Heart valve replacement through a catheter (TAVR), with major complications in Missouri
MS-DRG 266: Endovascular cardiac valve replacement and supplement procedures with mcc
$203,722typical hospital bill
$45,254typical amount paid
$39,265–$61,588range paid across 13 hospitals
Missouri hospitals billed Medicare a typical $203,722 for this stay in 2024, about 4.5 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 | 43 | $170,068 | $39,265 | |
| Mercy Hospital Springfield | Springfield | 20 | $142,900 | $40,988 | |
| Freeman Health System - Freeman West | Joplin | 19 | $308,447 | $42,111 | |
| Cox Medical Centers | Springfield | 53 | $180,699 | $42,609 | |
| Christian Hospital Northeast | Saint Louis | 20 | $184,635 | $44,007 | |
| Missouri Baptist Medical Center | Saint Louis | 41 | $203,722 | $45,228 | |
| Mercy Hospital St Louis | Saint Louis | 11 | $196,610 | $45,254 | |
| St Lukes Hospital | Chesterfield | 62 | $124,583 | $45,815 | |
| Research Medical Center | Kansas City | 29 | $729,936 | $51,920 | |
| St Lukes Hospital of Kansas City | Kansas City | 85 | $219,070 | $54,115 | |
| University of Missouri Health Care | Columbia | 22 | $351,932 | $55,540 | |
| Barnes Jewish Hospital | Saint Louis | 51 | $221,388 | $61,357 | |
| Ssm Health Saint Louis University Hospital | Saint Louis | 19 | $223,952 | $61,588 |
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.