Extensive operating room procedures unrelated to principal diagnosis with major complications in Missouri
What 15 hospitals in Missouri charged and were paid for a Medicare hospital stay for extensive operating room procedures unrelated to principal diagnosis with major complications (DRG 981), from 2024 Medicare claims.
Average charge
$184,942
Hospital list price billed
Average payment
$42,510
Medicare + patient + other payers
Medicare paid
$35,089
Average per stay
State rank
#22 of 42
1 = lowest average payment
Hospitals in Missouri billed an average of $184,942 for extensive operating room procedures unrelated to principal diagnosis with major complications, about 4.4 times the average total payment of $42,510. That payment is 10% below the U.S. average of $47,051.
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 $42,510Billed $184,942
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: extensive operating room procedures unrelated to principal diagnosis 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 |
|---|---|---|---|---|
| Barnes Jewish HospitalSt Louis | 30 | $259,690 | $72,134 | $49,361 |
| St Lukes Hospital of Kansas CityKansas City | 22 | $230,704 | $45,709 | $32,201 |
| St John's Mercy Medical CenterSt Louis | 20 | $160,113 | $38,076 | $33,544 |
| Nkc HealthNorth Kansas City | 20 | $168,335 | $32,694 | $31,866 |
| Mosaic Life Care at St JosephSt Joseph | 18 | $99,501 | $42,680 | $38,308 |
| Lester E Cox Medical CentersSpringfield | 18 | $187,775 | $45,772 | $32,026 |
| Mercy Hospital SouthSt Louis | 17 | $111,938 | $30,689 | $30,021 |
| St Francis Medical CenterCape Girardeau | 17 | $194,715 | $33,406 | $32,256 |
| SSM Depaul Health CenterBridgeton | 16 | $98,187 | $26,429 | $24,928 |
| Missouri Baptist Medical CenterTown and Country | 15 | $192,725 | $35,032 | $33,623 |
| St Louis University HospitalSt Louis | 14 | $200,823 | $53,547 | $45,063 |
| Saint Luke's East Lee's Summit HospitalLee's Summit | 14 | $245,968 | $31,156 | $28,710 |
| Freeman Health System - Freeman WestJoplin | 13 | $156,290 | $28,795 | $27,080 |
| University Hospitals & ClinicsColumbia | 13 | $269,606 | $62,206 | $43,880 |
| Mercy Hospital SpringfieldSpringfield | 12 | $152,268 | $35,514 | $33,956 |
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
| SSM Depaul Health CenterBridgeton, MO | $26,429 |
|---|---|
| Freeman Health System - Freeman WestJoplin, MO | $28,795 |
| Mercy Hospital SouthSt Louis, MO | $30,689 |
| Saint Luke's East Lee's Summit HospitalLee's Summit, MO | $31,156 |
| Nkc HealthNorth Kansas City, MO | $32,694 |
Highest
| Barnes Jewish HospitalSt Louis, MO | $72,134 |
|---|---|
| University Hospitals & ClinicsColumbia, MO | $62,206 |
| St Louis University HospitalSt Louis, MO | $53,547 |
| Lester E Cox Medical CentersSpringfield, MO | $45,772 |
| St Lukes Hospital of Kansas CityKansas City, MO | $45,709 |
Extensive operating room procedures unrelated to principal diagnosis with major complications in other states
Questions
How much does extensive operating room procedures unrelated to principal diagnosis with major complications cost in Missouri?
In 2024 Medicare data, a hospital stay for extensive operating room procedures unrelated to principal diagnosis with major complications (DRG 981) at 15 hospitals in Missouri was billed at $184,942 on average, while the average total payment was $42,510, of which Medicare paid $35,089. 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.