facebook tracking Endovascular cardiac valve replacement and supplement procedures with major complications cost in Missouri: 13 hospitals compared (DRG 266)

Endovascular cardiac valve replacement and supplement procedures with major complications in Missouri

What 13 hospitals in Missouri charged and were paid for a Medicare hospital stay for endovascular cardiac valve replacement and supplement procedures with major complications (DRG 266), from 2024 Medicare claims.

DRG 266 Inpatient 2024 Medicare data
Average charge $232,880 Hospital list price billed
Average payment $48,981 Medicare + patient + other payers
Medicare paid $44,460 Average per stay
State rank #12 of 42 1 = lowest average payment

Hospitals in Missouri billed an average of $232,880 for endovascular cardiac valve replacement and supplement procedures with major complications, about 4.8 times the average total payment of $48,981. That payment is 14% below the U.S. average of $57,249.

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 $48,981Billed $232,880

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: endovascular cardiac valve replacement and supplement procedures 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 Lukes Hospital of Kansas CityKansas City 85 $219,070 $54,115 $45,089
St Lukes HospitalChesterfield 62 $124,583 $45,815 $38,879
Lester E Cox Medical CentersSpringfield 53 $180,699 $42,609 $41,473
Barnes Jewish HospitalSt Louis 51 $221,388 $61,357 $54,746
Boone Hospital CenterColumbia 43 $170,068 $39,265 $37,937
Missouri Baptist Medical CenterTown and Country 41 $203,722 $45,228 $39,026
Research Medical CenterKansas City 29 $729,936 $51,920 $49,547
University Hospitals & ClinicsColumbia 22 $351,932 $55,540 $53,528
Mercy Hospital SpringfieldSpringfield 20 $142,900 $40,988 $39,670
Christian Hospital NortheastSt Louis 20 $184,635 $44,007 $42,760
St Louis University HospitalSt Louis 19 $223,952 $61,588 $59,032
Freeman Health System - Freeman WestJoplin 19 $308,447 $42,111 $41,155
St John's Mercy Medical CenterSt Louis 11 $196,610 $45,254 $44,282
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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$39,265
Mercy Hospital SpringfieldSpringfield, MO$40,988
Freeman Health System - Freeman WestJoplin, MO$42,111
Lester E Cox Medical CentersSpringfield, MO$42,609
Christian Hospital NortheastSt Louis, MO$44,007

Highest

St Louis University HospitalSt Louis, MO$61,588
Barnes Jewish HospitalSt Louis, MO$61,357
University Hospitals & ClinicsColumbia, MO$55,540
St Lukes Hospital of Kansas CityKansas City, MO$54,115
Research Medical CenterKansas City, MO$51,920

Endovascular cardiac valve replacement and supplement procedures with major complications in other states

Questions

How much does endovascular cardiac valve replacement and supplement procedures with major complications cost in Missouri?

In 2024 Medicare data, a hospital stay for endovascular cardiac valve replacement and supplement procedures with major complications (DRG 266) at 13 hospitals in Missouri was billed at $232,880 on average, while the average total payment was $48,981, of which Medicare paid $44,460. 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.