Revision of hip or knee replacement with complications in Missouri
What 12 hospitals in Missouri charged and were paid for a Medicare hospital stay for revision of hip or knee replacement with complications (DRG 467), from 2024 Medicare claims.
Average charge
$116,732
Hospital list price billed
Average payment
$27,136
Medicare + patient + other payers
Medicare paid
$23,840
Average per stay
State rank
#14 of 41
1 = lowest average payment
Hospitals in Missouri billed an average of $116,732 for revision of hip or knee replacement with complications, about 4.3 times the average total payment of $27,136. That payment is 12% below the U.S. average of $30,673.
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 $27,136Billed $116,732
About 23¢ was paid for every $1 hospitals in Missouri billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Missouri:
Missouri hospitals: revision of hip or knee replacement with 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 |
|---|---|---|---|---|
| Nkc HealthNorth Kansas City | 46 | $115,565 | $23,930 | $20,018 |
| Mosaic Life Care at St JosephSt Joseph | 42 | $67,310 | $30,645 | $29,163 |
| Barnes Jewish HospitalSt Louis | 31 | $148,282 | $37,213 | $30,656 |
| University Hospitals & ClinicsColumbia | 27 | $161,941 | $31,383 | $29,085 |
| Lester E Cox Medical CentersSpringfield | 24 | $136,822 | $25,410 | $22,254 |
| Boone Hospital CenterColumbia | 23 | $94,500 | $20,750 | $19,189 |
| Barnes-Jewish West County HospitalSt Louis | 22 | $102,530 | $27,561 | $20,590 |
| St Lukes Hospital of Kansas CityKansas City | 20 | $201,451 | $30,606 | $23,904 |
| Saint Luke's East Lee's Summit HospitalLee's Summit | 20 | $129,742 | $19,816 | $18,836 |
| Mercy Hospital SouthSt Louis | 18 | $72,605 | $21,245 | $19,885 |
| Mercy Hospital SpringfieldSpringfield | 13 | $84,862 | $23,544 | $22,028 |
| St John's Mercy Medical CenterSt Louis | 12 | $77,251 | $25,605 | $24,616 |
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 | $19,816 |
|---|---|
| Boone Hospital CenterColumbia, MO | $20,750 |
| Mercy Hospital SouthSt Louis, MO | $21,245 |
| Mercy Hospital SpringfieldSpringfield, MO | $23,544 |
| Nkc HealthNorth Kansas City, MO | $23,930 |
Highest
| Barnes Jewish HospitalSt Louis, MO | $37,213 |
|---|---|
| University Hospitals & ClinicsColumbia, MO | $31,383 |
| Mosaic Life Care at St JosephSt Joseph, MO | $30,645 |
| St Lukes Hospital of Kansas CityKansas City, MO | $30,606 |
| Barnes-Jewish West County HospitalSt Louis, MO | $27,561 |
Revision of hip or knee replacement with complications in other states
Questions
How much does revision of hip or knee replacement with complications cost in Missouri?
In 2024 Medicare data, a hospital stay for revision of hip or knee replacement with complications (DRG 467) at 12 hospitals in Missouri was billed at $116,732 on average, while the average total payment was $27,136, of which Medicare paid $23,840. 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 4.3 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.