Simple Pneumonia and Pleurisy Without Cc/Mcc in Missouri
MS-DRG 195: Simple pneumonia and pleurisy without cc/mcc
$21,654typical hospital bill
$5,932typical amount paid
$4,006–$6,431range paid across 5 hospitals
Missouri hospitals billed Medicare a typical $21,654 for this stay in 2024, about 3.7 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 | |
|---|---|---|---|---|---|
| Saint Luke's East Hospital | Lees Summit | 14 | $49,228 | $4,006 | |
| St Lukes Hospital | Chesterfield | 12 | $20,434 | $4,579 | |
| Freeman Health System - Freeman West | Joplin | 11 | $30,542 | $5,932 | |
| Cox Medical Centers | Springfield | 11 | $19,694 | $5,972 | |
| University of Missouri Health Care | Columbia | 11 | $21,654 | $6,431 |
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.