facebook tracking Acute adjustment reaction and psychosocial dysfunction cost in Missouri: 2 hospitals compared (DRG 880)

Acute adjustment reaction and psychosocial dysfunction in Missouri

What 2 hospitals in Missouri charged and were paid for a Medicare hospital stay for acute adjustment reaction and psychosocial dysfunction (DRG 880), from 2024 Medicare claims.

DRG 880 Inpatient 2024 Medicare data
Average charge $26,275 Hospital list price billed
Average payment $7,854 Medicare + patient + other payers
Medicare paid $6,244 Average per stay
Volume 29 Medicare hospital stays

Hospitals in Missouri billed an average of $26,275 for acute adjustment reaction and psychosocial dysfunction, about 3.3 times the average total payment of $7,854. That payment is 25% below the U.S. average of $10,479.

These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.

Paid $7,854Billed $26,275

About 30¢ was paid for every $1 hospitals in Missouri billed for this stay.

Missouri hospitals: acute adjustment reaction and psychosocial dysfunction

Every Missouri hospital that billed Medicare for this stay at least 11 times. Click a column to sort.

Hospital Stays Avg charge Avg payment Medicare paid
St John's Mercy Medical CenterSt Louis 17 $27,204 $8,011 $6,327
Mercy Hospital SpringfieldSpringfield 12 $24,958 $7,631 $6,125
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Acute adjustment reaction and psychosocial dysfunction in other states

Questions

How much does acute adjustment reaction and psychosocial dysfunction cost in Missouri?

In 2024 Medicare data, a hospital stay for acute adjustment reaction and psychosocial dysfunction (DRG 880) at 2 hospitals in Missouri was billed at $26,275 on average, while the average total payment was $7,854, of which Medicare paid $6,244. Your own cost depends on your insurance, deductible and the hospital.

Why are hospital charges so much higher than payments?

Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in Missouri, average charges were 3.3 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.

Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.