Comprehensive Observation Services in Missouri
What 65 hospitals in Missouri charged and were paid for comprehensive observation services (APC 8011), from 2024 Medicare claims.
Average charge
$20,563
Hospital list price billed
Average allowed
$2,393
Medicare's payment + patient's share
Medicare paid
$1,899
Average per service
State rank
#14 of 49
1 = lowest average payment
Hospitals in Missouri billed an average of $20,563 for comprehensive observation services, about 8.6 times the average medicare-allowed amount of $2,393. That payment is 9% below the U.S. average of $2,634.
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 $2,393Billed $20,563
About 12¢ was paid for every $1 hospitals in Missouri billed for this service.
Missouri hospitals: comprehensive observation services
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 |
|---|---|---|---|---|
| Nkc HealthNorth Kansas City | 1,075 | $21,124 | $2,355 | $1,869 |
| Mosaic Life Care at St JosephSt Joseph | 945 | $16,113 | $2,563 | $2,040 |
| University Hospitals & ClinicsColumbia | 790 | $14,490 | $2,290 | $1,817 |
| Liberty HospitalLiberty | 788 | $17,975 | $2,358 | $1,872 |
| Saint Luke's East Lee's Summit HospitalLee's Summit | 686 | $39,438 | $2,347 | $1,861 |
| St Lukes HospitalChesterfield | 606 | $12,010 | $2,384 | $1,888 |
| Freeman Health System - Freeman WestJoplin | 591 | $20,148 | $2,278 | $1,808 |
| St John's Mercy Medical CenterSt Louis | 568 | $16,702 | $2,382 | $1,886 |
| St Francis Medical CenterCape Girardeau | 433 | $25,308 | $2,480 | $1,971 |
| Lester E Cox Medical CentersSpringfield | 428 | $18,768 | $2,276 | $1,808 |
| Mercy Hospital SouthSt Louis | 416 | $14,134 | $2,402 | $1,907 |
| Lake Regional Health SystemOsage Beach | 390 | $20,639 | $2,439 | $1,937 |
| Mercy Hospital JoplinJoplin | 369 | $18,164 | $2,295 | $1,828 |
| St Lukes Hospital of Kansas CityKansas City | 336 | $40,630 | $2,347 | $1,861 |
| Phelps County Regional Medical CenterRolla | 329 | $23,674 | $2,584 | $2,053 |
| Barnes Jewish HospitalSt Louis | 309 | $15,152 | $2,386 | $1,889 |
| Bothwell Regional Health CenterSedalia | 294 | $18,976 | $2,519 | $1,997 |
| SSM St Joseph Hosp of KirkwoodSt Louis | 283 | $14,661 | $2,368 | $1,879 |
| Hannibal Regional HospitalHannibal | 274 | $21,232 | $2,609 | $2,077 |
| St Johns Mercy HospitalWashington | 244 | $17,381 | $2,398 | $1,904 |
| Missouri Baptist Medical CenterTown and Country | 238 | $16,481 | $2,329 | $1,842 |
| Jefferson Memorial HospitalCrystal City | 225 | $17,148 | $2,402 | $1,904 |
| Saint Luke's Northland HospSmithville | 224 | $36,648 | $2,348 | $1,862 |
| SSM St Joseph Hospital WestLake St Louis | 219 | $14,192 | $2,374 | $1,876 |
| Mercy Hospital SpringfieldSpringfield | 218 | $18,392 | $2,278 | $1,810 |
| Southeast Missouri HospitalCape Girardeau | 209 | $18,290 | $2,466 | $1,957 |
| SSM Depaul Health CenterBridgeton | 199 | $16,868 | $2,370 | $1,882 |
| Research Belton HospitalBelton | 179 | $47,328 | $2,359 | $1,870 |
| Cox Medical Center BransonBranson | 167 | $19,000 | $2,427 | $1,928 |
| SSM St Mary's Health CenterSt Louis | 166 | $13,503 | $2,367 | $1,883 |
| Mosaic Medical Center - MaryvilleMaryville | 164 | $16,102 | $2,495 | $1,988 |
| Barnes-Jewish St Peters HospitalSt Peters | 164 | $17,028 | $2,377 | $1,881 |
| Centerpoint Medical CenterIndependence | 163 | $45,172 | $2,332 | $1,844 |
| St Louis University HospitalSt Louis | 161 | $20,822 | $2,369 | $1,880 |
| Western Missouri Medical CenterWarrensburg | 158 | $12,129 | $2,453 | $1,951 |
| SSM St Joseph Health CenterSt Charles | 146 | $14,958 | $2,341 | $1,854 |
| Lee's Summit HospitalLee's Summit | 142 | $42,748 | $2,352 | $1,864 |
| Ozarks Medical CenterWest Plains | 141 | $13,515 | $2,465 | $1,964 |
| Poplar Bluff Regional Medical CenterPoplar Bluff | 139 | $37,369 | $2,437 | $1,932 |
| Citizens Memorial HospitalBolivar | 126 | $17,383 | $2,434 | $1,933 |
| Cameron Community HospitalCameron | 115 | $20,262 | $2,374 | $1,888 |
| Research Medical CenterKansas City | 113 | $48,333 | $2,357 | $1,868 |
| Bates County Memorial HospitalButler | 105 | $19,196 | $2,560 | $2,039 |
| St Marys Health CenterJefferson City | 97 | $13,030 | $2,279 | $1,807 |
| Fitzgibbon Memorial HospitalMarshall | 96 | $19,007 | $2,465 | $1,964 |
| Texas County Memorial HospitalHouston | 95 | $11,545 | $2,465 | $1,964 |
| Golden Valley Memorial HospitalClinton | 91 | $13,954 | $2,538 | $2,016 |
| Northeast Regional Medical CenterKirksville | 81 | $26,248 | $2,507 | $1,993 |
| Boone Hospital CenterColumbia | 79 | $10,261 | $2,329 | $1,853 |
| Nevada Regional Medical CenterNevada | 67 | $10,669 | $2,436 | $1,935 |
| Truman Medical Center LakewoodKansas City | 59 | $11,403 | $2,236 | $1,750 |
| Truman Medical Center Hospital HillKansas City | 54 | $10,715 | $2,310 | $1,820 |
| St Johns Hospital-LebanonLebanon | 54 | $14,914 | $2,465 | $1,964 |
| Pemiscot Memorial HospitalHayti | 51 | $10,163 | $2,302 | $1,834 |
| Parkland Health CenterFarmington | 51 | $12,607 | $2,568 | $2,038 |
| Moberly Regional Medical CenterMoberly | 44 | $32,188 | $2,481 | $1,972 |
| St Luke's Des Peres HospitalSaint Louis | 42 | $13,836 | $2,297 | $1,802 |
| Progress West Healthcare CenterO'fallon | 42 | $17,007 | $2,390 | $1,890 |
| Barnes-Jewish West County HospitalSt Louis | 37 | $12,332 | $2,281 | $1,784 |
| St Joseph Medical CenterKansas City | 36 | $33,592 | $2,338 | $1,852 |
| Mercy Hospital StoddardDexter | 28 | $12,219 | $2,302 | $1,834 |
| Missouri Delta Medical CenterSikeston | 27 | $18,786 | $2,612 | $2,067 |
| Christian Hospital NortheastSt Louis | 25 | $17,089 | $2,164 | $1,670 |
| St Mary's Medical CenterBlue Springs | – | – | – | – |
| St Louis Children's HospitalSt Louis | – | – | – | – |
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
| Christian Hospital NortheastSt Louis, MO | $2,164 |
|---|---|
| Truman Medical Center LakewoodKansas City, MO | $2,236 |
| Lester E Cox Medical CentersSpringfield, MO | $2,276 |
| Freeman Health System - Freeman WestJoplin, MO | $2,278 |
| Mercy Hospital SpringfieldSpringfield, MO | $2,278 |
Highest
| Missouri Delta Medical CenterSikeston, MO | $2,612 |
|---|---|
| Hannibal Regional HospitalHannibal, MO | $2,609 |
| Phelps County Regional Medical CenterRolla, MO | $2,584 |
| Parkland Health CenterFarmington, MO | $2,568 |
| Mosaic Life Care at St JosephSt Joseph, MO | $2,563 |
Comprehensive Observation Services in other states
Questions
How much does comprehensive observation services cost in Missouri?
In 2024 Medicare data, comprehensive observation services (APC 8011) at 65 hospitals in Missouri was billed at $20,563 on average, while the average medicare-allowed amount was $2,393, of which Medicare paid $1,899. 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 8.6 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.