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Reticuloendothelial and immunity disorders with major complications in Missouri

What 1 hospital in Missouri charged and were paid for a Medicare hospital stay for reticuloendothelial and immunity disorders with major complications (DRG 814), from 2024 Medicare claims.

DRG 814 Inpatient 2024 Medicare data
Average charge $147,843 Hospital list price billed
Average payment $31,191 Medicare + patient + other payers
Medicare paid $22,925 Average per stay
Volume 17 Medicare hospital stays

Hospitals in Missouri billed an average of $147,843 for reticuloendothelial and immunity disorders with major complications, about 4.7 times the average total payment of $31,191. That payment is 35% below the U.S. average of $48,037.

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 $31,191Billed $147,843

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: reticuloendothelial and immunity disorders 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 17 $147,843 $31,191 $22,925
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Reticuloendothelial and immunity disorders with major complications in other states

Questions

How much does reticuloendothelial and immunity disorders with major complications cost in Missouri?

In 2024 Medicare data, a hospital stay for reticuloendothelial and immunity disorders with major complications (DRG 814) at 1 hospital in Missouri was billed at $147,843 on average, while the average total payment was $31,191, of which Medicare paid $22,925. 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.