facebook tracking Aortic and heart assist procedures except pulsation balloon without major complications cost in Missouri: 11 hospitals compared (DRG 269)

Aortic and heart assist procedures except pulsation balloon without major complications in Missouri

What 11 hospitals in Missouri charged and were paid for a Medicare hospital stay for aortic and heart assist procedures except pulsation balloon without major complications (DRG 269), from 2024 Medicare claims.

DRG 269 Inpatient 2024 Medicare data
Average charge $159,011 Hospital list price billed
Average payment $35,213 Medicare + patient + other payers
Medicare paid $29,172 Average per stay
State rank #11 of 35 1 = lowest average payment

Hospitals in Missouri billed an average of $159,011 for aortic and heart assist procedures except pulsation balloon without major complications, about 4.5 times the average total payment of $35,213. That payment is 11% below the U.S. average of $39,522.

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 $35,213Billed $159,011

About 22¢ was paid for every $1 hospitals in Missouri billed for this stay.

Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Missouri:

Missouri hospitals: aortic and heart assist procedures except pulsation balloon without major complications

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
Barnes Jewish HospitalSt Louis 34 $178,141 $38,902 $34,098
St Lukes Hospital of Kansas CityKansas City 25 $152,111 $39,379 $27,162
University Hospitals & ClinicsColumbia 24 $272,090 $43,666 $35,052
St Lukes HospitalChesterfield 20 $82,241 $31,206 $26,138
Lester E Cox Medical CentersSpringfield 18 $123,166 $35,870 $22,814
Boone Hospital CenterColumbia 18 $132,753 $27,045 $25,504
Nkc HealthNorth Kansas City 15 $150,824 $28,276 $26,601
Missouri Baptist Medical CenterTown and Country 15 $140,689 $29,916 $23,730
Mosaic Life Care at St JosephSt Joseph 12 $104,386 $37,941 $36,302
St John's Mercy Medical CenterSt Louis 11 $101,203 $30,693 $29,023
Research Medical CenterKansas City 11 $263,603 $33,708 $30,910
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Lowest and highest payments in Missouri

Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Lowest

Boone Hospital CenterColumbia, MO$27,045
Nkc HealthNorth Kansas City, MO$28,276
Missouri Baptist Medical CenterTown and Country, MO$29,916
St John's Mercy Medical CenterSt Louis, MO$30,693
St Lukes HospitalChesterfield, MO$31,206

Highest

University Hospitals & ClinicsColumbia, MO$43,666
St Lukes Hospital of Kansas CityKansas City, MO$39,379
Barnes Jewish HospitalSt Louis, MO$38,902
Mosaic Life Care at St JosephSt Joseph, MO$37,941
Lester E Cox Medical CentersSpringfield, MO$35,870

Aortic and heart assist procedures except pulsation balloon without major complications in other states

Questions

How much does aortic and heart assist procedures except pulsation balloon without major complications cost in Missouri?

In 2024 Medicare data, a hospital stay for aortic and heart assist procedures except pulsation balloon without major complications (DRG 269) at 11 hospitals in Missouri was billed at $159,011 on average, while the average total payment was $35,213, of which Medicare paid $29,172. 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 4.5 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.