Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization in Missouri
MS-DRG 219: Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
$334,583typical hospital bill
$66,604typical amount paid
$53,808–$90,395range paid across 9 hospitals
Missouri hospitals billed Medicare a typical $334,583 for this stay in 2024, about 5.0 times what was actually paid. Medicare's payment depends mostly on the hospital's location and teaching role; the bill depends on the hospital's own price list, so bills vary far more than payments.
Billed (list price)Actually paid (Medicare + patient)
| Hospital | City | Medicare stays | Billed | Paid | |
|---|---|---|---|---|---|
| Mercy Hospital Springfield | Springfield | 13 | $228,834 | $53,808 | |
| Missouri Baptist Medical Center | Saint Louis | 42 | $257,330 | $57,827 | |
| Mercy Hospital St Louis | Saint Louis | 12 | $334,583 | $62,713 | |
| Christian Hospital Northeast | Saint Louis | 22 | $286,568 | $65,310 | |
| University of Missouri Health Care | Columbia | 15 | $397,395 | $66,604 | |
| Cox Medical Centers | Springfield | 14 | $238,850 | $69,717 | |
| St Lukes Hospital of Kansas City | Kansas City | 59 | $340,632 | $69,866 | |
| Ssm Health Saint Louis University Hospital | Saint Louis | 16 | $340,981 | $84,607 | |
| Barnes Jewish Hospital | Saint Louis | 108 | $354,558 | $90,395 |
Medicare: CMS, 2024 (hospitals with 11 or more Medicare stays). Cash and insurer prices: hospitals' own price files, where read; insurer figures are commercial plans only, median and 10th–90th percentile across plans.