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Disorders of the biliary tract with complications in Missouri

What 12 hospitals in Missouri charged and were paid for a Medicare hospital stay for disorders of the biliary tract with complications (DRG 445), from 2024 Medicare claims.

DRG 445 Inpatient 2024 Medicare data
Average charge $46,244 Hospital list price billed
Average payment $9,058 Medicare + patient + other payers
Medicare paid $7,155 Average per stay
State rank #7 of 40 1 = lowest average payment

Hospitals in Missouri billed an average of $46,244 for disorders of the biliary tract with complications, about 5.1 times the average total payment of $9,058. That payment is 18% below the U.S. average of $10,996.

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 $9,058Billed $46,244

About 20¢ was paid for every $1 hospitals in Missouri billed for this stay.

Missouri hospitals: disorders of the biliary tract 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
Missouri Baptist Medical CenterTown and Country 47 $39,707 $7,342 $5,546
Barnes Jewish HospitalSt Louis 23 $52,172 $13,164 $9,909
St Lukes Hospital of Kansas CityKansas City 19 $59,528 $10,825 $7,290
University Hospitals & ClinicsColumbia 19 $38,390 $10,225 $8,308
Mercy Hospital SpringfieldSpringfield 18 $33,063 $8,469 $7,184
Mercy Hospital SouthSt Louis 18 $24,184 $7,865 $6,505
Mosaic Life Care at St JosephSt Joseph 16 $51,354 $9,901 $8,968
Lester E Cox Medical CentersSpringfield 14 $44,495 $9,053 $7,499
St John's Mercy Medical CenterSt Louis 13 $39,877 $8,892 $7,410
St Lukes HospitalChesterfield 12 $34,582 $7,817 $6,026
Saint Luke's East Lee's Summit HospitalLee's Summit 12 $59,625 $6,981 $5,485
Centerpoint Medical CenterIndependence 11 $110,504 $8,245 $6,745
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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

Saint Luke's East Lee's Summit HospitalLee's Summit, MO$6,981
Missouri Baptist Medical CenterTown and Country, MO$7,342
St Lukes HospitalChesterfield, MO$7,817
Mercy Hospital SouthSt Louis, MO$7,865
Centerpoint Medical CenterIndependence, MO$8,245

Highest

Barnes Jewish HospitalSt Louis, MO$13,164
St Lukes Hospital of Kansas CityKansas City, MO$10,825
University Hospitals & ClinicsColumbia, MO$10,225
Mosaic Life Care at St JosephSt Joseph, MO$9,901
Lester E Cox Medical CentersSpringfield, MO$9,053

Disorders of the biliary tract with complications in other states

Questions

How much does disorders of the biliary tract with complications cost in Missouri?

In 2024 Medicare data, a hospital stay for disorders of the biliary tract with complications (DRG 445) at 12 hospitals in Missouri was billed at $46,244 on average, while the average total payment was $9,058, of which Medicare paid $7,155. 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 5.1 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.