Craniotomy with major device implant or acute complex CNS principal diagnosis with major complications o in Missouri
What 10 hospitals in Missouri charged and were paid for a Medicare hospital stay for craniotomy with major device implant or acute complex cns principal diagnosis with major complications o (DRG 023), from 2024 Medicare claims.
Average charge
$221,382
Hospital list price billed
Average payment
$51,751
Medicare + patient + other payers
Medicare paid
$42,866
Average per stay
State rank
#22 of 38
1 = lowest average payment
Hospitals in Missouri billed an average of $221,382 for craniotomy with major device implant or acute complex cns principal diagnosis with major complications o, about 4.3 times the average total payment of $51,751. That payment is 9% below the U.S. average of $56,603.
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 $51,751Billed $221,382
About 23¢ was paid for every $1 hospitals in Missouri billed for this stay.
Missouri hospitals: craniotomy with major device implant or acute complex cns principal diagnosis with major complications o
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 | 57 | $194,813 | $63,500 | $48,631 |
| University Hospitals & ClinicsColumbia | 36 | $242,546 | $57,105 | $46,293 |
| St Lukes Hospital of Kansas CityKansas City | 34 | $214,110 | $46,972 | $39,512 |
| Research Medical CenterKansas City | 21 | $580,978 | $51,210 | $46,794 |
| Mercy Hospital SouthSt Louis | 21 | $167,450 | $38,445 | $37,279 |
| St Louis University HospitalSt Louis | 20 | $217,834 | $58,296 | $52,344 |
| St John's Mercy Medical CenterSt Louis | 19 | $150,955 | $42,418 | $37,075 |
| Lester E Cox Medical CentersSpringfield | 19 | $196,411 | $52,014 | $33,822 |
| Mercy Hospital SpringfieldSpringfield | 15 | $123,834 | $38,509 | $32,951 |
| SSM Depaul Health CenterBridgeton | 14 | $73,344 | $39,678 | $38,430 |
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
| Mercy Hospital SouthSt Louis, MO | $38,445 |
|---|---|
| Mercy Hospital SpringfieldSpringfield, MO | $38,509 |
| SSM Depaul Health CenterBridgeton, MO | $39,678 |
| St John's Mercy Medical CenterSt Louis, MO | $42,418 |
| St Lukes Hospital of Kansas CityKansas City, MO | $46,972 |
Highest
| Barnes Jewish HospitalSt Louis, MO | $63,500 |
|---|---|
| St Louis University HospitalSt Louis, MO | $58,296 |
| University Hospitals & ClinicsColumbia, MO | $57,105 |
| Lester E Cox Medical CentersSpringfield, MO | $52,014 |
| Research Medical CenterKansas City, MO | $51,210 |
Craniotomy with major device implant or acute complex CNS principal diagnosis with major complications o in other states
Questions
How much does craniotomy with major device implant or acute complex cns principal diagnosis with major complications o cost in Missouri?
In 2024 Medicare data, a hospital stay for craniotomy with major device implant or acute complex cns principal diagnosis with major complications o (DRG 023) at 10 hospitals in Missouri was billed at $221,382 on average, while the average total payment was $51,751, of which Medicare paid $42,866. 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 4.3 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.