Lower extremity and humerus procedures except hip, foot and femur with complications in Missouri
What 14 hospitals in Missouri charged and were paid for a Medicare hospital stay for lower extremity and humerus procedures except hip, foot and femur with complications (DRG 493), from 2024 Medicare claims.
Average charge
$84,104
Hospital list price billed
Average payment
$19,787
Medicare + patient + other payers
Medicare paid
$16,648
Average per stay
State rank
#10 of 40
1 = lowest average payment
Hospitals in Missouri billed an average of $84,104 for lower extremity and humerus procedures except hip, foot and femur with complications, about 4.3 times the average total payment of $19,787. That payment is 13% below the U.S. average of $22,820.
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 $19,787Billed $84,104
About 24¢ was paid for every $1 hospitals in Missouri billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Missouri:
Missouri hospitals: lower extremity and humerus procedures except hip, foot and femur with complications
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 |
|---|---|---|---|---|
| Barnes Jewish HospitalSt Louis | 56 | $98,129 | $23,884 | $19,450 |
| St John's Mercy Medical CenterSt Louis | 35 | $65,183 | $18,142 | $16,352 |
| University Hospitals & ClinicsColumbia | 30 | $104,798 | $21,739 | $19,107 |
| Mercy Hospital SouthSt Louis | 26 | $53,920 | $16,215 | $14,961 |
| Lester E Cox Medical CentersSpringfield | 25 | $87,273 | $19,084 | $13,936 |
| Mercy Hospital SpringfieldSpringfield | 22 | $63,399 | $16,705 | $15,426 |
| Boone Hospital CenterColumbia | 22 | $55,637 | $15,404 | $13,047 |
| St Louis University HospitalSt Louis | 20 | $132,031 | $30,962 | $21,750 |
| Mercy Hospital JoplinJoplin | 14 | $64,999 | $16,459 | $14,982 |
| Missouri Baptist Medical CenterTown and Country | 14 | $66,639 | $15,627 | $14,080 |
| Mosaic Life Care at St JosephSt Joseph | 13 | $58,803 | $21,801 | $20,281 |
| Nkc HealthNorth Kansas City | 13 | $81,418 | $17,277 | $14,124 |
| Centerpoint Medical CenterIndependence | 11 | $193,377 | $17,979 | $13,612 |
| SSM St Joseph Hospital WestLake St Louis | 11 | $62,151 | $15,420 | $14,236 |
Lowest and highest payments in Missouri
Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Boone Hospital CenterColumbia, MO | $15,404 |
|---|---|
| SSM St Joseph Hospital WestLake St Louis, MO | $15,420 |
| Missouri Baptist Medical CenterTown and Country, MO | $15,627 |
| Mercy Hospital SouthSt Louis, MO | $16,215 |
| Mercy Hospital JoplinJoplin, MO | $16,459 |
Highest
| St Louis University HospitalSt Louis, MO | $30,962 |
|---|---|
| Barnes Jewish HospitalSt Louis, MO | $23,884 |
| Mosaic Life Care at St JosephSt Joseph, MO | $21,801 |
| University Hospitals & ClinicsColumbia, MO | $21,739 |
| Lester E Cox Medical CentersSpringfield, MO | $19,084 |
Lower extremity and humerus procedures except hip, foot and femur with complications in other states
Questions
How much does lower extremity and humerus procedures except hip, foot and femur with complications cost in Missouri?
In 2024 Medicare data, a hospital stay for lower extremity and humerus procedures except hip, foot and femur with complications (DRG 493) at 14 hospitals in Missouri was billed at $84,104 on average, while the average total payment was $19,787, of which Medicare paid $16,648. 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 4.3 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.