facebook tracking Postoperative or post-traumatic infections with operating room procedures with major complications cost in Missouri: 5 hospitals compared (DRG 856)

Postoperative or post-traumatic infections with operating room procedures with major complications in Missouri

What 5 hospitals in Missouri charged and were paid for a Medicare hospital stay for postoperative or post-traumatic infections with operating room procedures with major complications (DRG 856), from 2024 Medicare claims.

DRG 856 Inpatient 2024 Medicare data
Average charge $185,397 Hospital list price billed
Average payment $49,126 Medicare + patient + other payers
Medicare paid $42,637 Average per stay
State rank #11 of 22 1 = lowest average payment

Hospitals in Missouri billed an average of $185,397 for postoperative or post-traumatic infections with operating room procedures with major complications, about 3.8 times the average total payment of $49,126. That payment is 3% below the U.S. average of $50,617.

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 $49,126Billed $185,397

About 26¢ 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: postoperative or post-traumatic infections with operating room procedures 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 19 $310,114 $76,410 $63,664
St Louis University HospitalSt Louis 14 $164,048 $50,317 $40,488
University Hospitals & ClinicsColumbia 13 $111,476 $32,417 $30,099
St John's Mercy Medical CenterSt Louis 11 $100,227 $28,541 $27,108
Lester E Cox Medical CentersSpringfield 11 $169,680 $40,814 $39,398
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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

St John's Mercy Medical CenterSt Louis, MO$28,541
University Hospitals & ClinicsColumbia, MO$32,417
Lester E Cox Medical CentersSpringfield, MO$40,814
St Louis University HospitalSt Louis, MO$50,317
Barnes Jewish HospitalSt Louis, MO$76,410

Highest

Barnes Jewish HospitalSt Louis, MO$76,410
St Louis University HospitalSt Louis, MO$50,317
Lester E Cox Medical CentersSpringfield, MO$40,814
University Hospitals & ClinicsColumbia, MO$32,417
St John's Mercy Medical CenterSt Louis, MO$28,541

Postoperative or post-traumatic infections with operating room procedures with major complications in other states

Questions

How much does postoperative or post-traumatic infections with operating room procedures with major complications cost in Missouri?

In 2024 Medicare data, a hospital stay for postoperative or post-traumatic infections with operating room procedures with major complications (DRG 856) at 5 hospitals in Missouri was billed at $185,397 on average, while the average total payment was $49,126, of which Medicare paid $42,637. 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 3.8 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.