Diabetes with major complications in Missouri
What 23 hospitals in Missouri charged and were paid for a Medicare hospital stay for diabetes with major complications (DRG 637), from 2024 Medicare claims.
Average charge
$55,688
Hospital list price billed
Average payment
$12,672
Medicare + patient + other payers
Medicare paid
$9,980
Average per stay
State rank
#20 of 43
1 = lowest average payment
Hospitals in Missouri billed an average of $55,688 for diabetes with major complications, about 4.4 times the average total payment of $12,672. That payment is 10% below the U.S. average of $14,037.
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 $12,672Billed $55,688
About 23¢ was paid for every $1 hospitals in Missouri billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Missouri:
Missouri hospitals: diabetes 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 |
|---|---|---|---|---|
| St John's Mercy Medical CenterSt Louis | 36 | $40,366 | $11,358 | $10,161 |
| Mercy Hospital SouthSt Louis | 31 | $27,734 | $10,294 | $8,939 |
| Barnes Jewish HospitalSt Louis | 27 | $93,703 | $30,520 | $11,560 |
| Christian Hospital NortheastSt Louis | 27 | $54,594 | $11,540 | $10,680 |
| Lester E Cox Medical CentersSpringfield | 26 | $42,789 | $11,154 | $9,793 |
| University Hospitals & ClinicsColumbia | 26 | $57,429 | $13,140 | $11,134 |
| Mercy Hospital SpringfieldSpringfield | 25 | $43,363 | $10,796 | $9,929 |
| SSM Depaul Health CenterBridgeton | 21 | $37,672 | $10,841 | $9,668 |
| Jefferson Memorial HospitalCrystal City | 19 | $32,042 | $10,682 | $9,823 |
| Mosaic Life Care at St JosephSt Joseph | 18 | $35,835 | $13,135 | $11,966 |
| Boone Hospital CenterColumbia | 18 | $48,322 | $8,932 | $7,686 |
| SSM St Mary's Health CenterSt Louis | 18 | $24,540 | $14,316 | $12,657 |
| Nkc HealthNorth Kansas City | 18 | $46,752 | $10,035 | $8,976 |
| Saint Luke's East Lee's Summit HospitalLee's Summit | 17 | $98,331 | $11,302 | $10,822 |
| Mercy Hospital JoplinJoplin | 16 | $42,678 | $10,742 | $8,567 |
| Missouri Baptist Medical CenterTown and Country | 14 | $41,695 | $11,469 | $5,872 |
| Poplar Bluff Regional Medical CenterPoplar Bluff | 14 | $96,651 | $10,549 | $8,337 |
| Saint Luke's Northland HospSmithville | 13 | $88,422 | $11,789 | $8,634 |
| Centerpoint Medical CenterIndependence | 13 | $95,232 | $11,509 | $8,076 |
| St Louis University HospitalSt Louis | 13 | $55,476 | $13,045 | $10,564 |
| Research Medical CenterKansas City | 11 | $183,633 | $18,009 | $14,861 |
| St Johns Mercy HospitalWashington | 11 | $42,853 | $11,053 | $10,015 |
| Freeman Health System - Freeman WestJoplin | 11 | $52,150 | $10,706 | $9,484 |
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 | $8,932 |
|---|---|
| Nkc HealthNorth Kansas City, MO | $10,035 |
| Mercy Hospital SouthSt Louis, MO | $10,294 |
| Poplar Bluff Regional Medical CenterPoplar Bluff, MO | $10,549 |
| Jefferson Memorial HospitalCrystal City, MO | $10,682 |
Highest
| Barnes Jewish HospitalSt Louis, MO | $30,520 |
|---|---|
| Research Medical CenterKansas City, MO | $18,009 |
| SSM St Mary's Health CenterSt Louis, MO | $14,316 |
| University Hospitals & ClinicsColumbia, MO | $13,140 |
| Mosaic Life Care at St JosephSt Joseph, MO | $13,135 |
Diabetes with major complications in other states
Questions
How much does diabetes with major complications cost in Missouri?
In 2024 Medicare data, a hospital stay for diabetes with major complications (DRG 637) at 23 hospitals in Missouri was billed at $55,688 on average, while the average total payment was $12,672, of which Medicare paid $9,980. 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.