facebook tracking Headaches without major complications cost in Missouri: 4 hospitals compared (DRG 103)

Headaches without major complications in Missouri

What 4 hospitals in Missouri charged and were paid for a Medicare hospital stay for headaches without major complications (DRG 103), from 2024 Medicare claims.

DRG 103 Inpatient 2024 Medicare data
Average charge $38,357 Hospital list price billed
Average payment $9,218 Medicare + patient + other payers
Medicare paid $5,186 Average per stay
State rank #9 of 16 1 = lowest average payment

Hospitals in Missouri billed an average of $38,357 for headaches without major complications, about 4.2 times the average total payment of $9,218. That payment is 11% below the U.S. average of $10,322.

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 $9,218Billed $38,357

About 24¢ 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: headaches 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
St John's Mercy Medical CenterSt Louis 17 $23,798 $8,148 $3,868
St Lukes Hospital of Kansas CityKansas City 12 $48,936 $8,691 $5,441
Barnes Jewish HospitalSt Louis 11 $49,721 $11,171 $6,881
University Hospitals & ClinicsColumbia 11 $37,953 $9,495 $5,251
Advertisement

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

St John's Mercy Medical CenterSt Louis, MO$8,148
St Lukes Hospital of Kansas CityKansas City, MO$8,691
University Hospitals & ClinicsColumbia, MO$9,495
Barnes Jewish HospitalSt Louis, MO$11,171

Highest

Barnes Jewish HospitalSt Louis, MO$11,171
University Hospitals & ClinicsColumbia, MO$9,495
St Lukes Hospital of Kansas CityKansas City, MO$8,691
St John's Mercy Medical CenterSt Louis, MO$8,148

Headaches without major complications in other states

Questions

How much does headaches without major complications cost in Missouri?

In 2024 Medicare data, a hospital stay for headaches without major complications (DRG 103) at 4 hospitals in Missouri was billed at $38,357 on average, while the average total payment was $9,218, of which Medicare paid $5,186. 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 4.2 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.