Pulmonary embolism with major complications or acute cor pulmonale in Missouri
What 18 hospitals in Missouri charged and were paid for a Medicare hospital stay for pulmonary embolism with major complications or acute cor pulmonale (DRG 175), from 2024 Medicare claims.
Average charge
$56,241
Hospital list price billed
Average payment
$12,205
Medicare + patient + other payers
Medicare paid
$9,866
Average per stay
State rank
#18 of 48
1 = lowest average payment
Hospitals in Missouri billed an average of $56,241 for pulmonary embolism with major complications or acute cor pulmonale, about 4.6 times the average total payment of $12,205. That payment is 9% below the U.S. average of $13,466.
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 $12,205Billed $56,241
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: pulmonary embolism with major complications or acute cor pulmonale
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 | 32 | $101,306 | $22,664 | $15,546 |
| Mercy Hospital SpringfieldSpringfield | 32 | $43,749 | $10,272 | $9,084 |
| Lester E Cox Medical CentersSpringfield | 28 | $46,026 | $10,806 | $8,883 |
| Missouri Baptist Medical CenterTown and Country | 24 | $46,690 | $9,045 | $8,273 |
| St John's Mercy Medical CenterSt Louis | 23 | $55,872 | $11,463 | $9,446 |
| Nkc HealthNorth Kansas City | 23 | $50,541 | $10,432 | $8,615 |
| Mosaic Life Care at St JosephSt Joseph | 21 | $58,887 | $12,837 | $11,966 |
| St Lukes HospitalChesterfield | 21 | $55,251 | $10,243 | $8,898 |
| Mercy Hospital SouthSt Louis | 20 | $36,321 | $9,829 | $9,094 |
| Boone Hospital CenterColumbia | 19 | $35,819 | $9,198 | $7,177 |
| University Hospitals & ClinicsColumbia | 19 | $55,449 | $13,691 | $11,599 |
| Jefferson Memorial HospitalCrystal City | 16 | $29,845 | $10,946 | $8,616 |
| SSM St Mary's Health CenterSt Louis | 12 | $37,660 | $13,310 | $11,408 |
| Freeman Health System - Freeman WestJoplin | 12 | $86,899 | $10,926 | $9,990 |
| St Lukes Hospital of Kansas CityKansas City | 11 | $96,939 | $20,631 | $9,781 |
| Christian Hospital NortheastSt Louis | 11 | $50,166 | $11,856 | $10,600 |
| Barnes-Jewish St Peters HospitalSt Peters | 11 | $48,167 | $9,726 | $7,089 |
| Saint Luke's East Lee's Summit HospitalLee's Summit | 11 | $89,395 | $9,017 | $8,126 |
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
| Saint Luke's East Lee's Summit HospitalLee's Summit, MO | $9,017 |
|---|---|
| Missouri Baptist Medical CenterTown and Country, MO | $9,045 |
| Boone Hospital CenterColumbia, MO | $9,198 |
| Barnes-Jewish St Peters HospitalSt Peters, MO | $9,726 |
| Mercy Hospital SouthSt Louis, MO | $9,829 |
Highest
| Barnes Jewish HospitalSt Louis, MO | $22,664 |
|---|---|
| St Lukes Hospital of Kansas CityKansas City, MO | $20,631 |
| University Hospitals & ClinicsColumbia, MO | $13,691 |
| SSM St Mary's Health CenterSt Louis, MO | $13,310 |
| Mosaic Life Care at St JosephSt Joseph, MO | $12,837 |
Pulmonary embolism with major complications or acute cor pulmonale in other states
Questions
How much does pulmonary embolism with major complications or acute cor pulmonale cost in Missouri?
In 2024 Medicare data, a hospital stay for pulmonary embolism with major complications or acute cor pulmonale (DRG 175) at 18 hospitals in Missouri was billed at $56,241 on average, while the average total payment was $12,205, of which Medicare paid $9,866. 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 4.6 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.