facebook tracking Complicated peptic ulcer with major complications cost in Missouri: 1 hospitals compared (DRG 380)

Complicated peptic ulcer with major complications in Missouri

What 1 hospital in Missouri charged and were paid for a Medicare hospital stay for complicated peptic ulcer with major complications (DRG 380), from 2024 Medicare claims.

DRG 380 Inpatient 2024 Medicare data
Average charge $111,592 Hospital list price billed
Average payment $25,232 Medicare + patient + other payers
Medicare paid $14,566 Average per stay
Volume 14 Medicare hospital stays

Hospitals in Missouri billed an average of $111,592 for complicated peptic ulcer with major complications, about 4.4 times the average total payment of $25,232. That payment is 17% above the U.S. average of $21,522.

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 $25,232Billed $111,592

About 23¢ 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: complicated peptic ulcer with 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 14 $111,592 $25,232 $14,566
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Complicated peptic ulcer with major complications in other states

Questions

How much does complicated peptic ulcer with major complications cost in Missouri?

In 2024 Medicare data, a hospital stay for complicated peptic ulcer with major complications (DRG 380) at 1 hospital in Missouri was billed at $111,592 on average, while the average total payment was $25,232, of which Medicare paid $14,566. 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 4.4 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.