facebook tracking Diabetes with complications cost in Missouri: 24 hospitals compared (DRG 638)

Diabetes with complications in Missouri

What 24 hospitals in Missouri charged and were paid for a Medicare hospital stay for diabetes with complications (DRG 638), from 2024 Medicare claims.

DRG 638 Inpatient 2024 Medicare data
Average charge $35,319 Hospital list price billed
Average payment $8,112 Medicare + patient + other payers
Medicare paid $6,036 Average per stay
State rank #18 of 47 1 = lowest average payment

Hospitals in Missouri billed an average of $35,319 for diabetes with complications, about 4.4 times the average total payment of $8,112. That payment is 12% below the U.S. average of $9,215.

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 $8,112Billed $35,319

About 23¢ was paid for every $1 hospitals in Missouri billed for this stay.

Missouri hospitals: diabetes with 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
University Hospitals & ClinicsColumbia 58 $34,109 $9,418 $7,193
St John's Mercy Medical CenterSt Louis 36 $23,554 $7,485 $6,373
Lester E Cox Medical CentersSpringfield 36 $34,431 $8,573 $4,510
Christian Hospital NortheastSt Louis 33 $31,790 $8,427 $7,290
Nkc HealthNorth Kansas City 27 $37,625 $6,990 $5,536
Missouri Baptist Medical CenterTown and Country 27 $30,168 $6,790 $4,315
Barnes Jewish HospitalSt Louis 25 $40,748 $11,983 $7,767
Mercy Hospital SouthSt Louis 25 $20,124 $6,669 $5,365
Saint Luke's East Lee's Summit HospitalLee's Summit 24 $57,481 $5,825 $4,534
Mercy Hospital SpringfieldSpringfield 22 $39,041 $7,187 $6,186
Mosaic Life Care at St JosephSt Joseph 21 $27,668 $8,311 $6,783
SSM St Joseph Hospital WestLake St Louis 21 $21,754 $6,485 $5,017
Jefferson Memorial HospitalCrystal City 18 $27,321 $6,934 $5,846
St Louis University HospitalSt Louis 18 $34,596 $11,837 $8,504
Mercy Hospital JoplinJoplin 16 $26,779 $6,978 $5,827
SSM St Mary's Health CenterSt Louis 16 $29,155 $10,433 $8,390
Centerpoint Medical CenterIndependence 16 $78,421 $11,450 $5,119
Boone Hospital CenterColumbia 15 $23,296 $5,662 $4,248
St Lukes HospitalChesterfield 15 $21,418 $6,017 $4,810
Lee's Summit HospitalLee's Summit 15 $47,715 $7,416 $4,204
Poplar Bluff Regional Medical CenterPoplar Bluff 13 $76,080 $6,777 $5,569
Hannibal Regional HospitalHannibal 12 $24,194 $7,302 $6,091
St Lukes Hospital of Kansas CityKansas City 12 $62,468 $9,490 $6,560
Phelps County Regional Medical CenterRolla 11 $33,354 $8,212 $7,619
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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$5,662
Saint Luke's East Lee's Summit HospitalLee's Summit, MO$5,825
St Lukes HospitalChesterfield, MO$6,017
SSM St Joseph Hospital WestLake St Louis, MO$6,485
Mercy Hospital SouthSt Louis, MO$6,669

Highest

Barnes Jewish HospitalSt Louis, MO$11,983
St Louis University HospitalSt Louis, MO$11,837
Centerpoint Medical CenterIndependence, MO$11,450
SSM St Mary's Health CenterSt Louis, MO$10,433
St Lukes Hospital of Kansas CityKansas City, MO$9,490

Diabetes with complications in other states

Questions

How much does diabetes with complications cost in Missouri?

In 2024 Medicare data, a hospital stay for diabetes with complications (DRG 638) at 24 hospitals in Missouri was billed at $35,319 on average, while the average total payment was $8,112, of which Medicare paid $6,036. 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 4.4 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.