Hip replacement with principal diagnosis of hip fracture without major complications in Missouri
What 32 hospitals in Missouri charged and were paid for a Medicare hospital stay for hip replacement with principal diagnosis of hip fracture without major complications (DRG 522), from 2024 Medicare claims.
Average charge
$73,314
Hospital list price billed
Average payment
$15,970
Medicare + patient + other payers
Medicare paid
$13,913
Average per stay
State rank
#10 of 50
1 = lowest average payment
Hospitals in Missouri billed an average of $73,314 for hip replacement with principal diagnosis of hip fracture without major complications, about 4.6 times the average total payment of $15,970. That payment is 13% below the U.S. average of $18,301.
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 $15,970Billed $73,314
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: hip replacement with principal diagnosis of hip fracture 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 |
|---|---|---|---|---|
| Mercy Hospital SouthSt Louis | 53 | $39,809 | $14,867 | $12,567 |
| Lester E Cox Medical CentersSpringfield | 52 | $77,821 | $17,315 | $13,896 |
| University Hospitals & ClinicsColumbia | 52 | $101,776 | $18,466 | $15,746 |
| Mosaic Life Care at St JosephSt Joseph | 45 | $51,239 | $19,234 | $17,735 |
| Mercy Hospital SpringfieldSpringfield | 45 | $61,204 | $14,818 | $13,462 |
| Saint Luke's East Lee's Summit HospitalLee's Summit | 42 | $103,774 | $13,721 | $12,246 |
| Nkc HealthNorth Kansas City | 41 | $65,172 | $14,197 | $12,859 |
| Freeman Health System - Freeman WestJoplin | 39 | $84,451 | $14,982 | $13,561 |
| Boone Hospital CenterColumbia | 38 | $52,579 | $13,133 | $11,630 |
| Barnes Jewish HospitalSt Louis | 34 | $81,476 | $21,554 | $17,622 |
| St Lukes HospitalChesterfield | 33 | $49,540 | $14,942 | $12,294 |
| Phelps County Regional Medical CenterRolla | 30 | $100,407 | $19,079 | $17,611 |
| St John's Mercy Medical CenterSt Louis | 30 | $56,460 | $15,702 | $13,390 |
| St Francis Medical CenterCape Girardeau | 29 | $78,258 | $15,434 | $13,971 |
| Mercy Hospital JoplinJoplin | 25 | $66,397 | $14,791 | $13,174 |
| Jefferson Memorial HospitalCrystal City | 25 | $48,692 | $15,000 | $13,695 |
| Missouri Baptist Medical CenterTown and Country | 24 | $63,115 | $13,608 | $12,081 |
| Liberty HospitalLiberty | 24 | $64,615 | $14,790 | $12,408 |
| SSM St Joseph Hospital WestLake St Louis | 23 | $47,120 | $14,237 | $12,961 |
| Lake Regional Health SystemOsage Beach | 21 | $63,531 | $17,862 | $16,535 |
| Saint Luke's Northland HospSmithville | 19 | $76,806 | $14,670 | $13,038 |
| St Lukes Hospital of Kansas CityKansas City | 18 | $117,527 | $20,255 | $13,693 |
| Bothwell Regional Health CenterSedalia | 17 | $44,024 | $15,995 | $14,354 |
| Cox Medical Center BransonBranson | 17 | $90,439 | $15,137 | $13,479 |
| St Johns Mercy HospitalWashington | 16 | $50,434 | $14,857 | $13,429 |
| Centerpoint Medical CenterIndependence | 16 | $136,077 | $14,589 | $13,041 |
| Ozarks Medical CenterWest Plains | 15 | $61,465 | $14,674 | $13,368 |
| Poplar Bluff Regional Medical CenterPoplar Bluff | 14 | $304,471 | $18,126 | $12,662 |
| Barnes-Jewish St Peters HospitalSt Peters | 13 | $53,845 | $12,995 | $11,474 |
| SSM St Joseph Hosp of KirkwoodSt Louis | 12 | $43,976 | $13,750 | $12,184 |
| Golden Valley Memorial HospitalClinton | 12 | $46,436 | $17,841 | $16,345 |
| Citizens Memorial HospitalBolivar | 11 | $45,127 | $18,094 | $16,751 |
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
| Barnes-Jewish St Peters HospitalSt Peters, MO | $12,995 |
|---|---|
| Boone Hospital CenterColumbia, MO | $13,133 |
| Missouri Baptist Medical CenterTown and Country, MO | $13,608 |
| Saint Luke's East Lee's Summit HospitalLee's Summit, MO | $13,721 |
| SSM St Joseph Hosp of KirkwoodSt Louis, MO | $13,750 |
Highest
| Barnes Jewish HospitalSt Louis, MO | $21,554 |
|---|---|
| St Lukes Hospital of Kansas CityKansas City, MO | $20,255 |
| Mosaic Life Care at St JosephSt Joseph, MO | $19,234 |
| Phelps County Regional Medical CenterRolla, MO | $19,079 |
| University Hospitals & ClinicsColumbia, MO | $18,466 |
Hip replacement with principal diagnosis of hip fracture without major complications in other states
Questions
How much does hip replacement with principal diagnosis of hip fracture without major complications cost in Missouri?
In 2024 Medicare data, a hospital stay for hip replacement with principal diagnosis of hip fracture without major complications (DRG 522) at 32 hospitals in Missouri was billed at $73,314 on average, while the average total payment was $15,970, of which Medicare paid $13,913. 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.