facebook tracking Spinal fusion except cervical without major complications cost in Missouri: 18 hospitals compared (DRG 460)

Spinal fusion except cervical without major complications in Missouri

What 18 hospitals in Missouri charged and were paid for a Medicare hospital stay for spinal fusion except cervical without major complications (DRG 460), from 2024 Medicare claims.

DRG 460 Inpatient 2024 Medicare data
Average charge $144,411 Hospital list price billed
Average payment $30,376 Medicare + patient + other payers
Medicare paid $24,885 Average per stay
State rank #13 of 43 1 = lowest average payment

Hospitals in Missouri billed an average of $144,411 for spinal fusion except cervical without major complications, about 4.8 times the average total payment of $30,376. That payment is 11% below the U.S. average of $34,025.

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 $30,376Billed $144,411

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: spinal fusion except cervical without 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 61 $164,608 $39,911 $29,661
St John's Mercy Medical CenterSt Louis 29 $79,566 $28,141 $23,450
Lester E Cox Medical CentersSpringfield 27 $117,327 $24,304 $21,598
St Francis Medical CenterCape Girardeau 27 $288,659 $33,291 $31,719
Mercy Hospital SpringfieldSpringfield 26 $75,711 $26,360 $21,427
Boone Hospital CenterColumbia 22 $80,257 $22,829 $21,346
Research Medical CenterKansas City 19 $250,736 $30,100 $26,793
University Hospitals & ClinicsColumbia 18 $168,336 $31,323 $29,078
Barnes-Jewish West County HospitalSt Louis 18 $114,487 $29,560 $23,678
Missouri Baptist Medical CenterTown and Country 16 $121,334 $25,259 $20,830
St Lukes HospitalChesterfield 15 $84,336 $27,972 $20,113
Nkc HealthNorth Kansas City 14 $134,696 $24,906 $23,476
Southeast Missouri HospitalCape Girardeau 14 $206,270 $28,798 $24,617
St Lukes Hospital of Kansas CityKansas City 14 $140,683 $36,299 $22,234
Barnes-Jewish St Peters HospitalSt Peters 14 $122,364 $25,651 $20,843
Mercy Hospital SouthSt Louis 11 $66,185 $25,489 $21,003
St Louis University HospitalSt Louis 11 $166,591 $42,913 $27,360
Liberty HospitalLiberty 11 $170,598 $26,510 $25,027
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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$22,829
Lester E Cox Medical CentersSpringfield, MO$24,304
Nkc HealthNorth Kansas City, MO$24,906
Missouri Baptist Medical CenterTown and Country, MO$25,259
Mercy Hospital SouthSt Louis, MO$25,489

Highest

St Louis University HospitalSt Louis, MO$42,913
Barnes Jewish HospitalSt Louis, MO$39,911
St Lukes Hospital of Kansas CityKansas City, MO$36,299
St Francis Medical CenterCape Girardeau, MO$33,291
University Hospitals & ClinicsColumbia, MO$31,323

Spinal fusion except cervical without major complications in other states

Questions

How much does spinal fusion except cervical without major complications cost in Missouri?

In 2024 Medicare data, a hospital stay for spinal fusion except cervical without major complications (DRG 460) at 18 hospitals in Missouri was billed at $144,411 on average, while the average total payment was $30,376, of which Medicare paid $24,885. 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 4.8 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.