facebook tracking Coronary bypass without cardiac catheterization without major complications cost in Missouri: 13 hospitals compared (DRG 236)

Coronary bypass without cardiac catheterization without major complications in Missouri

What 13 hospitals in Missouri charged and were paid for a Medicare hospital stay for coronary bypass without cardiac catheterization without major complications (DRG 236), from 2024 Medicare claims.

DRG 236 Inpatient 2024 Medicare data
Average charge $162,495 Hospital list price billed
Average payment $34,101 Medicare + patient + other payers
Medicare paid $27,323 Average per stay
State rank #16 of 42 1 = lowest average payment

Hospitals in Missouri billed an average of $162,495 for coronary bypass without cardiac catheterization without major complications, about 4.8 times the average total payment of $34,101. That payment is 10% below the U.S. average of $37,830.

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 $34,101Billed $162,495

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 without cardiac catheterization 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
St Lukes Hospital of Kansas CityKansas City 43 $208,520 $36,683 $28,540
Barnes Jewish HospitalSt Louis 42 $208,264 $47,533 $34,734
Lester E Cox Medical CentersSpringfield 42 $138,876 $29,730 $25,371
St John's Mercy Medical CenterSt Louis 36 $119,399 $30,864 $24,525
St Lukes HospitalChesterfield 35 $125,209 $31,047 $21,614
St Francis Medical CenterCape Girardeau 35 $230,762 $32,670 $26,352
Missouri Baptist Medical CenterTown and Country 26 $140,014 $34,697 $20,108
Mosaic Life Care at St JosephSt Joseph 25 $88,657 $36,714 $35,322
Boone Hospital CenterColumbia 25 $108,505 $25,244 $23,742
Mercy Hospital SpringfieldSpringfield 19 $167,801 $27,519 $26,115
St Louis University HospitalSt Louis 19 $221,271 $44,299 $37,561
Christian Hospital NortheastSt Louis 19 $180,979 $31,551 $26,480
Mercy Hospital JoplinJoplin 14 $146,008 $27,117 $25,509
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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$25,244
Mercy Hospital JoplinJoplin, MO$27,117
Mercy Hospital SpringfieldSpringfield, MO$27,519
Lester E Cox Medical CentersSpringfield, MO$29,730
St John's Mercy Medical CenterSt Louis, MO$30,864

Highest

Barnes Jewish HospitalSt Louis, MO$47,533
St Louis University HospitalSt Louis, MO$44,299
Mosaic Life Care at St JosephSt Joseph, MO$36,714
St Lukes Hospital of Kansas CityKansas City, MO$36,683
Missouri Baptist Medical CenterTown and Country, MO$34,697

Coronary bypass without cardiac catheterization without major complications in other states

Questions

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

In 2024 Medicare data, a hospital stay for coronary bypass without cardiac catheterization without major complications (DRG 236) at 13 hospitals in Missouri was billed at $162,495 on average, while the average total payment was $34,101, of which Medicare paid $27,323. 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 4.8 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.