facebook tracking Carotid artery stent procedures with complications cost in Missouri: 3 hospitals compared (DRG 035)

Carotid artery stent procedures with complications in Missouri

What 3 hospitals in Missouri charged and were paid for a Medicare hospital stay for carotid artery stent procedures with complications (DRG 035), from 2024 Medicare claims.

DRG 035 Inpatient 2024 Medicare data
Average charge $53,889 Hospital list price billed
Average payment $15,719 Medicare + patient + other payers
Medicare paid $14,359 Average per stay
State rank #1 of 23 1 = lowest average payment

Hospitals in Missouri billed an average of $53,889 for carotid artery stent procedures with complications, about 3.4 times the average total payment of $15,719. That payment is 20% below the U.S. average of $19,727.

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 $15,719Billed $53,889

About 29¢ was paid for every $1 hospitals in Missouri billed for this stay.

Missouri hospitals: carotid artery stent procedures with 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 Lukes HospitalChesterfield 14 $40,214 $15,884 $14,474
SSM Depaul Health CenterBridgeton 13 $64,964 $16,840 $15,532
Boone Hospital CenterColumbia 12 $57,845 $14,313 $12,953
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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$14,313
St Lukes HospitalChesterfield, MO$15,884
SSM Depaul Health CenterBridgeton, MO$16,840

Highest

SSM Depaul Health CenterBridgeton, MO$16,840
St Lukes HospitalChesterfield, MO$15,884
Boone Hospital CenterColumbia, MO$14,313

Carotid artery stent procedures with complications in other states

Questions

How much does carotid artery stent procedures with complications cost in Missouri?

In 2024 Medicare data, a hospital stay for carotid artery stent procedures with complications (DRG 035) at 3 hospitals in Missouri was billed at $53,889 on average, while the average total payment was $15,719, of which Medicare paid $14,359. 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 3.4 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.