Revision of hip or knee replacement without complications in Missouri
What 10 hospitals in Missouri charged and were paid for a Medicare hospital stay for revision of hip or knee replacement without complications (DRG 468), from 2024 Medicare claims.
Average charge
$89,975
Hospital list price billed
Average payment
$19,892
Medicare + patient + other payers
Medicare paid
$17,396
Average per stay
State rank
#9 of 42
1 = lowest average payment
Hospitals in Missouri billed an average of $89,975 for revision of hip or knee replacement without complications, about 4.5 times the average total payment of $19,892. That payment is 17% below the U.S. average of $23,925.
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 $19,892Billed $89,975
About 22¢ 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 without 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 West County HospitalSt Louis | 36 | $83,044 | $21,712 | $16,775 |
| University Hospitals & ClinicsColumbia | 26 | $121,030 | $23,168 | $21,049 |
| Nkc HealthNorth Kansas City | 24 | $96,345 | $18,492 | $17,103 |
| Mercy Hospital SpringfieldSpringfield | 21 | $85,985 | $18,477 | $16,918 |
| Boone Hospital CenterColumbia | 17 | $74,579 | $16,591 | $14,959 |
| Saint Luke's East Lee's Summit HospitalLee's Summit | 17 | $100,118 | $17,057 | $15,425 |
| St Lukes HospitalChesterfield | 16 | $69,456 | $18,415 | $16,744 |
| Barnes Jewish HospitalSt Louis | 13 | $105,634 | $25,404 | $22,875 |
| Mercy Hospital SouthSt Louis | 11 | $59,913 | $19,448 | $15,100 |
| St Luke's Des Peres HospitalSaint Louis | 11 | $82,486 | $17,507 | $15,936 |
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 | $16,591 |
|---|---|
| Saint Luke's East Lee's Summit HospitalLee's Summit, MO | $17,057 |
| St Luke's Des Peres HospitalSaint Louis, MO | $17,507 |
| St Lukes HospitalChesterfield, MO | $18,415 |
| Mercy Hospital SpringfieldSpringfield, MO | $18,477 |
Highest
| Barnes Jewish HospitalSt Louis, MO | $25,404 |
|---|---|
| University Hospitals & ClinicsColumbia, MO | $23,168 |
| Barnes-Jewish West County HospitalSt Louis, MO | $21,712 |
| Mercy Hospital SouthSt Louis, MO | $19,448 |
| Nkc HealthNorth Kansas City, MO | $18,492 |
Revision of hip or knee replacement without complications in other states
Questions
How much does revision of hip or knee replacement without complications cost in Missouri?
In 2024 Medicare data, a hospital stay for revision of hip or knee replacement without complications (DRG 468) at 10 hospitals in Missouri was billed at $89,975 on average, while the average total payment was $19,892, of which Medicare paid $17,396. 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 4.5 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.