Lower extremity and humerus procedures except hip, foot and femur with major complications in Missouri
What 4 hospitals in Missouri charged and were paid for a Medicare hospital stay for lower extremity and humerus procedures except hip, foot and femur with major complications (DRG 492), from 2024 Medicare claims.
Average charge
$130,198
Hospital list price billed
Average payment
$31,051
Medicare + patient + other payers
Medicare paid
$27,454
Average per stay
State rank
#5 of 13
1 = lowest average payment
Hospitals in Missouri billed an average of $130,198 for lower extremity and humerus procedures except hip, foot and femur with major complications, about 4.2 times the average total payment of $31,051. That payment is 9% below the U.S. average of $34,208.
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 $31,051Billed $130,198
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 major 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 | 16 | $158,794 | $39,691 | $33,889 |
| St John's Mercy Medical CenterSt Louis | 15 | $85,968 | $25,705 | $23,892 |
| Lester E Cox Medical CentersSpringfield | 12 | $101,640 | $24,139 | $22,609 |
| University Hospitals & ClinicsColumbia | 11 | $180,071 | $33,314 | $28,238 |
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
| Lester E Cox Medical CentersSpringfield, MO | $24,139 |
|---|---|
| St John's Mercy Medical CenterSt Louis, MO | $25,705 |
| University Hospitals & ClinicsColumbia, MO | $33,314 |
| Barnes Jewish HospitalSt Louis, MO | $39,691 |
Highest
| Barnes Jewish HospitalSt Louis, MO | $39,691 |
|---|---|
| University Hospitals & ClinicsColumbia, MO | $33,314 |
| St John's Mercy Medical CenterSt Louis, MO | $25,705 |
| Lester E Cox Medical CentersSpringfield, MO | $24,139 |
Lower extremity and humerus procedures except hip, foot and femur with major complications in other states
Questions
How much does lower extremity and humerus procedures except hip, foot and femur with major complications cost in Missouri?
In 2024 Medicare data, a hospital stay for lower extremity and humerus procedures except hip, foot and femur with major complications (DRG 492) at 4 hospitals in Missouri was billed at $130,198 on average, while the average total payment was $31,051, of which Medicare paid $27,454. 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 4.2 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.