facebook tracking Other digestive system diagnoses with complications cost in Missouri: 17 hospitals compared (DRG 394)

Other digestive system diagnoses with complications in Missouri

What 17 hospitals in Missouri charged and were paid for a Medicare hospital stay for other digestive system diagnoses with complications (DRG 394), from 2024 Medicare claims.

DRG 394 Inpatient 2024 Medicare data
Average charge $37,698 Hospital list price billed
Average payment $8,451 Medicare + patient + other payers
Medicare paid $6,191 Average per stay
State rank #16 of 46 1 = lowest average payment

Hospitals in Missouri billed an average of $37,698 for other digestive system diagnoses with complications, about 4.5 times the average total payment of $8,451. That payment is 11% below the U.S. average of $9,547.

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 $8,451Billed $37,698

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

Missouri hospitals: other digestive system diagnoses 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 50 $42,062 $13,078 $8,563
Mercy Hospital SouthSt Louis 34 $18,877 $7,070 $5,474
Missouri Baptist Medical CenterTown and Country 34 $28,908 $6,917 $4,444
St Lukes HospitalChesterfield 27 $28,324 $7,252 $4,768
St John's Mercy Medical CenterSt Louis 26 $26,357 $7,818 $6,237
Lester E Cox Medical CentersSpringfield 26 $33,321 $8,107 $6,625
Nkc HealthNorth Kansas City 25 $39,126 $7,284 $6,236
Freeman Health System - Freeman WestJoplin 19 $38,661 $7,335 $5,646
St Lukes Hospital of Kansas CityKansas City 19 $64,926 $10,151 $6,593
Christian Hospital NortheastSt Louis 18 $35,663 $8,710 $7,653
Saint Luke's East Lee's Summit HospitalLee's Summit 18 $52,276 $6,028 $4,577
Centerpoint Medical CenterIndependence 14 $75,636 $7,232 $6,290
Research Medical CenterKansas City 13 $96,626 $12,638 $8,102
Mercy Hospital SpringfieldSpringfield 13 $26,142 $7,656 $6,059
Mosaic Life Care at St JosephSt Joseph 12 $23,359 $8,821 $6,759
Boone Hospital CenterColumbia 12 $21,720 $5,886 $4,662
SSM St Joseph Hospital WestLake St Louis 12 $21,209 $6,932 $4,730
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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$5,886
Saint Luke's East Lee's Summit HospitalLee's Summit, MO$6,028
Missouri Baptist Medical CenterTown and Country, MO$6,917
SSM St Joseph Hospital WestLake St Louis, MO$6,932
Mercy Hospital SouthSt Louis, MO$7,070

Highest

Barnes Jewish HospitalSt Louis, MO$13,078
Research Medical CenterKansas City, MO$12,638
St Lukes Hospital of Kansas CityKansas City, MO$10,151
Mosaic Life Care at St JosephSt Joseph, MO$8,821
Christian Hospital NortheastSt Louis, MO$8,710

Other digestive system diagnoses with complications in other states

Questions

How much does other digestive system diagnoses with complications cost in Missouri?

In 2024 Medicare data, a hospital stay for other digestive system diagnoses with complications (DRG 394) at 17 hospitals in Missouri was billed at $37,698 on average, while the average total payment was $8,451, of which Medicare paid $6,191. 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.