| Metric | Value | vs. CaseFlow Avg |
|---|---|---|
| Iowa Joint replacement No-Show Rate | 8.1% | +5.0pp above CaseFlow |
| CaseFlow Avg (1,247 practices) | 3.1% | — baseline |
| Avg Case Value | $18,000 | per surgical case |
| Annual Revenue at Risk | $1080k | per practice / year |
Why Iowa Joint replacement Practices Are Losing $1080k Per Year
In Des Moines, Cedar Rapids, and Davenport, Joint replacement practices are losing 5 surgical slots per month on average — not due to clinical complexity, but to patient no-shows and last-minute cancellations. At $18,000 per case, each missed slot represents significant foregone revenue that could have been recovered with a systematic waitlist response system.
Joint replacement remains the highest-value category in Iowa orthopedic practices. CMS reimbursement for primary hip and knee in Iowa tracks closely with national AWP — making the 7.1% average no-show rate a seven-figure annual problem for multi-surgeon groups.
The no-show rate for Joint replacement in Iowa — 8.1% — is measured against CaseFlow's 3.1% national average for practices running automated recovery. That 5.0 percentage-point gap represents the structural opportunity for any Des Moines-area practice to recover revenue currently slipping through last-minute cancellations.
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