facebook tracking Implantation of Drug Infusion Device cost in Missouri: 19 hospitals compared (APC 5471)

Implantation of Drug Infusion Device in Missouri

What 19 hospitals in Missouri charged and were paid for implantation of drug infusion device (APC 5471), from 2024 Medicare claims.

APC 5471 Outpatient 2024 Medicare data
Average charge $73,406 Hospital list price billed
Average allowed $15,822 Medicare's payment + patient's share
Medicare paid $14,190 Average per service
State rank #18 of 32 1 = lowest average payment

Hospitals in Missouri billed an average of $73,406 for implantation of drug infusion device, about 4.6 times the average medicare-allowed amount of $15,822. That payment is 4% below the U.S. average of $16,462.

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 $15,822Billed $73,406

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

Missouri hospitals: implantation of drug infusion device

Every Missouri hospital that billed Medicare for this service at least 11 times. Click a column to sort.

Hospital Services Avg charge Avg allowed Medicare paid
Christian Hospital NortheastSt Louis 28 $72,300 $15,558 $13,926
Southeast Missouri HospitalCape Girardeau 16 $75,343 $16,283 $14,651
St John's Mercy Medical CenterSt Louis – – – –
Hannibal Regional HospitalHannibal – – – –
Research Medical CenterKansas City – – – –
Barnes Jewish HospitalSt Louis – – – –
Lester E Cox Medical CentersSpringfield – – – –
Mercy Hospital SpringfieldSpringfield – – – –
Boone Hospital CenterColumbia – – – –
SSM St Mary's Health CenterSt Louis – – – –
Centerpoint Medical CenterIndependence – – – –
St Louis University HospitalSt Louis – – – –
Missouri Baptist Medical CenterTown and Country – – – –
St Lukes Hospital of Kansas CityKansas City – – – –
University Hospitals & ClinicsColumbia – – – –
St Lukes HospitalChesterfield – – – –
St Francis Medical CenterCape Girardeau – – – –
SSM St Joseph Hospital WestLake St Louis – – – –
Saint Luke's East Lee's Summit HospitalLee's Summit – – – –
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Implantation of Drug Infusion Device in other states

Questions

How much does implantation of drug infusion device cost in Missouri?

In 2024 Medicare data, implantation of drug infusion device (APC 5471) at 19 hospitals in Missouri was billed at $73,406 on average, while the average medicare-allowed amount was $15,822, of which Medicare paid $14,190. 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 service 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 Outpatient Hospitals by Provider and Service, 2024. The allowed amount is Medicare's payment plus the patient's coinsurance. CMS omits hospitals with fewer than 11 services for privacy. About the data.