facebook tracking Coronary bypass without cardiac catheterization with major complications cost in Missouri: 8 hospitals compared (DRG 235)

Coronary bypass without cardiac catheterization with major complications in Missouri

What 8 hospitals in Missouri charged and were paid for a Medicare hospital stay for coronary bypass without cardiac catheterization with major complications (DRG 235), from 2024 Medicare claims.

DRG 235 Inpatient 2024 Medicare data
Average charge $230,169 Hospital list price billed
Average payment $51,478 Medicare + patient + other payers
Medicare paid $42,739 Average per stay
State rank #16 of 37 1 = lowest average payment

Hospitals in Missouri billed an average of $230,169 for coronary bypass without cardiac catheterization with major complications, about 4.5 times the average total payment of $51,478. That payment is 9% below the U.S. average of $56,401.

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 $51,478Billed $230,169

About 22¢ 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 without cardiac catheterization 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 37 $265,394 $63,799 $52,513
St Lukes Hospital of Kansas CityKansas City 27 $268,060 $48,640 $43,436
Christian Hospital NortheastSt Louis 22 $220,077 $48,104 $36,879
St Louis University HospitalSt Louis 18 $286,299 $61,649 $54,066
Lester E Cox Medical CentersSpringfield 15 $195,370 $42,741 $35,538
St Lukes HospitalChesterfield 13 $154,717 $44,310 $31,691
Missouri Baptist Medical CenterTown and Country 12 $186,099 $43,057 $32,534
Boone Hospital CenterColumbia 11 $131,718 $36,679 $35,344
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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$36,679
Lester E Cox Medical CentersSpringfield, MO$42,741
Missouri Baptist Medical CenterTown and Country, MO$43,057
St Lukes HospitalChesterfield, MO$44,310
Christian Hospital NortheastSt Louis, MO$48,104

Highest

Barnes Jewish HospitalSt Louis, MO$63,799
St Louis University HospitalSt Louis, MO$61,649
St Lukes Hospital of Kansas CityKansas City, MO$48,640
Christian Hospital NortheastSt Louis, MO$48,104
St Lukes HospitalChesterfield, MO$44,310

Coronary bypass without cardiac catheterization with major complications in other states

Questions

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

In 2024 Medicare data, a hospital stay for coronary bypass without cardiac catheterization with major complications (DRG 235) at 8 hospitals in Missouri was billed at $230,169 on average, while the average total payment was $51,478, of which Medicare paid $42,739. 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 4.5 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.