Simple pneumonia and pleurisy with major complications in Missouri
What 56 hospitals in Missouri charged and were paid for a Medicare hospital stay for simple pneumonia and pleurisy with major complications (DRG 193), from 2024 Medicare claims.
Average charge
$48,298
Hospital list price billed
Average payment
$10,786
Medicare + patient + other payers
Medicare paid
$9,012
Average per stay
State rank
#16 of 50
1 = lowest average payment
Hospitals in Missouri billed an average of $48,298 for simple pneumonia and pleurisy with major complications, about 4.5 times the average total payment of $10,786. That payment is 10% below the U.S. average of $12,020.
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 $10,786Billed $48,298
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 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 |
|---|---|---|---|---|
| Mosaic Life Care at St JosephSt Joseph | 176 | $43,662 | $12,387 | $11,019 |
| Nkc HealthNorth Kansas City | 156 | $50,893 | $9,577 | $8,246 |
| Mercy Hospital SpringfieldSpringfield | 147 | $42,815 | $10,178 | $8,783 |
| Lester E Cox Medical CentersSpringfield | 128 | $47,139 | $10,833 | $9,226 |
| Mercy Hospital SouthSt Louis | 106 | $31,343 | $9,355 | $8,156 |
| University Hospitals & ClinicsColumbia | 103 | $45,848 | $12,413 | $9,954 |
| Mercy Hospital JoplinJoplin | 101 | $39,797 | $9,579 | $8,267 |
| Saint Luke's East Lee's Summit HospitalLee's Summit | 96 | $80,204 | $8,473 | $7,175 |
| Boone Hospital CenterColumbia | 93 | $34,513 | $8,201 | $7,060 |
| St John's Mercy Medical CenterSt Louis | 90 | $38,411 | $10,343 | $8,466 |
| Centerpoint Medical CenterIndependence | 88 | $94,319 | $9,769 | $7,857 |
| St Lukes HospitalChesterfield | 83 | $50,529 | $9,694 | $7,959 |
| Freeman Health System - Freeman WestJoplin | 82 | $49,454 | $10,281 | $7,948 |
| Lake Regional Health SystemOsage Beach | 79 | $33,380 | $11,164 | $9,896 |
| Jefferson Memorial HospitalCrystal City | 75 | $37,508 | $10,018 | $8,122 |
| Hannibal Regional HospitalHannibal | 74 | $29,658 | $10,699 | $9,215 |
| Parkland Health CenterFarmington | 70 | $30,608 | $10,291 | $8,826 |
| Missouri Baptist Medical CenterTown and Country | 68 | $41,516 | $8,888 | $7,267 |
| Poplar Bluff Regional Medical CenterPoplar Bluff | 61 | $97,878 | $9,580 | $8,439 |
| Missouri Delta Medical CenterSikeston | 60 | $60,280 | $11,372 | $9,742 |
| Southeast Missouri HospitalCape Girardeau | 58 | $38,069 | $10,175 | $8,522 |
| SSM St Joseph Hospital WestLake St Louis | 57 | $39,267 | $9,253 | $7,510 |
| Barnes Jewish HospitalSt Louis | 51 | $83,047 | $19,831 | $13,479 |
| Liberty HospitalLiberty | 49 | $37,277 | $9,315 | $7,562 |
| St Marys Health CenterJefferson City | 46 | $33,931 | $9,239 | $7,860 |
| SSM St Joseph Hosp of KirkwoodSt Louis | 44 | $32,878 | $9,361 | $7,696 |
| Bothwell Regional Health CenterSedalia | 41 | $31,659 | $10,308 | $9,026 |
| St Francis Medical CenterCape Girardeau | 40 | $71,563 | $10,335 | $9,031 |
| Cox Medical Center BransonBranson | 39 | $42,806 | $12,060 | $8,215 |
| Lee's Summit HospitalLee's Summit | 39 | $71,965 | $8,636 | $7,470 |
| Barnes-Jewish St Peters HospitalSt Peters | 38 | $41,566 | $9,228 | $6,861 |
| St Johns Mercy HospitalWashington | 36 | $30,384 | $10,250 | $8,260 |
| Western Missouri Medical CenterWarrensburg | 36 | $24,709 | $13,955 | $12,754 |
| Christian Hospital NortheastSt Louis | 36 | $51,670 | $11,385 | $9,498 |
| Phelps County Regional Medical CenterRolla | 35 | $67,343 | $11,954 | $10,905 |
| St Louis University HospitalSt Louis | 33 | $53,347 | $15,635 | $11,980 |
| St Lukes Hospital of Kansas CityKansas City | 32 | $93,722 | $13,196 | $8,731 |
| Saint Luke's Northland HospSmithville | 31 | $67,511 | $9,899 | $7,719 |
| SSM St Joseph Health CenterSt Charles | 29 | $34,969 | $10,419 | $8,450 |
| Ozarks Medical CenterWest Plains | 27 | $32,346 | $9,430 | $8,040 |
| SSM St Mary's Health CenterSt Louis | 27 | $30,375 | $13,440 | $10,539 |
| Research Belton HospitalBelton | 27 | $69,026 | $8,229 | $7,186 |
| SSM Depaul Health CenterBridgeton | 26 | $37,434 | $10,610 | $8,688 |
| Research Medical CenterKansas City | 25 | $153,571 | $15,648 | $12,361 |
| St Joseph Medical CenterKansas City | 24 | $53,825 | $10,357 | $6,794 |
| Progress West Healthcare CenterO'fallon | 24 | $42,804 | $10,050 | $8,758 |
| Truman Medical Center Hospital HillKansas City | 22 | $26,587 | $23,932 | $21,537 |
| Mercy Hospital StoddardDexter | 21 | $26,464 | $11,872 | $10,716 |
| Mosaic Medical Center - MaryvilleMaryville | 20 | $28,880 | $15,212 | $13,989 |
| Golden Valley Memorial HospitalClinton | 18 | $28,637 | $11,464 | $10,378 |
| Bates County Memorial HospitalButler | 17 | $29,848 | $14,857 | $13,325 |
| Fitzgibbon Memorial HospitalMarshall | 15 | $27,794 | $11,660 | $10,464 |
| St Johns Hospital-LebanonLebanon | 14 | $21,175 | $14,157 | $12,758 |
| Moberly Regional Medical CenterMoberly | 13 | $75,698 | $13,687 | $12,164 |
| Barnes-Jewish West County HospitalSt Louis | 13 | $33,516 | $9,869 | $8,204 |
| Northeast Regional Medical CenterKirksville | 12 | $72,105 | $17,149 | $13,239 |
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 | $8,201 |
|---|---|
| Research Belton HospitalBelton, MO | $8,229 |
| Saint Luke's East Lee's Summit HospitalLee's Summit, MO | $8,473 |
| Lee's Summit HospitalLee's Summit, MO | $8,636 |
| Missouri Baptist Medical CenterTown and Country, MO | $8,888 |
Highest
| Truman Medical Center Hospital HillKansas City, MO | $23,932 |
|---|---|
| Barnes Jewish HospitalSt Louis, MO | $19,831 |
| Northeast Regional Medical CenterKirksville, MO | $17,149 |
| Research Medical CenterKansas City, MO | $15,648 |
| St Louis University HospitalSt Louis, MO | $15,635 |
Simple pneumonia and pleurisy with major complications in other states
Questions
How much does simple pneumonia and pleurisy with major complications cost in Missouri?
In 2024 Medicare data, a hospital stay for simple pneumonia and pleurisy with major complications (DRG 193) at 56 hospitals in Missouri was billed at $48,298 on average, while the average total payment was $10,786, of which Medicare paid $9,012. 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.