Complex GI Procedures in Missouri
What 36 hospitals in Missouri charged and were paid for complex gi procedures (APC 5331), from 2024 Medicare claims.
Average charge
$21,245
Hospital list price billed
Average allowed
$4,447
Medicare's payment + patient's share
Medicare paid
$3,531
Average per service
State rank
#4 of 48
1 = lowest average payment
Hospitals in Missouri billed an average of $21,245 for complex gi procedures, about 4.8 times the average medicare-allowed amount of $4,447. That payment is 17% below the U.S. average of $5,364.
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 $4,447Billed $21,245
About 21¢ was paid for every $1 hospitals in Missouri billed for this service.
Missouri hospitals: complex gi procedures
Every Missouri hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Barnes Jewish HospitalSt Louis | 225 | $18,691 | $4,130 | $3,267 |
| Missouri Baptist Medical CenterTown and Country | 147 | $14,944 | $4,189 | $3,319 |
| Boone Hospital CenterColumbia | 62 | $25,625 | $4,850 | $3,859 |
| St Louis University HospitalSt Louis | 45 | $26,823 | $4,539 | $3,616 |
| Lester E Cox Medical CentersSpringfield | 35 | $26,884 | $4,518 | $3,600 |
| St John's Mercy Medical CenterSt Louis | 29 | $15,754 | $5,072 | $4,041 |
| St Lukes Hospital of Kansas CityKansas City | 27 | $31,570 | $4,977 | $3,966 |
| Barnes-Jewish West County HospitalSt Louis | 27 | $18,804 | $4,696 | $3,742 |
| Research Medical CenterKansas City | 21 | $62,263 | $4,977 | $3,977 |
| Mercy Hospital SouthSt Louis | 21 | $12,313 | $4,831 | $3,849 |
| St Lukes HospitalChesterfield | 15 | $14,226 | $5,072 | $4,041 |
| Mercy Hospital SpringfieldSpringfield | 14 | $22,836 | $4,792 | $3,818 |
| University Hospitals & ClinicsColumbia | 12 | $32,619 | $4,850 | $3,864 |
| Mercy Hospital JoplinJoplin | – | – | – | – |
| SSM St Joseph Health CenterSt Charles | – | – | – | – |
| Mosaic Life Care at St JosephSt Joseph | – | – | – | – |
| St Marys Health CenterJefferson City | – | – | – | – |
| Jefferson Memorial HospitalCrystal City | – | – | – | – |
| Hannibal Regional HospitalHannibal | – | – | – | – |
| Truman Medical Center Hospital HillKansas City | – | – | – | – |
| St Johns Mercy HospitalWashington | – | – | – | – |
| St Johns Hospital-LebanonLebanon | – | – | – | – |
| SSM St Mary's Health CenterSt Louis | – | – | – | – |
| Centerpoint Medical CenterIndependence | – | – | – | – |
| Nkc HealthNorth Kansas City | – | – | – | – |
| SSM Depaul Health CenterBridgeton | – | – | – | – |
| Southeast Missouri HospitalCape Girardeau | – | – | – | – |
| Poplar Bluff Regional Medical CenterPoplar Bluff | – | – | – | – |
| Freeman Health System - Freeman WestJoplin | – | – | – | – |
| St Luke's Des Peres HospitalSaint Louis | – | – | – | – |
| Liberty HospitalLiberty | – | – | – | – |
| St Francis Medical CenterCape Girardeau | – | – | – | – |
| Lake Regional Health SystemOsage Beach | – | – | – | – |
| Lee's Summit HospitalLee's Summit | – | – | – | – |
| SSM St Joseph Hospital WestLake St Louis | – | – | – | – |
| Research Belton HospitalBelton | – | – | – | – |
Lowest and highest allowed amounts in Missouri
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Barnes Jewish HospitalSt Louis, MO | $4,130 |
|---|---|
| Missouri Baptist Medical CenterTown and Country, MO | $4,189 |
| Lester E Cox Medical CentersSpringfield, MO | $4,518 |
| St Louis University HospitalSt Louis, MO | $4,539 |
| Barnes-Jewish West County HospitalSt Louis, MO | $4,696 |
Highest
| St John's Mercy Medical CenterSt Louis, MO | $5,072 |
|---|---|
| St Lukes HospitalChesterfield, MO | $5,072 |
| St Lukes Hospital of Kansas CityKansas City, MO | $4,977 |
| Research Medical CenterKansas City, MO | $4,977 |
| Boone Hospital CenterColumbia, MO | $4,850 |
Complex GI Procedures in other states
Questions
How much does complex gi procedures cost in Missouri?
In 2024 Medicare data, complex gi procedures (APC 5331) at 36 hospitals in Missouri was billed at $21,245 on average, while the average medicare-allowed amount was $4,447, of which Medicare paid $3,531. 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 service in Missouri, average charges were 4.8 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Outpatient Hospitals by Provider and Service, 2024. The allowed amount is Medicare's payment plus the patient's coinsurance. CMS omits hospitals with fewer than 11 services for privacy. About the data.