facebook tracking Respiratory neoplasms with major complications cost in Missouri: 6 hospitals compared (DRG 180)

Respiratory neoplasms with major complications in Missouri

What 6 hospitals in Missouri charged and were paid for a Medicare hospital stay for respiratory neoplasms with major complications (DRG 180), from 2024 Medicare claims.

DRG 180 Inpatient 2024 Medicare data
Average charge $78,701 Hospital list price billed
Average payment $16,571 Medicare + patient + other payers
Medicare paid $12,996 Average per stay
State rank #18 of 35 1 = lowest average payment

Hospitals in Missouri billed an average of $78,701 for respiratory neoplasms with major complications, about 4.7 times the average total payment of $16,571. That payment is 9% below the U.S. average of $18,205.

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 $16,571Billed $78,701

About 21¢ 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: respiratory neoplasms 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 44 $107,671 $24,623 $16,349
St John's Mercy Medical CenterSt Louis 20 $57,624 $13,582 $12,446
Mercy Hospital SouthSt Louis 20 $49,342 $12,185 $11,532
Nkc HealthNorth Kansas City 18 $69,607 $12,815 $11,707
Missouri Baptist Medical CenterTown and Country 16 $59,425 $10,707 $10,377
Saint Luke's East Lee's Summit HospitalLee's Summit 12 $95,878 $12,790 $9,490
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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

Missouri Baptist Medical CenterTown and Country, MO$10,707
Mercy Hospital SouthSt Louis, MO$12,185
Saint Luke's East Lee's Summit HospitalLee's Summit, MO$12,790
Nkc HealthNorth Kansas City, MO$12,815
St John's Mercy Medical CenterSt Louis, MO$13,582

Highest

Barnes Jewish HospitalSt Louis, MO$24,623
St John's Mercy Medical CenterSt Louis, MO$13,582
Nkc HealthNorth Kansas City, MO$12,815
Saint Luke's East Lee's Summit HospitalLee's Summit, MO$12,790
Mercy Hospital SouthSt Louis, MO$12,185

Respiratory neoplasms with major complications in other states

Questions

How much does respiratory neoplasms with major complications cost in Missouri?

In 2024 Medicare data, a hospital stay for respiratory neoplasms with major complications (DRG 180) at 6 hospitals in Missouri was billed at $78,701 on average, while the average total payment was $16,571, of which Medicare paid $12,996. 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 4.7 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.