Heart valve replacement through a catheter (TAVR) in Missouri
MS-DRG 267: Endovascular cardiac valve replacement and supplement procedures without mcc
$169,102typical hospital bill
$34,504typical amount paid
$30,121–$48,437range paid across 18 hospitals
Missouri hospitals billed Medicare a typical $169,102 for this stay in 2024, about 4.9 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 | |
|---|---|---|---|---|---|
| Boone Hospital Center | Columbia | 27 | $159,041 | $30,121 | |
| Mercy Hospital Springfield | Springfield | 44 | $119,744 | $32,359 | |
| Mercy Hospital South | Saint Louis | 31 | $107,329 | $32,551 | |
| Nkc Health | North Kansas City | 51 | $141,102 | $32,709 | |
| St Lukes Hospital | Chesterfield | 24 | $104,654 | $33,305 | |
| Cox Medical Centers | Springfield | 36 | $168,785 | $33,518 | |
| Mercy Hospital Southeast | Cape Girardeau | 18 | $218,102 | $33,637 | |
| Saint Francis Medical Center | Cape Girardeau | 23 | $303,610 | $34,252 | |
| Missouri Baptist Medical Center | Saint Louis | 66 | $169,420 | $34,307 | |
| Freeman Health System - Freeman West | Joplin | 38 | $228,857 | $34,702 | |
| Mercy Hospital St Louis | Saint Louis | 53 | $137,506 | $35,923 | |
| Christian Hospital Northeast | Saint Louis | 23 | $173,055 | $36,167 | |
| Research Medical Center | Kansas City | 23 | $602,992 | $38,211 | |
| St Lukes Hospital of Kansas City | Kansas City | 119 | $159,397 | $38,330 | |
| University of Missouri Health Care | Columbia | 38 | $280,564 | $42,518 | |
| Mosaic Life Care at St Joseph | Saint Joseph | 51 | $124,878 | $43,949 | |
| Barnes Jewish Hospital | Saint Louis | 74 | $179,862 | $48,346 | |
| Ssm Health Saint Louis University Hospital | Saint Louis | 70 | $192,154 | $48,437 |
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.