page
Source: CMS Shared Savings Program participants, 2026, matched on Marshalltown's legal name.
Unitypoint health- marshalltown clin
CCN 168578, certified 2016, Medicare cost reimbursed
Unitypoint health-denver clinic
CCN 168649, certified 2020, Medicare cost reimbursed
Unitypoint health-waverly clinic
CCN 168650, certified 2020, Medicare cost reimbursed
Source: Worksheet S-2 Part I of Marshalltown's latest Medicare cost report (HCRIS).
About Marshalltown's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Marshalltown range from $909 to $2,016 across 4 insurers. Blue Cross Blue Shield's rate is $909. The median at nearby comparable hospitals is $1,819. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Marshalltown range from $1,173 to $2,600 across 4 insurers. Aetna's rate is $2,426. The median at nearby comparable hospitals is $1,351. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Marshalltown range from $776 to $1,094 across 3 insurers. Aetna's rate is $776. The median at nearby comparable hospitals is $2,068. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Marshalltown range from $110 to $245 across 4 insurers. Aetna's rate is $230. The median at nearby comparable hospitals is $305. What a patient pays depends on their plan's deductible, coinsurance and network status.
Marshalltown has a CMS overall hospital star rating of 3 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 42% of US hospitals.
CMS reports no Medicare-funded interns or residents at Marshalltown for fiscal year 2027.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Marshalltown's base inpatient payments by an estimated 0.24% in fiscal year 2027 for more readmissions than expected.
In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (53 discharges), heart failure and shock with mcc (25 discharges), simple pneumonia and pleurisy with mcc (20 discharges).
Marshalltown's Medicare case mix index is 1.40 for fiscal year 2027, higher than 17% of hospitals paid under the inpatient prospective payment system.
Marshalltown reported 938 inpatient discharges and 3,280 inpatient days from Jan 1, 2025 to Dec 31, 2025.
Marshalltown reported 265 full-time-equivalent employees on payroll from Jan 1, 2025 to Dec 31, 2025.
Marshalltown reported $83.9M in net patient revenue on $197.2M of gross charges for Jan 1, 2025 to Dec 31, 2025, an operating margin of 0.3%, and net income of $3.1M.
Marshalltown reported $7.5M of unreimbursed and uncompensated care for Jan 1, 2025 to Dec 31, 2025, including $708,521 of charity care at cost.
Marshalltown's Medicare enrollment lists Jennifer A Friedly as Market President since 2018.
Insurers' price transparency files list Marshalltown under employer identification number 81-5034179 (UnityPoint Health Marshalltown). 54 health plans and networks list 81-5034179 for it.
HRSA's 340B database lists Marshalltown (340B ID SCH160001-00) as no longer participating since 2022.
222 clinicians who bill Medicare list Marshalltown as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are nurse practitioner (34), family nurse practitioner (27), family medicine physician (20).
CMS's Provider of Services file lists no accrediting organization for Marshalltown; it is certified for Medicare through state survey.
In its Medicare enrollment, Marshalltown reports Allen Health Systems Inc as Operational/managerial control.
CMS lists 32 services at Marshalltown, including Anesthesia, Cardiac Catheterization Lab, Clinical Laboratory, CT Scan, Designated Trauma Center, Diagnostic Radiology.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Marshalltown came from ZIP codes 50158 (404), 52339 (43), 52342 (32).
Marshalltown has 16 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 49 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
Marshalltown is located at 3 South Fourth Avenue, Marshalltown, IA 50158. Its main phone number is (641) 754-5151.
Marshalltown's CMS Certification Number (CCN), also called its Medicare provider number, is 160001.
The National Provider Identifier (NPI) on file for Marshalltown is 1629503057.
Marshalltown is affiliated with Unitypoint Health.
Marshalltown lists 30 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
328 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers