facebook tracking Pulmonary edema and respiratory failure cost in Missouri: 46 hospitals compared (DRG 189)

Pulmonary edema and respiratory failure in Missouri

What 46 hospitals in Missouri charged and were paid for a Medicare hospital stay for pulmonary edema and respiratory failure (DRG 189), from 2024 Medicare claims.

DRG 189 Inpatient 2024 Medicare data
Average charge $54,513 Hospital list price billed
Average payment $10,660 Medicare + patient + other payers
Medicare paid $8,727 Average per stay
State rank #16 of 50 1 = lowest average payment

Hospitals in Missouri billed an average of $54,513 for pulmonary edema and respiratory failure, about 5.1 times the average total payment of $10,660. That payment is 13% below the U.S. average of $12,197.

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 $10,660Billed $54,513

About 20¢ was paid for every $1 hospitals in Missouri billed for this stay.

Missouri hospitals: pulmonary edema and respiratory failure

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
St Francis Medical CenterCape Girardeau 106 $65,753 $9,744 $8,609
University Hospitals & ClinicsColumbia 99 $88,159 $13,806 $11,221
Mercy Hospital SouthSt Louis 92 $30,431 $8,837 $7,656
Barnes Jewish HospitalSt Louis 80 $102,376 $22,639 $15,104
Mercy Hospital SpringfieldSpringfield 75 $37,153 $9,400 $8,230
St John's Mercy Medical CenterSt Louis 63 $43,409 $10,527 $8,167
Mosaic Life Care at St JosephSt Joseph 61 $35,690 $11,503 $9,848
Hannibal Regional HospitalHannibal 58 $30,539 $10,025 $8,883
SSM Depaul Health CenterBridgeton 55 $33,551 $9,696 $8,273
Centerpoint Medical CenterIndependence 53 $98,594 $9,480 $7,863
Southeast Missouri HospitalCape Girardeau 49 $35,183 $9,522 $7,808
Mercy Hospital JoplinJoplin 48 $37,323 $9,134 $7,813
Jefferson Memorial HospitalCrystal City 43 $32,237 $9,383 $7,571
SSM St Joseph Hosp of KirkwoodSt Louis 43 $30,488 $8,849 $7,416
Saint Luke's East Lee's Summit HospitalLee's Summit 42 $107,046 $7,877 $6,789
Missouri Delta Medical CenterSikeston 41 $43,829 $10,582 $9,428
Barnes-Jewish St Peters HospitalSt Peters 41 $41,935 $8,324 $6,720
Lester E Cox Medical CentersSpringfield 40 $57,018 $10,961 $8,203
Research Medical CenterKansas City 37 $134,048 $12,943 $9,411
Freeman Health System - Freeman WestJoplin 37 $54,234 $10,262 $8,069
SSM St Joseph Hospital WestLake St Louis 36 $32,615 $8,660 $7,301
St Joseph Medical CenterKansas City 32 $55,925 $7,967 $6,745
Boone Hospital CenterColumbia 31 $42,149 $7,695 $6,432
Missouri Baptist Medical CenterTown and Country 31 $43,786 $8,731 $7,188
St Mary's Medical CenterBlue Springs 31 $49,532 $8,450 $6,725
SSM St Mary's Health CenterSt Louis 29 $35,019 $13,184 $10,824
Christian Hospital NortheastSt Louis 29 $51,295 $10,314 $9,301
SSM St Joseph Health CenterSt Charles 28 $40,239 $10,246 $6,885
Poplar Bluff Regional Medical CenterPoplar Bluff 28 $118,381 $9,176 $8,303
Lake Regional Health SystemOsage Beach 28 $30,823 $10,401 $9,423
Liberty HospitalLiberty 27 $48,930 $8,644 $7,739
Ozarks Medical CenterWest Plains 26 $36,063 $8,933 $7,804
Bothwell Regional Health CenterSedalia 23 $28,674 $9,687 $8,474
Lee's Summit HospitalLee's Summit 22 $77,053 $9,561 $6,174
Saint Luke's Northland HospSmithville 21 $87,879 $8,757 $7,592
St Louis University HospitalSt Louis 21 $43,662 $15,415 $12,249
St Lukes Hospital of Kansas CityKansas City 21 $124,678 $15,611 $10,936
St Marys Health CenterJefferson City 20 $28,484 $9,177 $8,198
Phelps County Regional Medical CenterRolla 20 $57,617 $11,352 $10,658
St Johns Mercy HospitalWashington 19 $31,797 $9,691 $8,402
Nkc HealthNorth Kansas City 18 $53,588 $9,268 $7,915
Mercy Hospital StoddardDexter 17 $19,006 $11,392 $9,856
Parkland Health CenterFarmington 17 $36,174 $9,614 $8,558
Citizens Memorial HospitalBolivar 15 $26,089 $10,490 $9,505
Progress West Healthcare CenterO'fallon 13 $31,027 $8,936 $7,681
St Johns Hospital-LebanonLebanon 12 $19,627 $14,088 $10,970
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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$7,695
Saint Luke's East Lee's Summit HospitalLee's Summit, MO$7,877
St Joseph Medical CenterKansas City, MO$7,967
Barnes-Jewish St Peters HospitalSt Peters, MO$8,324
St Mary's Medical CenterBlue Springs, MO$8,450

Highest

Barnes Jewish HospitalSt Louis, MO$22,639
St Lukes Hospital of Kansas CityKansas City, MO$15,611
St Louis University HospitalSt Louis, MO$15,415
St Johns Hospital-LebanonLebanon, MO$14,088
University Hospitals & ClinicsColumbia, MO$13,806

Pulmonary edema and respiratory failure in other states

Questions

How much does pulmonary edema and respiratory failure cost in Missouri?

In 2024 Medicare data, a hospital stay for pulmonary edema and respiratory failure (DRG 189) at 46 hospitals in Missouri was billed at $54,513 on average, while the average total payment was $10,660, of which Medicare paid $8,727. 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 5.1 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.