facebook tracking Combined anterior and posterior spinal fusion with complications cost in Missouri: 10 hospitals compared (DRG 454)

Combined anterior and posterior spinal fusion with complications in Missouri

What 10 hospitals in Missouri charged and were paid for a Medicare hospital stay for combined anterior and posterior spinal fusion with complications (DRG 454), from 2024 Medicare claims.

DRG 454 Inpatient 2024 Medicare data
Average charge $198,306 Hospital list price billed
Average payment $52,630 Medicare + patient + other payers
Medicare paid $43,917 Average per stay
State rank #15 of 37 1 = lowest average payment

Hospitals in Missouri billed an average of $198,306 for combined anterior and posterior spinal fusion with complications, about 3.8 times the average total payment of $52,630. That payment is 11% below the U.S. average of $59,319.

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 $52,630Billed $198,306

About 27¢ was paid for every $1 hospitals in Missouri billed for this stay.

Missouri hospitals: combined anterior and posterior spinal fusion 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
Barnes Jewish HospitalSt Louis 52 $312,289 $78,862 $65,386
Nkc HealthNorth Kansas City 40 $170,994 $44,228 $37,279
Boone Hospital CenterColumbia 31 $115,035 $39,438 $35,606
Lester E Cox Medical CentersSpringfield 25 $132,093 $48,186 $33,942
Southeast Missouri HospitalCape Girardeau 23 $262,532 $46,120 $41,939
Missouri Baptist Medical CenterTown and Country 19 $158,584 $42,534 $34,841
University Hospitals & ClinicsColumbia 17 $278,677 $59,210 $51,989
St John's Mercy Medical CenterSt Louis 16 $156,921 $48,179 $40,626
St Marys Health CenterJefferson City 13 $128,988 $42,487 $40,980
Mercy Hospital SpringfieldSpringfield 11 $96,168 $45,808 $28,258
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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$39,438
St Marys Health CenterJefferson City, MO$42,487
Missouri Baptist Medical CenterTown and Country, MO$42,534
Nkc HealthNorth Kansas City, MO$44,228
Mercy Hospital SpringfieldSpringfield, MO$45,808

Highest

Barnes Jewish HospitalSt Louis, MO$78,862
University Hospitals & ClinicsColumbia, MO$59,210
Lester E Cox Medical CentersSpringfield, MO$48,186
St John's Mercy Medical CenterSt Louis, MO$48,179
Southeast Missouri HospitalCape Girardeau, MO$46,120

Combined anterior and posterior spinal fusion with complications in other states

Questions

How much does combined anterior and posterior spinal fusion with complications cost in Missouri?

In 2024 Medicare data, a hospital stay for combined anterior and posterior spinal fusion with complications (DRG 454) at 10 hospitals in Missouri was billed at $198,306 on average, while the average total payment was $52,630, of which Medicare paid $43,917. 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 3.8 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.