Pulmonary embolism without major complications in Missouri
What 16 hospitals in Missouri charged and were paid for a Medicare hospital stay for pulmonary embolism without major complications (DRG 176), from 2024 Medicare claims.
Average charge
$35,627
Hospital list price billed
Average payment
$7,006
Medicare + patient + other payers
Medicare paid
$5,160
Average per stay
State rank
#8 of 39
1 = lowest average payment
Hospitals in Missouri billed an average of $35,627 for pulmonary embolism without major complications, about 5.1 times the average total payment of $7,006. That payment is 16% below the U.S. average of $8,294.
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 $7,006Billed $35,627
About 20¢ 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 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 |
|---|---|---|---|---|
| University Hospitals & ClinicsColumbia | 26 | $34,833 | $8,982 | $6,800 |
| Saint Luke's East Lee's Summit HospitalLee's Summit | 22 | $54,039 | $5,907 | $3,876 |
| Lester E Cox Medical CentersSpringfield | 20 | $35,110 | $7,271 | $5,667 |
| Missouri Baptist Medical CenterTown and Country | 20 | $28,871 | $5,321 | $4,085 |
| Mercy Hospital SpringfieldSpringfield | 17 | $29,887 | $6,825 | $5,274 |
| Liberty HospitalLiberty | 16 | $40,426 | $5,869 | $4,951 |
| St Lukes HospitalChesterfield | 15 | $26,921 | $5,793 | $4,619 |
| Mercy Hospital JoplinJoplin | 14 | $29,071 | $6,597 | $5,236 |
| Mosaic Life Care at St JosephSt Joseph | 14 | $34,553 | $7,966 | $5,758 |
| Barnes Jewish HospitalSt Louis | 14 | $43,100 | $10,633 | $6,768 |
| St John's Mercy Medical CenterSt Louis | 12 | $33,659 | $6,895 | $5,265 |
| St Lukes Hospital of Kansas CityKansas City | 12 | $50,316 | $9,212 | $4,930 |
| Boone Hospital CenterColumbia | 11 | $24,801 | $5,101 | $3,766 |
| SSM St Joseph Hosp of KirkwoodSt Louis | 11 | $27,292 | $6,062 | $4,514 |
| Southeast Missouri HospitalCape Girardeau | 11 | $33,910 | $6,608 | $4,983 |
| Freeman Health System - Freeman WestJoplin | 11 | $34,870 | $6,347 | $5,206 |
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 | $5,101 |
|---|---|
| Missouri Baptist Medical CenterTown and Country, MO | $5,321 |
| St Lukes HospitalChesterfield, MO | $5,793 |
| Liberty HospitalLiberty, MO | $5,869 |
| Saint Luke's East Lee's Summit HospitalLee's Summit, MO | $5,907 |
Highest
| Barnes Jewish HospitalSt Louis, MO | $10,633 |
|---|---|
| St Lukes Hospital of Kansas CityKansas City, MO | $9,212 |
| University Hospitals & ClinicsColumbia, MO | $8,982 |
| Mosaic Life Care at St JosephSt Joseph, MO | $7,966 |
| Lester E Cox Medical CentersSpringfield, MO | $7,271 |
Pulmonary embolism without major complications in other states
Questions
How much does pulmonary embolism without major complications cost in Missouri?
In 2024 Medicare data, a hospital stay for pulmonary embolism without major complications (DRG 176) at 16 hospitals in Missouri was billed at $35,627 on average, while the average total payment was $7,006, of which Medicare paid $5,160. 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.