Level 2 ICD and Similar Procedures in Missouri
What 43 hospitals in Missouri charged and were paid for level 2 icd and similar procedures (APC 5232), from 2024 Medicare claims.
Average charge
$131,827
Hospital list price billed
Average allowed
$28,211
Medicare's payment + patient's share
Medicare paid
$26,575
Average per service
State rank
#11 of 47
1 = lowest average payment
Hospitals in Missouri billed an average of $131,827 for level 2 icd and similar procedures, about 4.7 times the average medicare-allowed amount of $28,211. That payment is 9% below the U.S. average of $31,009.
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 $28,211Billed $131,827
About 21¢ was paid for every $1 hospitals in Missouri billed for this service.
Missouri hospitals: level 2 icd and similar 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 |
|---|---|---|---|---|
| Boone Hospital CenterColumbia | 66 | $115,382 | $27,515 | $25,872 |
| Mercy Hospital SpringfieldSpringfield | 60 | $96,977 | $27,284 | $25,636 |
| Missouri Baptist Medical CenterTown and Country | 52 | $101,627 | $28,673 | $27,036 |
| Barnes Jewish HospitalSt Louis | 47 | $105,734 | $28,606 | $26,974 |
| St Lukes Hospital of Kansas CityKansas City | 47 | $118,655 | $27,497 | $25,865 |
| St Lukes HospitalChesterfield | 46 | $102,504 | $28,593 | $26,956 |
| St John's Mercy Medical CenterSt Louis | 28 | $78,970 | $28,208 | $26,576 |
| Mercy Hospital SouthSt Louis | 25 | $75,827 | $29,075 | $27,443 |
| Saint Luke's East Lee's Summit HospitalLee's Summit | 24 | $113,620 | $27,521 | $25,889 |
| Mosaic Life Care at St JosephSt Joseph | 23 | $86,542 | $30,854 | $29,222 |
| Freeman Health System - Freeman WestJoplin | 23 | $160,179 | $27,583 | $25,951 |
| University Hospitals & ClinicsColumbia | 21 | $204,107 | $27,882 | $26,250 |
| Research Medical CenterKansas City | 18 | $475,525 | $27,146 | $25,514 |
| Phelps County Regional Medical CenterRolla | 17 | $89,185 | $31,263 | $29,628 |
| Lester E Cox Medical CentersSpringfield | 17 | $149,163 | $27,583 | $25,951 |
| Southeast Missouri HospitalCape Girardeau | 16 | $116,104 | $30,009 | $28,370 |
| Christian Hospital NortheastSt Louis | 16 | $107,482 | $25,293 | $23,661 |
| SSM St Joseph Health CenterSt Charles | 15 | $74,039 | $26,991 | $25,359 |
| Nkc HealthNorth Kansas City | 15 | $125,625 | $28,647 | $27,015 |
| St Joseph Medical CenterKansas City | 14 | $219,484 | $28,647 | $27,015 |
| Centerpoint Medical CenterIndependence | 14 | $412,914 | $28,647 | $26,999 |
| St Francis Medical CenterCape Girardeau | 13 | $298,522 | $30,009 | $28,377 |
| Mercy Hospital JoplinJoplin | 12 | $73,377 | $27,465 | $25,833 |
| St Johns Mercy HospitalWashington | 12 | $77,355 | $29,192 | $27,560 |
| Bothwell Regional Health CenterSedalia | – | – | – | – |
| St Marys Health CenterJefferson City | – | – | – | – |
| Northeast Regional Medical CenterKirksville | – | – | – | – |
| Jefferson Memorial HospitalCrystal City | – | – | – | – |
| Hannibal Regional HospitalHannibal | – | – | – | – |
| Truman Medical Center Hospital HillKansas City | – | – | – | – |
| Saint Luke's Northland HospSmithville | – | – | – | – |
| Moberly Regional Medical CenterMoberly | – | – | – | – |
| Ozarks Medical CenterWest Plains | – | – | – | – |
| SSM St Joseph Hosp of KirkwoodSt Louis | – | – | – | – |
| SSM St Mary's Health CenterSt Louis | – | – | – | – |
| Cox Medical Center BransonBranson | – | – | – | – |
| SSM Depaul Health CenterBridgeton | – | – | – | – |
| St Louis University HospitalSt Louis | – | – | – | – |
| Poplar Bluff Regional Medical CenterPoplar Bluff | – | – | – | – |
| Parkland Health CenterFarmington | – | – | – | – |
| Liberty HospitalLiberty | – | – | – | – |
| Lake Regional Health SystemOsage Beach | – | – | – | – |
| St Mary's Medical CenterBlue Springs | – | – | – | – |
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
| Christian Hospital NortheastSt Louis, MO | $25,293 |
|---|---|
| SSM St Joseph Health CenterSt Charles, MO | $26,991 |
| Research Medical CenterKansas City, MO | $27,146 |
| Mercy Hospital SpringfieldSpringfield, MO | $27,284 |
| Mercy Hospital JoplinJoplin, MO | $27,465 |
Highest
| Phelps County Regional Medical CenterRolla, MO | $31,263 |
|---|---|
| Mosaic Life Care at St JosephSt Joseph, MO | $30,854 |
| Southeast Missouri HospitalCape Girardeau, MO | $30,009 |
| St Francis Medical CenterCape Girardeau, MO | $30,009 |
| St Johns Mercy HospitalWashington, MO | $29,192 |
Level 2 ICD and Similar Procedures in other states
Questions
How much does level 2 icd and similar procedures cost in Missouri?
In 2024 Medicare data, level 2 icd and similar procedures (APC 5232) at 43 hospitals in Missouri was billed at $131,827 on average, while the average medicare-allowed amount was $28,211, of which Medicare paid $26,575. 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 4.7 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.