Hip replacement with principal diagnosis of hip fracture with major complications in Missouri
What 10 hospitals in Missouri charged and were paid for a Medicare hospital stay for hip replacement with principal diagnosis of hip fracture with major complications (DRG 521), from 2024 Medicare claims.
Average charge
$86,363
Hospital list price billed
Average payment
$21,913
Medicare + patient + other payers
Medicare paid
$19,836
Average per stay
State rank
#12 of 40
1 = lowest average payment
Hospitals in Missouri billed an average of $86,363 for hip replacement with principal diagnosis of hip fracture with major complications, about 3.9 times the average total payment of $21,913. That payment is 15% below the U.S. average of $25,727.
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 $21,913Billed $86,363
About 25¢ 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: hip replacement with principal diagnosis of hip fracture 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 |
|---|---|---|---|---|
| Mercy Hospital SouthSt Louis | 37 | $67,683 | $20,353 | $18,281 |
| St John's Mercy Medical CenterSt Louis | 22 | $73,048 | $22,077 | $20,284 |
| Boone Hospital CenterColumbia | 19 | $70,982 | $17,823 | $16,363 |
| Mosaic Life Care at St JosephSt Joseph | 17 | $56,163 | $27,037 | $25,962 |
| SSM St Joseph Hospital WestLake St Louis | 16 | $56,710 | $18,558 | $17,640 |
| Lester E Cox Medical CentersSpringfield | 13 | $109,516 | $21,341 | $19,453 |
| Nkc HealthNorth Kansas City | 12 | $84,393 | $18,757 | $17,305 |
| Barnes Jewish HospitalSt Louis | 11 | $134,037 | $36,729 | $28,519 |
| Centerpoint Medical CenterIndependence | 11 | $202,060 | $20,011 | $18,641 |
| St Lukes HospitalChesterfield | 11 | $103,608 | $22,055 | $19,617 |
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 | $17,823 |
|---|---|
| SSM St Joseph Hospital WestLake St Louis, MO | $18,558 |
| Nkc HealthNorth Kansas City, MO | $18,757 |
| Centerpoint Medical CenterIndependence, MO | $20,011 |
| Mercy Hospital SouthSt Louis, MO | $20,353 |
Highest
| Barnes Jewish HospitalSt Louis, MO | $36,729 |
|---|---|
| Mosaic Life Care at St JosephSt Joseph, MO | $27,037 |
| St John's Mercy Medical CenterSt Louis, MO | $22,077 |
| St Lukes HospitalChesterfield, MO | $22,055 |
| Lester E Cox Medical CentersSpringfield, MO | $21,341 |
Hip replacement with principal diagnosis of hip fracture with major complications in other states
Questions
How much does hip replacement with principal diagnosis of hip fracture with major complications cost in Missouri?
In 2024 Medicare data, a hospital stay for hip replacement with principal diagnosis of hip fracture with major complications (DRG 521) at 10 hospitals in Missouri was billed at $86,363 on average, while the average total payment was $21,913, of which Medicare paid $19,836. 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 3.9 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.