facebook tracking Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications cost in Missouri: 16 hospitals compared (DRG 563)

Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications in Missouri

What 16 hospitals in Missouri charged and were paid for a Medicare hospital stay for fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications (DRG 563), from 2024 Medicare claims.

DRG 563 Inpatient 2024 Medicare data
Average charge $34,523 Hospital list price billed
Average payment $7,230 Medicare + patient + other payers
Medicare paid $5,464 Average per stay
State rank #11 of 39 1 = lowest average payment

Hospitals in Missouri billed an average of $34,523 for fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications, about 4.8 times the average total payment of $7,230. That payment is 17% below the U.S. average of $8,749.

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 $7,230Billed $34,523

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: fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without 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
Missouri Baptist Medical CenterTown and Country 34 $26,081 $5,851 $4,676
St John's Mercy Medical CenterSt Louis 32 $24,200 $7,329 $5,338
Mercy Hospital SouthSt Louis 27 $15,736 $6,481 $4,970
Nkc HealthNorth Kansas City 26 $30,341 $6,723 $5,047
Centerpoint Medical CenterIndependence 24 $79,955 $6,928 $5,416
Barnes Jewish HospitalSt Louis 23 $35,815 $10,464 $7,471
SSM St Joseph Hospital WestLake St Louis 19 $22,291 $6,207 $4,833
St Lukes HospitalChesterfield 17 $21,065 $6,462 $4,256
Mercy Hospital JoplinJoplin 16 $33,018 $6,845 $5,419
Lester E Cox Medical CentersSpringfield 16 $30,021 $7,778 $5,900
University Hospitals & ClinicsColumbia 16 $30,381 $9,298 $7,305
St Lukes Hospital of Kansas CityKansas City 15 $52,900 $9,356 $5,904
Freeman Health System - Freeman WestJoplin 13 $40,892 $7,040 $5,631
Lee's Summit HospitalLee's Summit 13 $63,071 $5,985 $4,448
Mosaic Life Care at St JosephSt Joseph 12 $22,570 $8,161 $7,065
Saint Luke's East Lee's Summit HospitalLee's Summit 12 $47,089 $5,763 $4,811
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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$5,763
Missouri Baptist Medical CenterTown and Country, MO$5,851
Lee's Summit HospitalLee's Summit, MO$5,985
SSM St Joseph Hospital WestLake St Louis, MO$6,207
St Lukes HospitalChesterfield, MO$6,462

Highest

Barnes Jewish HospitalSt Louis, MO$10,464
St Lukes Hospital of Kansas CityKansas City, MO$9,356
University Hospitals & ClinicsColumbia, MO$9,298
Mosaic Life Care at St JosephSt Joseph, MO$8,161
Lester E Cox Medical CentersSpringfield, MO$7,778

Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications in other states

Questions

How much does fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications cost in Missouri?

In 2024 Medicare data, a hospital stay for fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications (DRG 563) at 16 hospitals in Missouri was billed at $34,523 on average, while the average total payment was $7,230, of which Medicare paid $5,464. 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.