Simple pneumonia and pleurisy with complications in Missouri
What 37 hospitals in Missouri charged and were paid for a Medicare hospital stay for simple pneumonia and pleurisy with complications (DRG 194), from 2024 Medicare claims.
Average charge
$31,164
Hospital list price billed
Average payment
$6,943
Medicare + patient + other payers
Medicare paid
$5,237
Average per stay
State rank
#11 of 47
1 = lowest average payment
Hospitals in Missouri billed an average of $31,164 for simple pneumonia and pleurisy with complications, about 4.5 times the average total payment of $6,943. That payment is 13% below the U.S. average of $7,941.
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 $6,943Billed $31,164
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: simple pneumonia and pleurisy 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 |
|---|---|---|---|---|
| University Hospitals & ClinicsColumbia | 76 | $31,324 | $8,749 | $6,609 |
| Lester E Cox Medical CentersSpringfield | 73 | $27,688 | $7,294 | $5,762 |
| Mosaic Life Care at St JosephSt Joseph | 65 | $25,644 | $7,955 | $6,026 |
| Saint Luke's East Lee's Summit HospitalLee's Summit | 65 | $53,877 | $5,933 | $3,801 |
| Freeman Health System - Freeman WestJoplin | 55 | $39,192 | $6,612 | $4,869 |
| Missouri Baptist Medical CenterTown and Country | 54 | $27,428 | $5,584 | $3,931 |
| Mercy Hospital SpringfieldSpringfield | 53 | $30,131 | $6,744 | $5,498 |
| Liberty HospitalLiberty | 52 | $30,334 | $5,822 | $4,665 |
| Nkc HealthNorth Kansas City | 47 | $35,068 | $6,427 | $4,924 |
| St John's Mercy Medical CenterSt Louis | 39 | $25,345 | $7,506 | $5,019 |
| St Lukes HospitalChesterfield | 39 | $23,213 | $5,810 | $4,237 |
| Southeast Missouri HospitalCape Girardeau | 38 | $25,299 | $6,690 | $5,123 |
| Bothwell Regional Health CenterSedalia | 33 | $21,132 | $6,728 | $5,340 |
| Cameron Community HospitalCameron | 32 | $27,189 | $7,457 | $5,950 |
| Barnes Jewish HospitalSt Louis | 29 | $44,740 | $10,531 | $6,369 |
| Texas County Memorial HospitalHouston | 28 | $16,218 | $7,673 | $6,275 |
| Mercy Hospital JoplinJoplin | 26 | $27,287 | $6,487 | $4,933 |
| Cox Medical Center BransonBranson | 25 | $31,141 | $6,774 | $5,452 |
| St Lukes Hospital of Kansas CityKansas City | 25 | $67,474 | $8,975 | $5,502 |
| Jefferson Memorial HospitalCrystal City | 24 | $26,456 | $6,424 | $5,064 |
| Phelps County Regional Medical CenterRolla | 22 | $44,634 | $7,442 | $5,958 |
| Mercy Hospital SouthSt Louis | 21 | $20,451 | $6,133 | $4,341 |
| Hannibal Regional HospitalHannibal | 20 | $19,100 | $6,665 | $5,224 |
| Mercy Hospital StoddardDexter | 20 | $19,177 | $7,864 | $6,722 |
| SSM St Joseph Hospital WestLake St Louis | 20 | $24,750 | $5,907 | $4,603 |
| Parkland Health CenterFarmington | 19 | $20,041 | $6,673 | $5,470 |
| Saint Luke's Northland HospSmithville | 18 | $47,690 | $6,417 | $5,059 |
| Poplar Bluff Regional Medical CenterPoplar Bluff | 16 | $57,425 | $6,238 | $4,840 |
| St Marys Health CenterJefferson City | 15 | $21,225 | $6,286 | $4,872 |
| Ozarks Medical CenterWest Plains | 15 | $25,001 | $6,223 | $4,808 |
| St Johns Mercy HospitalWashington | 14 | $22,023 | $6,992 | $5,593 |
| Fitzgibbon Memorial HospitalMarshall | 13 | $29,366 | $7,870 | $7,234 |
| Barnes-Jewish St Peters HospitalSt Peters | 13 | $25,780 | $5,704 | $3,475 |
| Boone Hospital CenterColumbia | 11 | $25,470 | $5,146 | $3,811 |
| SSM St Joseph Hosp of KirkwoodSt Louis | 11 | $18,594 | $5,622 | $4,326 |
| SSM Depaul Health CenterBridgeton | 11 | $16,782 | $6,513 | $5,445 |
| St Francis Medical CenterCape Girardeau | 11 | $49,536 | $6,921 | $5,586 |
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 | $5,146 |
|---|---|
| Missouri Baptist Medical CenterTown and Country, MO | $5,584 |
| SSM St Joseph Hosp of KirkwoodSt Louis, MO | $5,622 |
| Barnes-Jewish St Peters HospitalSt Peters, MO | $5,704 |
| St Lukes HospitalChesterfield, MO | $5,810 |
Highest
| Barnes Jewish HospitalSt Louis, MO | $10,531 |
|---|---|
| St Lukes Hospital of Kansas CityKansas City, MO | $8,975 |
| University Hospitals & ClinicsColumbia, MO | $8,749 |
| Mosaic Life Care at St JosephSt Joseph, MO | $7,955 |
| Fitzgibbon Memorial HospitalMarshall, MO | $7,870 |
Simple pneumonia and pleurisy with complications in other states
Questions
How much does simple pneumonia and pleurisy with complications cost in Missouri?
In 2024 Medicare data, a hospital stay for simple pneumonia and pleurisy with complications (DRG 194) at 37 hospitals in Missouri was billed at $31,164 on average, while the average total payment was $6,943, of which Medicare paid $5,237. 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.