facebook tracking Coronary bypass with cardiac catheterization or open ablation without major complications cost in Missouri: 9 hospitals compared (DRG 234)

Coronary bypass with cardiac catheterization or open ablation without major complications in Missouri

What 9 hospitals in Missouri charged and were paid for a Medicare hospital stay for coronary bypass with cardiac catheterization or open ablation without major complications (DRG 234), from 2024 Medicare claims.

DRG 234 Inpatient 2024 Medicare data
Average charge $186,668 Hospital list price billed
Average payment $39,517 Medicare + patient + other payers
Medicare paid $32,469 Average per stay
State rank #6 of 36 1 = lowest average payment

Hospitals in Missouri billed an average of $186,668 for coronary bypass with cardiac catheterization or open ablation without major complications, about 4.7 times the average total payment of $39,517. That payment is 14% below the U.S. average of $45,866.

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 $39,517Billed $186,668

About 21¢ 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: coronary bypass with cardiac catheterization or open ablation without 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
Mercy Hospital SpringfieldSpringfield 27 $214,805 $35,037 $33,483
St Lukes HospitalChesterfield 26 $148,772 $37,725 $26,762
Lester E Cox Medical CentersSpringfield 23 $168,970 $36,495 $34,668
St Francis Medical CenterCape Girardeau 19 $298,257 $44,023 $33,160
Mosaic Life Care at St JosephSt Joseph 17 $129,471 $47,157 $45,591
St John's Mercy Medical CenterSt Louis 14 $151,112 $34,606 $32,697
Missouri Baptist Medical CenterTown and Country 13 $163,481 $46,884 $21,508
Southeast Missouri HospitalCape Girardeau 13 $237,683 $45,481 $31,808
Boone Hospital CenterColumbia 12 $155,062 $32,606 $30,974
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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$32,606
St John's Mercy Medical CenterSt Louis, MO$34,606
Mercy Hospital SpringfieldSpringfield, MO$35,037
Lester E Cox Medical CentersSpringfield, MO$36,495
St Lukes HospitalChesterfield, MO$37,725

Highest

Mosaic Life Care at St JosephSt Joseph, MO$47,157
Missouri Baptist Medical CenterTown and Country, MO$46,884
Southeast Missouri HospitalCape Girardeau, MO$45,481
St Francis Medical CenterCape Girardeau, MO$44,023
St Lukes HospitalChesterfield, MO$37,725

Coronary bypass with cardiac catheterization or open ablation without major complications in other states

Questions

How much does coronary bypass with cardiac catheterization or open ablation without major complications cost in Missouri?

In 2024 Medicare data, a hospital stay for coronary bypass with cardiac catheterization or open ablation without major complications (DRG 234) at 9 hospitals in Missouri was billed at $186,668 on average, while the average total payment was $39,517, of which Medicare paid $32,469. 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 4.7 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.