facebook tracking Trauma to the skin, subcutaneous tissue and breast without major complications cost in Missouri: 7 hospitals compared (DRG 605)

Trauma to the skin, subcutaneous tissue and breast without major complications in Missouri

What 7 hospitals in Missouri charged and were paid for a Medicare hospital stay for trauma to the skin, subcutaneous tissue and breast without major complications (DRG 605), from 2024 Medicare claims.

DRG 605 Inpatient 2024 Medicare data
Average charge $34,786 Hospital list price billed
Average payment $7,781 Medicare + patient + other payers
Medicare paid $5,755 Average per stay
State rank #2 of 25 1 = lowest average payment

Hospitals in Missouri billed an average of $34,786 for trauma to the skin, subcutaneous tissue and breast without major complications, about 4.5 times the average total payment of $7,781. That payment is 17% below the U.S. average of $9,406.

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 $7,781Billed $34,786

About 22¢ 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: trauma to the skin, subcutaneous tissue and breast 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
St John's Mercy Medical CenterSt Louis 32 $26,456 $7,698 $5,950
Mercy Hospital SouthSt Louis 32 $23,729 $7,540 $5,052
Missouri Baptist Medical CenterTown and Country 19 $32,252 $5,944 $4,231
Nkc HealthNorth Kansas City 15 $33,164 $7,461 $5,605
Barnes Jewish HospitalSt Louis 12 $31,715 $10,724 $7,396
Centerpoint Medical CenterIndependence 12 $89,422 $7,017 $6,320
University Hospitals & ClinicsColumbia 12 $40,965 $9,771 $7,507
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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

Missouri Baptist Medical CenterTown and Country, MO$5,944
Centerpoint Medical CenterIndependence, MO$7,017
Nkc HealthNorth Kansas City, MO$7,461
Mercy Hospital SouthSt Louis, MO$7,540
St John's Mercy Medical CenterSt Louis, MO$7,698

Highest

Barnes Jewish HospitalSt Louis, MO$10,724
University Hospitals & ClinicsColumbia, MO$9,771
St John's Mercy Medical CenterSt Louis, MO$7,698
Mercy Hospital SouthSt Louis, MO$7,540
Nkc HealthNorth Kansas City, MO$7,461

Trauma to the skin, subcutaneous tissue and breast without major complications in other states

Questions

How much does trauma to the skin, subcutaneous tissue and breast without major complications cost in Missouri?

In 2024 Medicare data, a hospital stay for trauma to the skin, subcutaneous tissue and breast without major complications (DRG 605) at 7 hospitals in Missouri was billed at $34,786 on average, while the average total payment was $7,781, of which Medicare paid $5,755. 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.