Inborn and other disorders of metabolism in Missouri
What 1 hospital in Missouri charged and were paid for a Medicare hospital stay for inborn and other disorders of metabolism (DRG 642), from 2024 Medicare claims.
Average charge
$160,304
Hospital list price billed
Average payment
$12,160
Medicare + patient + other payers
Medicare paid
$10,208
Average per stay
Volume
11
Medicare hospital stays
Hospitals in Missouri billed an average of $160,304 for inborn and other disorders of metabolism, about 13.2 times the average total payment of $12,160. That payment is 53% below the U.S. average of $25,993.
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 $12,160Billed $160,304
About 8¢ was paid for every $1 hospitals in Missouri billed for this stay.
Missouri hospitals: inborn and other disorders of metabolism
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 Lukes Hospital of Kansas CityKansas City | 11 | $160,304 | $12,160 | $10,208 |
Inborn and other disorders of metabolism in other states
Questions
How much does inborn and other disorders of metabolism cost in Missouri?
In 2024 Medicare data, a hospital stay for inborn and other disorders of metabolism (DRG 642) at 1 hospital in Missouri was billed at $160,304 on average, while the average total payment was $12,160, of which Medicare paid $10,208. 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 13.2 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.