facebook tracking Major hip and knee joint replacement or reattachment of lower extremity without major complications cost in Missouri: 32 hospitals compared (DRG 470)

Major hip and knee joint replacement or reattachment of lower extremity without major complications in Missouri

What 32 hospitals in Missouri charged and were paid for a Medicare hospital stay for major hip and knee joint replacement or reattachment of lower extremity without major complications (DRG 470), from 2024 Medicare claims.

DRG 470 Inpatient 2024 Medicare data
Average charge $64,921 Hospital list price billed
Average payment $14,460 Medicare + patient + other payers
Medicare paid $12,172 Average per stay
State rank #13 of 48 1 = lowest average payment

Hospitals in Missouri billed an average of $64,921 for major hip and knee joint replacement or reattachment of lower extremity without major complications, about 4.5 times the average total payment of $14,460. That payment is 17% below the U.S. average of $17,318.

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 $14,460Billed $64,921

About 22¢ was paid for every $1 hospitals in Missouri billed for this stay.

Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Missouri:

Missouri hospitals: major hip and knee joint replacement or reattachment of lower extremity without 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
Nkc HealthNorth Kansas City 106 $62,831 $13,418 $11,898
St John's Mercy Medical CenterSt Louis 72 $41,748 $14,655 $12,204
Boone Hospital CenterColumbia 64 $52,372 $11,930 $10,105
St Lukes HospitalChesterfield 64 $46,643 $13,420 $11,060
Missouri Baptist Medical CenterTown and Country 59 $56,388 $12,630 $10,024
St Luke's Des Peres HospitalSaint Louis 58 $62,952 $14,048 $11,539
Freeman Health System - Freeman WestJoplin 53 $78,009 $13,372 $11,706
Mercy Hospital SpringfieldSpringfield 41 $46,623 $13,532 $12,093
University Hospitals & ClinicsColumbia 36 $99,913 $16,853 $14,576
Barnes Jewish HospitalSt Louis 33 $87,909 $20,098 $17,017
SSM Depaul Health CenterBridgeton 32 $47,787 $14,456 $12,367
Barnes-Jewish West County HospitalSt Louis 31 $54,448 $14,167 $11,664
Barnes-Jewish St Peters HospitalSt Peters 26 $47,591 $12,300 $10,721
Jefferson Memorial HospitalCrystal City 25 $47,969 $13,582 $12,146
Hannibal Regional HospitalHannibal 24 $91,719 $15,167 $13,646
Mercy Hospital SouthSt Louis 24 $36,756 $14,296 $11,231
Golden Valley Memorial HospitalClinton 24 $44,977 $17,703 $13,083
Liberty HospitalLiberty 24 $72,542 $13,257 $10,838
Phelps County Regional Medical CenterRolla 20 $100,322 $17,076 $15,444
Lester E Cox Medical CentersSpringfield 19 $85,718 $14,337 $12,738
Christian Hospital NortheastSt Louis 19 $57,205 $14,655 $12,741
Western Missouri Medical CenterWarrensburg 18 $45,575 $20,014 $18,564
SSM St Joseph Hosp of KirkwoodSt Louis 17 $52,784 $12,902 $11,531
Centerpoint Medical CenterIndependence 17 $141,973 $13,408 $11,860
Lee's Summit HospitalLee's Summit 17 $95,243 $13,697 $9,679
Progress West Healthcare CenterO'fallon 16 $53,173 $15,256 $10,299
Cameron Community HospitalCameron 15 $65,701 $15,865 $14,184
Northeast Regional Medical CenterKirksville 13 $141,742 $22,454 $19,520
Research Belton HospitalBelton 13 $136,253 $12,291 $10,785
SSM St Mary's Health CenterSt Louis 11 $52,750 $18,589 $14,994
St Lukes Hospital of Kansas CityKansas City 11 $112,930 $19,888 $11,640
Saint Luke's East Lee's Summit HospitalLee's Summit 11 $85,267 $14,002 $9,811
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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$11,930
Research Belton HospitalBelton, MO$12,291
Barnes-Jewish St Peters HospitalSt Peters, MO$12,300
Missouri Baptist Medical CenterTown and Country, MO$12,630
SSM St Joseph Hosp of KirkwoodSt Louis, MO$12,902

Highest

Northeast Regional Medical CenterKirksville, MO$22,454
Barnes Jewish HospitalSt Louis, MO$20,098
Western Missouri Medical CenterWarrensburg, MO$20,014
St Lukes Hospital of Kansas CityKansas City, MO$19,888
SSM St Mary's Health CenterSt Louis, MO$18,589

Major hip and knee joint replacement or reattachment of lower extremity without major complications in other states

Questions

How much does major hip and knee joint replacement or reattachment of lower extremity without major complications cost in Missouri?

In 2024 Medicare data, a hospital stay for major hip and knee joint replacement or reattachment of lower extremity without major complications (DRG 470) at 32 hospitals in Missouri was billed at $64,921 on average, while the average total payment was $14,460, of which Medicare paid $12,172. 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 4.5 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.