46%
Publish usable prices
Grades A or B
12%
No usable file found
Grade F
C
Average grade
across 112 mandated hospitals
52
of 112
with usable prices we could parse

Under the federal Hospital Price Transparency Rule, every general acute care hospital in the United States is required to publish a machine-readable file (MRF) listing its standard charges for at least 300 shoppable services. The rule took effect in January 2021, but enforcement has been uneven. CareRanks checks each Iowa hospital's MRF on a monthly cycle and assigns a letter grade reflecting what we could find and parse: whether a machine-readable file exists at the hospital's published location, and how much usable pricing it contains.

In Iowa, 112 of the 134 facilities reviewed are subject to the rule (VA hospitals, federal psychiatric facilities, children's hospitals, and long-term acute care facilities are exempt or fall under separate transparency programs). Of those, 52 have published comprehensive pricing files that include negotiated rates or cash-pay prices on 25 or more distinct DRGs — earning a Grade A or B. For 13 hospitals we could not locate a usable machine-readable file, which earns a Grade F — that can mean no file is published, or that it is published somewhere our crawler could not find or read.

Use the table below to compare grades, see MRF status, and follow the source link to each hospital's published file. Click a column header to sort. If you spot an out-of-date MRF link or a hospital that should be re-graded, use the "Report an error" link at the bottom of any hospital profile.

112 Iowa hospitals graded
Hospital City Grade MRF status Source
Clive Behavioral Health Clive N/A Not mandated
Eagle View Behavioral Health Bettendorf N/A Not mandated
Eastern Iowa Rehabilitation Hospital Llc Coralville N/A Not mandated
Genesis Medical Center Davenport N/A Not mandated
Iowa City VA Medical Center Iowa City N/A Not mandated Hospital site ↗
Iowa Health Network Rehabilitation Hospital Coralville N/A Not mandated
Mary Greeley Medical Center (Inpatient Rehab) Ames N/A Not mandated
Mental Health Institute (Cherokee) Cherokee N/A Not mandated Hospital site ↗
Mental Health Institute (Independence) Independence N/A Not mandated Hospital site ↗
Mercy Medical Center - Cedar Rapids (Inpatient Rehab) Cedar Rapids N/A Not mandated
Mercy Medical Center - Sioux City Sioux City N/A Not mandated
Mercy Rehabilitation Hospital, Llc Clive N/A Not mandated
Mercyone Dubuque Medical Center (Inpatient Rehab) Dubuque N/A Not mandated
Mercyone North Iowa Medical Center (Inpatient Rehab) Mason City N/A Not mandated
Mercyone Waterloo Inpatient Physical Rehabilitatio Waterloo N/A Not mandated
Ottumwa Regional Health Center (Inpatient Rehab) Ottumwa N/A Not mandated
Select Specialty Hospital - Des Moines Des Moines N/A Not mandated
Select Specialty Hospital - Quad Cities Davenport N/A Not mandated
St. Lukes Hospital (Inpatient Rehab) Cedar Rapids N/A Not mandated
Unitypoint Finley Hospital Dubuque N/A Not mandated
VA Central Iowa Healthcare System Des Moines N/A Not mandated Hospital site ↗
Younker Rehabilitation Des Moines N/A Not mandated
Avera Merrill Pioneer Hospital Rock Rapids No MRF found Hospital site ↗
Floyd Valley Healthcare Le Mars No MRF found Hospital site ↗
Gundersen Palmer Lutheran Hospital West Union No MRF found Hospital site ↗
Hegg Health Center Rock Valley No MRF found Hospital site ↗
Lakes Regional Healthcare Spirit Lake No MRF found Hospital site ↗
Mary Greeley Medical Center (Acute Care) Ames No MRF found Hospital site ↗
Osceola Community Hospital Sibley No MRF found Hospital site ↗
Pella Regional Health Center Pella No MRF found Hospital site ↗
Sartori Memorial Hospital, Inc Cedar Falls No MRF found Hospital site ↗
Southeast Iowa Regional Medical Center West Burlington Campus West Burlington No MRF found Hospital site ↗
University of Iowa Hospital & Clinics Iowa City No MRF found Hospital site ↗
Van Diest Medical Center Webster City No MRF found Hospital site ↗
Veterans Memorial Hospital Waukon No MRF found Hospital site ↗
Broadlawns Medical Center Des Moines MRF published Hospital site ↗
Buchanan County Health Center Independence MRF published Hospital site ↗
Clarinda Regional Health Center Clarinda MRF published Hospital site ↗
Compass Memorial Healthcare Marengo MRF published Hospital site ↗
Dallas County Hospital Perry MRF published Hospital site ↗
George C. Grape Community Hospital Hamburg MRF published Hospital site ↗
Greater Regional Medical Center Creston MRF published Hospital site ↗
Greene County Medical Center Jefferson MRF published Hospital site ↗
Guthrie County Hospital Guthrie Center MRF published Hospital site ↗
Guttenberg Municipal Hospital Guttenberg MRF published Hospital site ↗
Hawarden Regional Healthcare Hawarden MRF published Hospital site ↗
Horn Memorial Hospital Ida Grove MRF published Hospital site ↗
Humboldt County Memorial Hospital Humboldt MRF published Hospital site ↗
Jackson County Regional Health Center Maquoketa MRF published Hospital site ↗
Keokuk County Hospital & Clinics Sigourney MRF published Hospital site ↗
Knoxville Hospital & Clinics Knoxville MRF published Hospital site ↗
Kossuth Regional Health Center Algona MRF published Hospital site ↗
Loring Hospital Sac City MRF published Hospital site ↗
Lucas County Health Center Chariton MRF published Hospital site ↗
Mercyone Des Moines Medical Center Des Moines MRF published Hospital site ↗
Methodist Jennie Edmundson Council Bluffs MRF published Hospital site ↗
Monroe County Hospital Albia MRF published Hospital site ↗
Palo Alto County Hospital Emmetsburg MRF published Hospital site ↗
Pocahontas Community Hospital Pocahontas MRF published Hospital site ↗
Regional Health Services of Howard County Cresco MRF published Hospital site ↗
Regional Medical Center Manchester MRF published Hospital site ↗
Ringgold County Hospital Mount Ayr MRF published Hospital site ↗
Sanford Sheldon Medical Center Sheldon MRF published Hospital site ↗
Shenandoah Medical Center Shenandoah MRF published Hospital site ↗
St Lukes Regional Medical Center Sioux City MRF published Hospital site ↗
Story County Hospital Nevada MRF published Hospital site ↗
University of Iowa Health Care Medical Center Downtown Iowa City MRF published Hospital site ↗
Van Buren County Hospital Keosauqua MRF published Hospital site ↗
Allen Hospital Waterloo MRF published Hospital site ↗
Clarke County Hospital Osceola MRF published Hospital site ↗
Community Memorial Hospital Medical Center Sumner MRF published Hospital site ↗
Finley Hospital Dubuque MRF published Hospital site ↗
UnityPoint Health - Grinnell Regional Medical Center Grinnell MRF published Hospital site ↗
Grundy County Memorial Hospital Grundy Center MRF published Hospital site ↗
Henry County Health Center Mount Pleasant MRF published Hospital site ↗
UnityPoint Health - Jones Regional Medical Center Anamosa MRF published Hospital site ↗
St Lukes Hospital (Acute Care) Cedar Rapids MRF published Hospital site ↗
UnityPoint Health - Trinity Bettendorf Hospital Bettendorf MRF published Hospital site ↗
Trinity Muscatine Muscatine MRF published Hospital site ↗
Trinity Regional Medical Center Fort Dodge MRF published Hospital site ↗
UnityPoint Health - Iowa Methodist Medical Center Des Moines MRF published Hospital site ↗
UnityPoint Health - Marshalltown Hospital Marshalltown MRF published Hospital site ↗
Adair County Memorial Hospital Greenfield MRF published Hospital site ↗
Crawford County Memorial Hospital Denison MRF published Hospital site ↗
Decatur County Hospital Leon MRF published Hospital site ↗
Madison County Health Care System Winterset MRF published Hospital site ↗
Mercy Medical Center Cedar Rapids (Acute Care) Cedar Rapids MRF published Hospital site ↗
Audubon County Memorial Hospital Audubon MRF published Hospital site ↗
Avera Holy Family Hospital Estherville MRF published Hospital site ↗
Boone County Hospital Boone MRF published Hospital site ↗
Buena Vista Regional Medical Center Storm Lake MRF published Hospital site ↗
Burgess Health Center Onawa MRF published Hospital site ↗
Cass County Memorial Hospital Atlantic MRF published Hospital site ↗
Cherokee Regional Medical Center Cherokee MRF published Hospital site ↗
Chi Health - Mercy Corning Corning MRF published
Chi Health Mercy Council Bluffs Council Bluffs MRF published Hospital site ↗
Chi Health Missouri Valley Missouri Valley MRF published Hospital site ↗
Davis County Hospital & Clinics Bloomfield MRF published Hospital site ↗
Floyd County Medical Center Charles City MRF published Hospital site ↗
Franklin General Hospital Hampton MRF published Hospital site ↗
MercyOne Genesis Davenport Medical Center Davenport MRF published Hospital site ↗
Hancock County Health System Britt MRF published Hospital site ↗
Hansen Family Hospital Iowa Falls MRF published Hospital site ↗
Iowa Specialty Hospital - Belmond Belmond MRF published Hospital site ↗
Iowa Specialty Hospital - Clarion Clarion MRF published Hospital site ↗
Jefferson County Health Center Fairfield MRF published Hospital site ↗
Mahaska Health Oskaloosa MRF published Hospital site ↗
Manning Regional Healthcare Center Manning MRF published Hospital site ↗
MercyOne New Hampton Medical Center New Hampton MRF published Hospital site ↗
Mercyone Centerville Medical Center Centerville MRF published Hospital site ↗
Mercyone Clinton Medical Center Clinton MRF published Hospital site ↗
MercyOne Dubuque Medical Center (Acute Care) Dubuque MRF published Hospital site ↗
MercyOne Dyersville Medical Center Dyersville MRF published Hospital site ↗
MercyOne Elkader Medical Center Elkader MRF published Hospital site ↗
MercyOne Genesis DeWitt Medical Center Dewitt MRF published Hospital site ↗
MercyOne Newton Medical Center Newton MRF published Hospital site ↗
MercyOne North Iowa Medical Center (Acute Care) Mason City MRF published Hospital site ↗
MercyOne Oelwein Medical Center Oelwein MRF published Hospital site ↗
Mercyone Siouxland Medical Center Sioux City MRF published Hospital site ↗
MercyOne Waterloo Medical Center Waterloo MRF published Hospital site ↗
Mitchell County Regional Health Center Osage MRF published Hospital site ↗
Montgomery County Memorial Hospital + Clinics Red Oak MRF published Hospital site ↗
Myrtue Medical Center Harlan MRF published Hospital site ↗
Orange City Area Health System (OCAHS) Orange City MRF published Hospital site ↗
Ottumwa Regional Health Center (Acute Care) Ottumwa MRF published Hospital site ↗
Sioux Center Health Sioux Center MRF published Hospital site ↗
Spencer Municipal Hospital Spencer MRF published Hospital site ↗
St Anthony Regional Hospital Carroll MRF published Hospital site ↗
Stewart Memorial Community Hospital Lake City MRF published Hospital site ↗
Virginia Gay Hospital Vinton MRF published Hospital site ↗
Washington County Hospital and Clinics Washington MRF published Hospital site ↗
Waverly Health Center Waverly MRF published Hospital site ↗
Wayne County Hospital Corydon MRF published Hospital site ↗
Winnmed Decorah MRF published Hospital site ↗
About the grades

CareRanks grades reflect the depth and usability of a hospital's Machine-Readable File under the federal Hospital Price Transparency Rule:

  • A — MRF published with negotiated rates or cash-pay prices on 25 or more distinct DRGs.
  • B — MRF published with negotiated or cash prices on fewer than 25 DRGs.
  • C — MRF published, but priced rows include only gross charges (no cash or negotiated rates).
  • D — MRF exists in our archive, but no priced rows could be parsed.
  • F — No MRF found, despite the federal mandate.
  • One letter lower (A→B, B→C, C→D) — when the file we found does not identify this hospital by name and street address, naming its health system or another facility instead; the rule requires each hospital location to be identifiable. Combined system files that list the location are not penalized.
  • N/A — Not mandated (VA, federal psychiatric, children's, long-term acute care).