Heart catheterization, with major complications in Missouri
MS-DRG 286: Circulatory disorders except ami, with cardiac catheterization with mcc
Missouri hospitals billed Medicare a typical $73,666 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.
Related:Heart catheterization
Missouri hospitals compared
Billed (list price)Actually paid (Medicare + patient)
| Hospital | City | Medicare stays | Billed | Paid | Cash price | Insurers (median) | |
|---|---|---|---|---|---|---|---|
| Boone Hospital Center | Columbia | 29 | $55,379 | $14,107 | – | – | |
| Ssm St Joseph Hospital West | Lake Saint Louis | 28 | $61,632 | $14,503 | – | – | |
| Liberty Hospital | Liberty | 24 | $64,518 | $14,628 | – | – | |
| Saint Lukes North Hospital | Kansas City | 11 | $85,352 | $14,721 | – | – | |
| Centerpoint Medical Center | Independence | 40 | $182,595 | $14,979 | – | – | |
| Mercy Hospital South | Saint Louis | 17 | $56,757 | $15,137 | – | – | |
| St Lukes Hospital | Chesterfield | 32 | $73,826 | $15,185 | – | – | |
| Ssm Health Depaul Hospital St Louis | Bridgeton | 26 | $65,003 | $15,359 | – | – | |
| Saint Francis Medical Center | Cape Girardeau | 15 | $78,823 | $15,399 | – | – | |
| Missouri Baptist Medical Center | Saint Louis | 46 | $73,506 | $15,441 | – | – | |
| Cox Medical Center Branson | Branson | 13 | $63,309 | $15,530 | – | – | |
| Mercy Hospital Springfield | Springfield | 26 | $64,621 | $15,630 | – | – | |
| Poplar Bluff Regional Medical Center | Poplar Bluff | 22 | $197,236 | $15,764 | – | – | |
| Nkc Health | North Kansas City | 12 | $69,330 | $16,208 | – | $29,005$17,928–$33,394 · 18 plans | |
| Saint Luke's East Hospital | Lees Summit | 21 | $104,282 | $16,437 | – | – | |
| Cox Medical Centers | Springfield | 21 | $71,002 | $16,811 | – | – | |
| Ssm St Joseph Health Center | Saint Charles | 16 | $66,820 | $16,965 | – | – | |
| Mercy Hospital Jefferson | Crystal City | 15 | $55,481 | $17,145 | – | – | |
| Christian Hospital Northeast | Saint Louis | 26 | $90,550 | $17,493 | – | – | |
| Freeman Health System - Freeman West | Joplin | 24 | $77,087 | $17,495 | – | – | |
| Hannibal Regional Hospital | Hannibal | 17 | $59,122 | $17,497 | – | – | |
| Mercy Hospital St Louis | Saint Louis | 51 | $78,164 | $17,534 | – | – | |
| Phelps County Regional Medical Center | Rolla | 32 | $74,997 | $19,602 | – | – | |
| Mosaic Life Care at St Joseph | Saint Joseph | 27 | $60,058 | $20,449 | – | – | |
| St Lukes Hospital of Kansas City | Kansas City | 58 | $137,683 | $24,381 | – | – | |
| Ssm Health Saint Louis University Hospital | Saint Louis | 21 | $113,022 | $26,045 | – | – | |
| University of Missouri Health Care | Columbia | 28 | $164,172 | $27,907 | – | $23,184$16,963–$37,288 · 13 plans | |
| Barnes Jewish Hospital | Saint Louis | 94 | $128,789 | $33,731 | $62,408 | $39,135$28,736–$52,396 · 24 plans |
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.
What it is
In a cardiac catheterization a thin tube is guided through a blood vessel to the heart, and dye is injected to show blocked arteries on X-ray (an angiogram). This code covers stays for heart conditions other than a heart attack where the test was done and no stent was placed.
This page covers the most complex version: patients who also had a major complication or serious additional condition, such as kidney failure, a severe infection or respiratory failure. These stays are longer and cost more.
What to expect
The test takes under an hour with light sedation. Many patients stay one to three days while the heart condition is treated.
What moves the bill
Catheterization lab time is the largest item; the rest depends on the length of stay.
General information, not medical advice.
Common questions
How much does a hospital stay for heart catheterization, with major complications cost in Missouri?
At 28 Missouri hospitals, the typical bill for heart catheterization, with major complications was $73,666 in 2024, and Medicare and the patient together paid a typical $16,323. The typical US hospital billed $87,976.
Which Missouri hospitals bill the least and the most for heart catheterization, with major complications?
The lowest average bill is at Boone Hospital Center, $55,379. The highest is at Poplar Bluff Regional Medical Center, $197,236. These are Medicare averages for 2024; a bill depends on the care each patient needs.
Why is the hospital bill so much higher than what is paid?
The bill comes from the hospital's own price list, which each hospital sets for itself. Medicare pays a fixed amount for each kind of stay, worked out by a national formula, and private insurers negotiate their own rates. So the list price is rarely what anyone pays, but uninsured and out-of-network patients can be billed from it.
How much will I pay myself?
With Original Medicare you owe the Part A deductible for a hospital stay, $1,736 in 2026, whatever the hospital bills. With private insurance it depends on your deductible, coinsurance and out-of-pocket maximum. Without insurance, ask for the hospital's cash price and its financial assistance policy. The cost estimator works it out for your situation.
Before you go
- Ask for an estimate. Hospitals must give uninsured and self-pay patients a written good-faith estimate before planned care.
- Check the network. Confirm that the hospital and the doctors are in your plan's network.
- Ask about financial help. Non-profit hospitals must have a financial assistance policy; many discount or forgive bills by income.
- Get an itemized bill. Compare it with the estimate and question anything you don't recognise.