Level 1 ICD and Similar Procedures in Missouri
What 33 hospitals in Missouri charged and were paid for level 1 icd and similar procedures (APC 5231), from 2024 Medicare claims.
Average charge
$82,839
Hospital list price billed
Average allowed
$19,924
Medicare's payment + patient's share
Medicare paid
$18,292
Average per service
State rank
#6 of 34
1 = lowest average payment
Hospitals in Missouri billed an average of $82,839 for level 1 icd and similar procedures, about 4.2 times the average medicare-allowed amount of $19,924. That payment is 12% below the U.S. average of $22,647.
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 $19,924Billed $82,839
About 24¢ was paid for every $1 hospitals in Missouri billed for this service.
Missouri hospitals: level 1 icd and similar procedures
Every Missouri hospital that billed Medicare for this service at least 11 times. Click a column to sort.
Level 1 ICD and Similar Procedures in other states
Questions
How much does level 1 icd and similar procedures cost in Missouri?
In 2024 Medicare data, level 1 icd and similar procedures (APC 5231) at 33 hospitals in Missouri was billed at $82,839 on average, while the average medicare-allowed amount was $19,924, of which Medicare paid $18,292. 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 4.2 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.