facebook tracking Bone diseases and arthropathies without major complications cost in Missouri: 6 hospitals compared (DRG 554)

Bone diseases and arthropathies without major complications in Missouri

What 6 hospitals in Missouri charged and were paid for a Medicare hospital stay for bone diseases and arthropathies without major complications (DRG 554), from 2024 Medicare claims.

DRG 554 Inpatient 2024 Medicare data
Average charge $21,536 Hospital list price billed
Average payment $7,048 Medicare + patient + other payers
Medicare paid $5,264 Average per stay
State rank #4 of 19 1 = lowest average payment

Hospitals in Missouri billed an average of $21,536 for bone diseases and arthropathies without major complications, about 3.1 times the average total payment of $7,048. That payment is 20% below the U.S. average of $8,815.

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 $7,048Billed $21,536

About 33¢ 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: bone diseases and arthropathies 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
St John's Mercy Medical CenterSt Louis 17 $21,826 $7,159 $5,249
St Lukes HospitalChesterfield 16 $18,433 $5,926 $4,353
Barnes Jewish HospitalSt Louis 12 $34,907 $11,757 $8,707
Mercy Hospital SouthSt Louis 12 $17,423 $6,143 $4,987
Missouri Baptist Medical CenterTown and Country 11 $20,737 $5,399 $3,748
SSM St Joseph Hospital WestLake St Louis 11 $16,298 $6,006 $4,671
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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

Missouri Baptist Medical CenterTown and Country, MO$5,399
St Lukes HospitalChesterfield, MO$5,926
SSM St Joseph Hospital WestLake St Louis, MO$6,006
Mercy Hospital SouthSt Louis, MO$6,143
St John's Mercy Medical CenterSt Louis, MO$7,159

Highest

Barnes Jewish HospitalSt Louis, MO$11,757
St John's Mercy Medical CenterSt Louis, MO$7,159
Mercy Hospital SouthSt Louis, MO$6,143
SSM St Joseph Hospital WestLake St Louis, MO$6,006
St Lukes HospitalChesterfield, MO$5,926

Bone diseases and arthropathies without major complications in other states

Questions

How much does bone diseases and arthropathies without major complications cost in Missouri?

In 2024 Medicare data, a hospital stay for bone diseases and arthropathies without major complications (DRG 554) at 6 hospitals in Missouri was billed at $21,536 on average, while the average total payment was $7,048, of which Medicare paid $5,264. 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 3.1 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.