Level 1 Abdominal/Peritoneal/Biliary and Related Procedures in Missouri
What 62 hospitals in Missouri charged and were paid for level 1 abdominal/peritoneal/biliary and related procedures (APC 5341), from 2024 Medicare claims.
Average charge
$20,115
Hospital list price billed
Average allowed
$3,030
Medicare's payment + patient's share
Medicare paid
$2,409
Average per service
State rank
#14 of 49
1 = lowest average payment
Hospitals in Missouri billed an average of $20,115 for level 1 abdominal/peritoneal/biliary and related procedures, about 6.6 times the average medicare-allowed amount of $3,030. That payment is 9% below the U.S. average of $3,323.
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 $3,030Billed $20,115
About 15¢ was paid for every $1 hospitals in Missouri billed for this service.
Missouri hospitals: level 1 abdominal/peritoneal/biliary and related procedures
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 |
|---|---|---|---|---|
| Missouri Baptist Medical CenterTown and Country | 131 | $15,154 | $3,006 | $2,390 |
| Barnes Jewish HospitalSt Louis | 112 | $16,184 | $3,030 | $2,407 |
| St Lukes HospitalChesterfield | 73 | $15,973 | $3,012 | $2,386 |
| St John's Mercy Medical CenterSt Louis | 67 | $11,850 | $3,050 | $2,421 |
| University Hospitals & ClinicsColumbia | 59 | $20,693 | $2,891 | $2,295 |
| Mercy Hospital SpringfieldSpringfield | 58 | $19,600 | $2,879 | $2,294 |
| Mosaic Life Care at St JosephSt Joseph | 53 | $15,348 | $3,205 | $2,544 |
| Lester E Cox Medical CentersSpringfield | 51 | $19,185 | $2,807 | $2,227 |
| Nkc HealthNorth Kansas City | 46 | $20,120 | $3,021 | $2,406 |
| St Francis Medical CenterCape Girardeau | 44 | $28,878 | $3,165 | $2,522 |
| Boone Hospital CenterColumbia | 38 | $19,777 | $2,883 | $2,279 |
| Southeast Missouri HospitalCape Girardeau | 36 | $27,705 | $3,165 | $2,522 |
| Phelps County Regional Medical CenterRolla | 34 | $27,237 | $3,298 | $2,627 |
| Freeman Health System - Freeman WestJoplin | 30 | $25,278 | $2,851 | $2,249 |
| St Louis University HospitalSt Louis | 27 | $18,307 | $2,912 | $2,320 |
| Lake Regional Health SystemOsage Beach | 26 | $13,240 | $3,116 | $2,482 |
| Parkland Health CenterFarmington | 24 | $17,228 | $3,298 | $2,627 |
| SSM St Joseph Hosp of KirkwoodSt Louis | 23 | $15,826 | $3,024 | $2,409 |
| Barnes-Jewish West County HospitalSt Louis | 23 | $14,469 | $3,079 | $2,441 |
| St Johns Mercy HospitalWashington | 22 | $9,843 | $3,079 | $2,453 |
| Mercy Hospital SouthSt Louis | 22 | $9,594 | $3,002 | $2,367 |
| SSM St Mary's Health CenterSt Louis | 22 | $11,733 | $2,915 | $2,298 |
| Bothwell Regional Health CenterSedalia | 21 | $10,840 | $3,236 | $2,573 |
| Research Medical CenterKansas City | 21 | $77,756 | $3,022 | $2,398 |
| SSM St Joseph Hospital WestLake St Louis | 21 | $12,598 | $3,079 | $2,453 |
| Saint Luke's East Lee's Summit HospitalLee's Summit | 19 | $15,479 | $3,021 | $2,407 |
| St Lukes Hospital of Kansas CityKansas City | 18 | $32,156 | $3,021 | $2,407 |
| St Marys Health CenterJefferson City | 17 | $21,922 | $2,928 | $2,333 |
| Citizens Memorial HospitalBolivar | 17 | $20,026 | $3,116 | $2,480 |
| Mercy Hospital JoplinJoplin | 16 | $21,458 | $2,909 | $2,318 |
| Centerpoint Medical CenterIndependence | 16 | $74,387 | $3,021 | $2,407 |
| Hannibal Regional HospitalHannibal | 15 | $49,377 | $3,298 | $2,627 |
| SSM Depaul Health CenterBridgeton | 14 | $14,107 | $3,024 | $2,409 |
| Golden Valley Memorial HospitalClinton | 14 | $17,495 | $3,235 | $2,601 |
| Jefferson Memorial HospitalCrystal City | 13 | $13,555 | $3,079 | $2,453 |
| Lee's Summit HospitalLee's Summit | 12 | $39,040 | $3,021 | $2,407 |
| SSM St Joseph Health CenterSt Charles | – | – | – | – |
| Northeast Regional Medical CenterKirksville | – | – | – | – |
| Texas County Memorial HospitalHouston | – | – | – | – |
| Bates County Memorial HospitalButler | – | – | – | – |
| Truman Medical Center Hospital HillKansas City | – | – | – | – |
| Mosaic Medical Center - MaryvilleMaryville | – | – | – | – |
| Cameron Community HospitalCameron | – | – | – | – |
| St Johns Hospital-LebanonLebanon | – | – | – | – |
| Nevada Regional Medical CenterNevada | – | – | – | – |
| Saint Luke's Northland HospSmithville | – | – | – | – |
| Moberly Regional Medical CenterMoberly | – | – | – | – |
| Ozarks Medical CenterWest Plains | – | – | – | – |
| St Joseph Medical CenterKansas City | – | – | – | – |
| Cox Medical Center BransonBranson | – | – | – | – |
| Western Missouri Medical CenterWarrensburg | – | – | – | – |
| Missouri Delta Medical CenterSikeston | – | – | – | – |
| Poplar Bluff Regional Medical CenterPoplar Bluff | – | – | – | – |
| Fitzgibbon Memorial HospitalMarshall | – | – | – | – |
| St Luke's Des Peres HospitalSaint Louis | – | – | – | – |
| Liberty HospitalLiberty | – | – | – | – |
| Christian Hospital NortheastSt Louis | – | – | – | – |
| Barnes-Jewish St Peters HospitalSt Peters | – | – | – | – |
| St Mary's Medical CenterBlue Springs | – | – | – | – |
| Research Belton HospitalBelton | – | – | – | – |
| Progress West Healthcare CenterO'fallon | – | – | – | – |
| Childrens Mercy HospitalKansas City | – | – | – | – |
Lowest and highest allowed amounts in Missouri
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Lester E Cox Medical CentersSpringfield, MO | $2,807 |
|---|---|
| Freeman Health System - Freeman WestJoplin, MO | $2,851 |
| Mercy Hospital SpringfieldSpringfield, MO | $2,879 |
| Boone Hospital CenterColumbia, MO | $2,883 |
| University Hospitals & ClinicsColumbia, MO | $2,891 |
Highest
| Phelps County Regional Medical CenterRolla, MO | $3,298 |
|---|---|
| Hannibal Regional HospitalHannibal, MO | $3,298 |
| Parkland Health CenterFarmington, MO | $3,298 |
| Bothwell Regional Health CenterSedalia, MO | $3,236 |
| Golden Valley Memorial HospitalClinton, MO | $3,235 |
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures in other states
Questions
How much does level 1 abdominal/peritoneal/biliary and related procedures cost in Missouri?
In 2024 Medicare data, level 1 abdominal/peritoneal/biliary and related procedures (APC 5341) at 62 hospitals in Missouri was billed at $20,115 on average, while the average medicare-allowed amount was $3,030, of which Medicare paid $2,409. 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 6.6 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.