facebook tracking Hip and femur procedures except major joint with major complications cost in Missouri: 22 hospitals compared (DRG 480)

Hip and femur procedures except major joint with major complications in Missouri

What 22 hospitals in Missouri charged and were paid for a Medicare hospital stay for hip and femur procedures except major joint with major complications (DRG 480), from 2024 Medicare claims.

DRG 480 Inpatient 2024 Medicare data
Average charge $106,939 Hospital list price billed
Average payment $23,439 Medicare + patient + other payers
Medicare paid $20,589 Average per stay
State rank #19 of 46 1 = lowest average payment

Hospitals in Missouri billed an average of $106,939 for hip and femur procedures except major joint with major complications, about 4.6 times the average total payment of $23,439. That payment is 11% below the U.S. average of $26,284.

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 $23,439Billed $106,939

About 22¢ was paid for every $1 hospitals in Missouri billed for this stay.

Missouri hospitals: hip and femur procedures except major joint 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
St John's Mercy Medical CenterSt Louis 43 $90,858 $22,333 $20,801
Mercy Hospital SouthSt Louis 38 $63,753 $19,352 $18,108
Barnes Jewish HospitalSt Louis 29 $143,606 $32,449 $24,775
St Louis University HospitalSt Louis 28 $134,877 $33,387 $26,553
University Hospitals & ClinicsColumbia 28 $150,887 $27,199 $23,481
Lester E Cox Medical CentersSpringfield 23 $166,018 $27,193 $23,492
Mosaic Life Care at St JosephSt Joseph 21 $79,385 $33,280 $28,338
Centerpoint Medical CenterIndependence 21 $194,130 $19,453 $18,338
Mercy Hospital SpringfieldSpringfield 20 $77,634 $18,812 $17,484
Boone Hospital CenterColumbia 20 $69,183 $17,875 $16,570
Nkc HealthNorth Kansas City 20 $106,417 $19,419 $17,934
Jefferson Memorial HospitalCrystal City 16 $51,790 $18,874 $17,344
Liberty HospitalLiberty 16 $77,218 $19,244 $17,918
Freeman Health System - Freeman WestJoplin 15 $108,498 $19,768 $18,201
SSM St Joseph Hospital WestLake St Louis 15 $65,544 $19,457 $18,043
Missouri Baptist Medical CenterTown and Country 14 $96,709 $23,178 $17,841
Southeast Missouri HospitalCape Girardeau 13 $85,960 $20,861 $19,160
Mercy Hospital JoplinJoplin 12 $91,556 $19,011 $17,691
St Francis Medical CenterCape Girardeau 12 $86,913 $19,783 $18,559
St Johns Mercy HospitalWashington 11 $58,230 $19,206 $17,574
Cox Medical Center BransonBranson 11 $121,399 $20,623 $19,292
St Lukes Hospital of Kansas CityKansas City 11 $213,311 $32,455 $26,188
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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$17,875
Mercy Hospital SpringfieldSpringfield, MO$18,812
Jefferson Memorial HospitalCrystal City, MO$18,874
Mercy Hospital JoplinJoplin, MO$19,011
St Johns Mercy HospitalWashington, MO$19,206

Highest

St Louis University HospitalSt Louis, MO$33,387
Mosaic Life Care at St JosephSt Joseph, MO$33,280
St Lukes Hospital of Kansas CityKansas City, MO$32,455
Barnes Jewish HospitalSt Louis, MO$32,449
University Hospitals & ClinicsColumbia, MO$27,199

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

Questions

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

In 2024 Medicare data, a hospital stay for hip and femur procedures except major joint with major complications (DRG 480) at 22 hospitals in Missouri was billed at $106,939 on average, while the average total payment was $23,439, of which Medicare paid $20,589. 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.