facebook tracking Hip and femur procedures except major joint with complications cost in Missouri: 40 hospitals compared (DRG 481)

Hip and femur procedures except major joint with complications in Missouri

What 40 hospitals in Missouri charged and were paid for a Medicare hospital stay for hip and femur procedures except major joint with complications (DRG 481), from 2024 Medicare claims.

DRG 481 Inpatient 2024 Medicare data
Average charge $80,717 Hospital list price billed
Average payment $16,491 Medicare + patient + other payers
Medicare paid $14,126 Average per stay
State rank #15 of 50 1 = lowest average payment

Hospitals in Missouri billed an average of $80,717 for hip and femur procedures except major joint with complications, about 4.9 times the average total payment of $16,491. That payment is 11% below the U.S. average of $18,473.

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 $16,491Billed $80,717

About 20¢ was paid for every $1 hospitals in Missouri billed for this stay.

Missouri hospitals: hip and femur procedures except major joint with 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 116 $94,999 $22,017 $17,143
Mercy Hospital SpringfieldSpringfield 77 $60,366 $14,319 $12,863
University Hospitals & ClinicsColumbia 76 $91,579 $20,258 $16,090
Nkc HealthNorth Kansas City 71 $71,379 $13,918 $12,537
Mosaic Life Care at St JosephSt Joseph 67 $50,158 $18,887 $17,607
St John's Mercy Medical CenterSt Louis 64 $62,212 $15,899 $13,417
Lester E Cox Medical CentersSpringfield 62 $93,296 $17,246 $13,257
Mercy Hospital SouthSt Louis 60 $38,378 $14,155 $12,714
Freeman Health System - Freeman WestJoplin 59 $85,970 $15,065 $12,885
Boone Hospital CenterColumbia 54 $52,900 $12,900 $11,419
Mercy Hospital JoplinJoplin 48 $59,830 $14,351 $12,762
St Francis Medical CenterCape Girardeau 48 $89,964 $15,256 $13,880
St Lukes HospitalChesterfield 40 $52,175 $14,431 $12,888
St Louis University HospitalSt Louis 38 $111,789 $23,849 $19,358
Centerpoint Medical CenterIndependence 36 $157,352 $14,623 $12,475
Liberty HospitalLiberty 36 $66,619 $13,884 $12,660
St Lukes Hospital of Kansas CityKansas City 35 $117,789 $18,703 $14,204
Saint Luke's East Lee's Summit HospitalLee's Summit 33 $97,063 $13,291 $11,906
Cox Medical Center BransonBranson 29 $81,648 $14,842 $13,126
Missouri Baptist Medical CenterTown and Country 28 $68,091 $13,524 $12,034
Phelps County Regional Medical CenterRolla 27 $98,615 $18,784 $17,455
Research Medical CenterKansas City 25 $210,678 $19,948 $14,545
Lake Regional Health SystemOsage Beach 24 $49,070 $17,498 $16,070
SSM St Joseph Hospital WestLake St Louis 23 $52,480 $13,687 $12,410
Bothwell Regional Health CenterSedalia 22 $40,071 $15,645 $14,080
SSM Depaul Health CenterBridgeton 22 $51,027 $15,058 $13,480
Progress West Healthcare CenterO'fallon 22 $69,823 $15,419 $12,505
Saint Luke's Northland HospSmithville 21 $89,064 $15,083 $12,431
Northeast Regional Medical CenterKirksville 20 $159,651 $26,137 $21,674
Ozarks Medical CenterWest Plains 19 $55,654 $14,160 $12,873
Poplar Bluff Regional Medical CenterPoplar Bluff 19 $232,803 $13,750 $12,358
St Johns Mercy HospitalWashington 18 $50,246 $14,780 $13,238
Jefferson Memorial HospitalCrystal City 16 $48,638 $14,525 $13,403
Southeast Missouri HospitalCape Girardeau 16 $72,808 $14,506 $12,654
SSM St Joseph Health CenterSt Charles 15 $43,683 $15,038 $13,624
SSM St Mary's Health CenterSt Louis 15 $53,279 $17,941 $15,852
SSM St Joseph Hosp of KirkwoodSt Louis 14 $43,502 $14,018 $12,413
Hannibal Regional HospitalHannibal 13 $76,863 $16,685 $15,372
Missouri Delta Medical CenterSikeston 12 $60,272 $17,877 $16,248
Research Belton HospitalBelton 12 $160,525 $13,533 $12,445
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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$12,900
Saint Luke's East Lee's Summit HospitalLee's Summit, MO$13,291
Missouri Baptist Medical CenterTown and Country, MO$13,524
Research Belton HospitalBelton, MO$13,533
SSM St Joseph Hospital WestLake St Louis, MO$13,687

Highest

Northeast Regional Medical CenterKirksville, MO$26,137
St Louis University HospitalSt Louis, MO$23,849
Barnes Jewish HospitalSt Louis, MO$22,017
University Hospitals & ClinicsColumbia, MO$20,258
Research Medical CenterKansas City, MO$19,948

Hip and femur procedures except major joint with complications in other states

Questions

How much does hip and femur procedures except major joint with complications cost in Missouri?

In 2024 Medicare data, a hospital stay for hip and femur procedures except major joint with complications (DRG 481) at 40 hospitals in Missouri was billed at $80,717 on average, while the average total payment was $16,491, of which Medicare paid $14,126. 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 4.9 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.