facebook tracking Fractures of hip and pelvis without major complications cost in Missouri: 11 hospitals compared (DRG 536)

Fractures of hip and pelvis without major complications in Missouri

What 11 hospitals in Missouri charged and were paid for a Medicare hospital stay for fractures of hip and pelvis without major complications (DRG 536), from 2024 Medicare claims.

DRG 536 Inpatient 2024 Medicare data
Average charge $31,900 Hospital list price billed
Average payment $6,907 Medicare + patient + other payers
Medicare paid $4,905 Average per stay
State rank #20 of 37 1 = lowest average payment

Hospitals in Missouri billed an average of $31,900 for fractures of hip and pelvis without major complications, about 4.6 times the average total payment of $6,907. That payment is 9% below the U.S. average of $7,596.

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 $6,907Billed $31,900

About 22¢ 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: fractures of hip and pelvis 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
University Hospitals & ClinicsColumbia 26 $33,777 $8,472 $6,097
Barnes Jewish HospitalSt Louis 22 $38,756 $10,478 $6,938
St Lukes HospitalChesterfield 20 $21,183 $5,333 $3,921
St John's Mercy Medical CenterSt Louis 19 $19,273 $6,742 $5,356
Missouri Baptist Medical CenterTown and Country 19 $26,099 $5,178 $3,607
Mercy Hospital SouthSt Louis 15 $19,341 $6,031 $3,920
St Lukes Hospital of Kansas CityKansas City 15 $47,104 $8,576 $5,257
Centerpoint Medical CenterIndependence 13 $69,317 $6,224 $4,705
Nkc HealthNorth Kansas City 13 $23,190 $5,664 $4,240
SSM St Joseph Hospital WestLake St Louis 13 $16,613 $5,763 $4,759
Saint Luke's East Lee's Summit HospitalLee's Summit 13 $43,499 $5,078 $3,572
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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$5,078
Missouri Baptist Medical CenterTown and Country, MO$5,178
St Lukes HospitalChesterfield, MO$5,333
Nkc HealthNorth Kansas City, MO$5,664
SSM St Joseph Hospital WestLake St Louis, MO$5,763

Highest

Barnes Jewish HospitalSt Louis, MO$10,478
St Lukes Hospital of Kansas CityKansas City, MO$8,576
University Hospitals & ClinicsColumbia, MO$8,472
St John's Mercy Medical CenterSt Louis, MO$6,742
Centerpoint Medical CenterIndependence, MO$6,224

Fractures of hip and pelvis without major complications in other states

Questions

How much does fractures of hip and pelvis without major complications cost in Missouri?

In 2024 Medicare data, a hospital stay for fractures of hip and pelvis without major complications (DRG 536) at 11 hospitals in Missouri was billed at $31,900 on average, while the average total payment was $6,907, of which Medicare paid $4,905. 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 4.6 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.