The Price of Medicare Procedures in Missouri



This table shows the 100 most frequently charged procedures/diagnosis in Missouri to the Inpatient Prospective Payment System (IPPS). This table will give a basic idea of the cost of medicare for hospital procedures. Hospitals determine what they bill according to a "chargemaster". The charge master serves as a price point for the beginning of negotiations between you and the health care provider.



ProcedureProvider StateTotal DischargesHospital Charge(s)Medicare Payment(s)Your Cost
Acute Myocardial Infarction Discharged Alive No Complications
 Missouri 382 $19409 $5075 $14334
Acute Myocardial Infarction Discharged Alive With Complications
 Missouri 792 $25107 $7299 $17808
Acute Myocardial Infarction Discharged Alive With Major Complications
 Missouri 1356 $38082 $11009 $27073
Alcohol Drug Abuse No Rehabilitation Therapy No Major Complications
 Missouri 852 $11777 $4342 $7435
Atherosclerosis No Major Complications
 Missouri 687 $13527 $3711 $9816
Back And Neck Proc Exc Spinal Fusion No Complications
 Missouri 778 $25750 $6222 $19528
Bronchitis And Asthma No Complications
 Missouri 255 $13350 $4015 $9335
Bronchitis And Asthma With Complications
 Missouri 630 $17183 $5342 $11841
Cardiac Arrhythmia And Conduction Disorders No Complications
 Missouri 2917 $12487 $3574 $8913
Cardiac Arrhythmia And Conduction Disorders With Complications
 Missouri 2501 $17951 $5186 $12765
Cardiac Arrhythmia And Conduction Disorders With Major Complications
 Missouri 1666 $25800 $7799 $18001
Cellulitis No Major Complications
 Missouri 3237 $16957 $5280 $11677
Cellulitis With Major Complications
 Missouri 441 $30605 $9107 $21498
Cervical Spinal Fusion No Complications
 Missouri 727 $46400 $13262 $33138
Chest Pain
 Missouri 3442 $14567 $3527 $11040
Chronic Obstructive Pulmonary Disease No Complications
 Missouri 2701 $15094 $4582 $10512
Chronic Obstructive Pulmonary Disease With Complications
 Missouri 3417 $19616 $6146 $13470
Chronic Obstructive Pulmonary Disease With Major Complications
 Missouri 3420 $25312 $7445 $17867
Circulatory Disorders Except Ami With Card Cath No Major Complications
 Missouri 3637 $27366 $6889 $20477
Circulatory Disorders Except Ami With Card Cath With Major Complications
 Missouri 697 $43260 $12617 $30643
Cranial And Peripheral Nerve Disorders No Major Complications
 Missouri 614 $21314 $5847 $15467
Degenerative Nervous System Disorders No Major Complications
 Missouri 675 $18442 $5858 $12584
Diabetes With Complications
 Missouri 1120 $17711 $5388 $12323
Disorders Of Pancreas Except Malignancy With Complications
 Missouri 472 $22392 $6367 $16025
Dysequilibrium
 Missouri 564 $15646 $3970 $11676
Esophagitis Gastroent And Misc Digest Disorders No Major Complications
 Missouri 6686 $17168 $4547 $12621
Esophagitis Gastroent And Misc Digest Disorders With Major Complications
 Missouri 1218 $25614 $7689 $17925
Extracranial Procedures No Complications
 Missouri 1030 $24274 $6087 $18187
Fractures Of Hip And Pelvis No Major Complications
 Missouri 481 $13410 $4147 $9263
Fx Sprn Strn And Disl Except Femur Hip Pelvis Thigh No Major Complications
 Missouri 413 $15901 $4356 $11545
Gi Hemorrhage No Complications
 Missouri 862 $15457 $4509 $10948
Gi Hemorrhage With Complications
 Missouri 3440 $21879 $6229 $15650
Gi Hemorrhage With Major Complications
 Missouri 1230 $40567 $11201 $29366
Gi Obstruction No Complications
 Missouri 758 $14104 $3911 $10193
Gi Obstruction With Complications
 Missouri 1135 $20732 $5671 $15061
Heart Failure And Shock No Complications
 Missouri 2046 $14823 $4257 $10566
Heart Failure And Shock With Complications
 Missouri 5116 $21078 $6410 $14668
Heart Failure And Shock With Major Complications
 Missouri 5166 $30318 $9156 $21162
Hip And Femur Procedures Except Major Joint No Complications
 Missouri 507 $31933 $9334 $22599
Hip And Femur Procedures Except Major Joint With Complications
 Missouri 2027 $41557 $11401 $30156
Hip And Femur Procedures Except Major Joint With Major Complications
 Missouri 514 $63595 $18951 $44644
Hypertension No Major Complications
 Missouri 688 $15310 $3938 $11372
Infectious And Parasitic Diseases Or Procedure With Major Complications
 Missouri 1169 $122006 $36430 $85576
Intracranial Hemorrhage Or Cerebral Infarction No Complications
 Missouri 1557 $20660 $5231 $15429
Intracranial Hemorrhage Or Cerebral Infarction With Complications
 Missouri 2728 $25604 $7175 $18429
Intracranial Hemorrhage Or Cerebral Infarction With Major Complications
 Missouri 1656 $40880 $11994 $28886
Kidney And Urinary Tract Infections No Major Complications
 Missouri 4529 $16038 $4806 $11232
Kidney And Urinary Tract Infections With Major Complications
 Missouri 1445 $24152 $7228 $16924
Laparoscopic Cholecystectomy No Cde No Complications
 Missouri 435 $29050 $7133 $21917
Laparoscopic Cholecystectomy No Cde With Complications
 Missouri 561 $36014 $10181 $25833
Major Cardiovasc Procedures No Major Complications
 Missouri 1020 $69608 $19838 $49770
Major Gastrointestinal Disorders And Peritoneal Infections With Complications
 Missouri 885 $24804 $7655 $17149
Major Joint Replacement Of Lower Extremity No Major Complications
 Missouri 10731 $40743 $12852 $27891
Major Joint Replacement Of Lower Extremity With Major Complications
 Missouri 597 $63785 $19703 $44082
Major Small And Large Bowel Procedures With Complications
 Missouri 1452 $51513 $15665 $35848
Major Small And Large Bowel Procedures With Major Complications
 Missouri 1014 $114859 $34419 $80440
Medical Back Problems No Major Complications
 Missouri 1759 $18644 $5034 $13610
Misc Disorders Of Metabolism Fluids Electrolytes No Major Complications
 Missouri 3767 $14611 $4370 $10241
Misc Disorders Of Metabolism Fluids Electrolytes With Major Complications
 Missouri 1532 $24577 $7378 $17199
Other Circulatory System Diagnoses With Complications
 Missouri 463 $21549 $6325 $15224
Other Circulatory System Diagnoses With Major Complications
 Missouri 1393 $41444 $12221 $29223
Other Digestive System Diagnoses With Complications
 Missouri 1019 $21153 $6178 $14975
Other Kidney And Urinary Tract Diagnoses With Complications
 Missouri 766 $23882 $6875 $17007
Other Kidney And Urinary Tract Diagnoses With Major Complications
 Missouri 658 $36716 $10442 $26274
Other Vascular Procedures No Complications
 Missouri 706 $38898 $10114 $28784
Other Vascular Procedures With Complications
 Missouri 942 $55651 $15352 $40299
Other Vascular Procedures With Major Complications
 Missouri 740 $71071 $20403 $50668
Perc Cardiovasc Proc No Coronary Artery Stent No Major Complications
 Missouri 620 $57655 $11862 $45793
Perc Cardiovasc Proc With Drug Eluting Stent No Major Complications
 Missouri 3225 $51374 $12306 $39068
Perc Cardiovasc Proc With Drug Eluting Stent With Major Complications
 Missouri 902 $73241 $20231 $53010
Perc Cardiovasc Proc With Nondrug Eluting Stent No Major Complications
 Missouri 904 $50165 $11277 $38888
Peripheral Vascular Disorders No Complications
 Missouri 428 $14248 $4255 $9993
Peripheral Vascular Disorders With Complications
 Missouri 820 $19740 $5947 $13793
Permanent Cardiac Pacemaker Implant No Complications
 Missouri 691 $46492 $12280 $34212
Permanent Cardiac Pacemaker Implant With Complications
 Missouri 698 $56754 $16053 $40701
Poisoning And Toxic Effects Of Drugs No Major Complications
 Missouri 996 $14268 $3999 $10269
Poisoning And Toxic Effects Of Drugs With Major Complications
 Missouri 625 $32746 $9451 $23295
Psychoses
 Missouri 3356 $14440 $5641 $8799
Pulmonary Edema And Respiratory Failure
 Missouri 3661 $28250 $8058 $20192
Pulmonary Embolism No Major Complications
 Missouri 671 $24240 $6823 $17417
Red Blood Cell Disorders No Major Complications
 Missouri 2141 $17531 $5193 $12338
Red Blood Cell Disorders With Major Complications
 Missouri 592 $26217 $7847 $18370
Renal Failure No Complications
 Missouri 496 $14171 $4257 $9914
Renal Failure With Complications
 Missouri 3489 $21181 $6298 $14883
Renal Failure With Major Complications
 Missouri 2545 $33727 $10217 $23510
Respiratory Infections And Inflammations With Complications
 Missouri 1299 $29149 $8649 $20500
Respiratory Infections And Inflammations With Major Complications
 Missouri 2164 $39631 $11742 $27889
Respiratory System Diagnosis With Ventilator Support 96 Plus Hrs
 Missouri 654 $130623 $35340 $95283
Respiratory System Diagnosis With Ventilator Support Less 96 Hrs
 Missouri 1840 $56820 $14890 $41930
Seizures No Major Complications
 Missouri 1376 $17972 $4979 $12993
Septicemia Or Severe Sepsis No Mv 96 Plus Hrs No Major Complications
 Missouri 2529 $24576 $7135 $17441
Septicemia Or Severe Sepsis No Mv 96 Plus Hrs With Major Complications
 Missouri 7904 $41930 $11968 $29962
Septicemia Or Severe Sepsis With Mv 96 Plus Hrs
 Missouri 498 $146396 $40110 $106286
Signs And Symptoms No Major Complications
 Missouri 1235 $16575 $4365 $12210
Simple Pneumonia And Pleurisy No Complications
 Missouri 2160 $15701 $4447 $11254
Simple Pneumonia And Pleurisy With Complications
 Missouri 5096 $22459 $6369 $16090
Simple Pneumonia And Pleurisy With Major Complications
 Missouri 3742 $31582 $8887 $22695
Spinal Fusion Except Cervical No Major Complications
 Missouri 1810 $86903 $25784 $61119
Syncope And Collapse
 Missouri 2899 $17367 $4474 $12893
Transient Ischemia
 Missouri 1939 $18690 $4601 $14089


Source: CMS

As part of the Obama administration’s goal to make our healthcare more accountable, transparent and affordable the CMS.gov has released data from more then 3000 hospitals that receive payments for the 100 highest frequently billed charges under Medicare. For more information visit CMS.gov.

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