Level 3 Lower GI Procedures in Missouri
What 55 hospitals in Missouri charged and were paid for level 3 lower gi procedures (APC 5313), from 2024 Medicare claims.
Average charge
$13,988
Hospital list price billed
Average allowed
$2,443
Medicare's payment + patient's share
Medicare paid
$1,974
Average per service
State rank
#17 of 49
1 = lowest average payment
Hospitals in Missouri billed an average of $13,988 for level 3 lower gi procedures, about 5.7 times the average medicare-allowed amount of $2,443. That payment is 10% below the U.S. average of $2,703.
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 $2,443Billed $13,988
About 17¢ was paid for every $1 hospitals in Missouri billed for this service.
Missouri hospitals: level 3 lower gi 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 |
|---|---|---|---|---|
| Barnes-Jewish West County HospitalSt Louis | 84 | $10,568 | $2,498 | $2,009 |
| Barnes Jewish HospitalSt Louis | 78 | $11,170 | $2,498 | $2,007 |
| Lester E Cox Medical CentersSpringfield | 60 | $15,541 | $2,360 | $1,928 |
| St John's Mercy Medical CenterSt Louis | 58 | $11,102 | $2,483 | $2,001 |
| St Louis University HospitalSt Louis | 50 | $15,099 | $2,420 | $1,964 |
| Mosaic Life Care at St JosephSt Joseph | 44 | $12,683 | $2,562 | $2,082 |
| Missouri Baptist Medical CenterTown and Country | 36 | $11,764 | $2,400 | $1,917 |
| Barnes-Jewish St Peters HospitalSt Peters | 36 | $11,545 | $2,443 | $1,969 |
| Mercy Hospital SpringfieldSpringfield | 32 | $13,986 | $2,246 | $1,789 |
| University Hospitals & ClinicsColumbia | 31 | $16,863 | $2,325 | $1,844 |
| Mercy Hospital SouthSt Louis | 29 | $8,796 | $2,437 | $1,965 |
| Boone Hospital CenterColumbia | 27 | $11,035 | $2,389 | $1,908 |
| St Lukes HospitalChesterfield | 26 | $20,692 | $2,497 | $2,077 |
| St Francis Medical CenterCape Girardeau | 23 | $19,985 | $2,569 | $2,058 |
| Research Medical CenterKansas City | 22 | $40,965 | $2,357 | $1,892 |
| Saint Luke's Northland HospSmithville | 20 | $23,750 | $2,451 | $2,021 |
| St Johns Mercy HospitalWashington | 19 | $10,967 | $2,498 | $2,033 |
| SSM St Joseph Hospital WestLake St Louis | 14 | $10,236 | $2,497 | $2,080 |
| Jefferson Memorial HospitalCrystal City | 12 | $10,135 | $2,497 | $2,064 |
| Truman Medical Center Hospital HillKansas City | 11 | $6,695 | $2,439 | $2,010 |
| Freeman Health System - Freeman WestJoplin | 11 | $16,538 | $2,222 | $1,750 |
| Mercy Hospital JoplinJoplin | – | – | – | – |
| SSM St Joseph Health CenterSt Charles | – | – | – | – |
| Bothwell Regional Health CenterSedalia | – | – | – | – |
| St Marys Health CenterJefferson City | – | – | – | – |
| Phelps County Regional Medical CenterRolla | – | – | – | – |
| Northeast Regional Medical CenterKirksville | – | – | – | – |
| Hannibal Regional HospitalHannibal | – | – | – | – |
| Bates County Memorial HospitalButler | – | – | – | – |
| Mosaic Medical Center - MaryvilleMaryville | – | – | – | – |
| Cameron Community HospitalCameron | – | – | – | – |
| Ozarks Medical CenterWest Plains | – | – | – | – |
| SSM St Joseph Hosp of KirkwoodSt Louis | – | – | – | – |
| St Joseph Medical CenterKansas City | – | – | – | – |
| SSM St Mary's Health CenterSt Louis | – | – | – | – |
| Cox Medical Center BransonBranson | – | – | – | – |
| Centerpoint Medical CenterIndependence | – | – | – | – |
| Nkc HealthNorth Kansas City | – | – | – | – |
| Western Missouri Medical CenterWarrensburg | – | – | – | – |
| Truman Medical Center LakewoodKansas City | – | – | – | – |
| SSM Depaul Health CenterBridgeton | – | – | – | – |
| Southeast Missouri HospitalCape Girardeau | – | – | – | – |
| Poplar Bluff Regional Medical CenterPoplar Bluff | – | – | – | – |
| St Lukes Hospital of Kansas CityKansas City | – | – | – | – |
| Fitzgibbon Memorial HospitalMarshall | – | – | – | – |
| Parkland Health CenterFarmington | – | – | – | – |
| Golden Valley Memorial HospitalClinton | – | – | – | – |
| St Luke's Des Peres HospitalSaint Louis | – | – | – | – |
| Liberty HospitalLiberty | – | – | – | – |
| Christian Hospital NortheastSt Louis | – | – | – | – |
| Lake Regional Health SystemOsage Beach | – | – | – | – |
| Lee's Summit HospitalLee's Summit | – | – | – | – |
| Research Belton HospitalBelton | – | – | – | – |
| Saint Luke's East Lee's Summit HospitalLee's Summit | – | – | – | – |
| Progress West Healthcare CenterO'fallon | – | – | – | – |
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
| Freeman Health System - Freeman WestJoplin, MO | $2,222 |
|---|---|
| Mercy Hospital SpringfieldSpringfield, MO | $2,246 |
| University Hospitals & ClinicsColumbia, MO | $2,325 |
| Research Medical CenterKansas City, MO | $2,357 |
| Lester E Cox Medical CentersSpringfield, MO | $2,360 |
Highest
| St Francis Medical CenterCape Girardeau, MO | $2,569 |
|---|---|
| Mosaic Life Care at St JosephSt Joseph, MO | $2,562 |
| Barnes Jewish HospitalSt Louis, MO | $2,498 |
| Barnes-Jewish West County HospitalSt Louis, MO | $2,498 |
| St Johns Mercy HospitalWashington, MO | $2,498 |
Level 3 Lower GI Procedures in other states
Questions
How much does level 3 lower gi procedures cost in Missouri?
In 2024 Medicare data, level 3 lower gi procedures (APC 5313) at 55 hospitals in Missouri was billed at $13,988 on average, while the average medicare-allowed amount was $2,443, of which Medicare paid $1,974. 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 5.7 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.