Missouri / Barnes Jewish Hospital
CMS certification 260032 · Saint Louis, MO · 3 entries in CMS's price-transparency list
Barnes Jewish Hospital: charges and Medicare payments
Barnes Jewish Hospital reported 10,160 Medicare inpatient stays across 277 DRGs in 2024. Across them it charged 3.67 times what it was paid — mid-range in Missouri, number 35 of 59 hospitals with at least 100 stays (state median 3.85×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 421 stays at an average charge of $116,515, 29% above the national average. It also billed 9,962 outpatient services, charging 7.1 times what Medicare paid.
- 1Medicare inpatient stays 10,160
- 2Charge ÷ paid, inpatient 3.67×
- 3Rank in MO (highest ratio = 1) 35 of 59
- 4CMS price-transparency actions 3
Inpatient stays
For the 277 DRGs that can be compared with the national average, Barnes Jewish Hospital charged more than the national average in 89 (32%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 421 | $116,515 | +29% | $27,754 |
| 291 Heart Failure and Shock with MCC | 273 | $63,751 | +13% | $17,470 |
| 885 Psychoses | 167 | $70,766 | +61% | $22,390 |
| 025 Craniotomy and Endovascular Intracranial Procedures with MCC | 138 | $210,809 | -9% | $57,700 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 119 | $64,513 | -12% | $21,196 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 118 | $239,680 | +5% | $66,299 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 116 | $32,609 | -10% | $10,187 |
| 481 Hip and Femur Procedures except Major Joint with CC | 116 | $94,999 | -6% | $22,017 |
| 330 Major Small and Large Bowel Procedures with CC | 113 | $81,610 | -31% | $26,874 |
| 219 Cardiac Valve and Other Major Cardiothoracic Procedures... | 108 | $354,558 | -11% | $90,395 |
| 847 Chemotherapy without Acute Leukemia As Secondary Diagnosis... | 108 | $62,026 | -8% | $16,394 |
| 812 Red Blood Cell Disorders without MCC | 105 | $32,412 | -27% | $11,391 |
| 652 Kidney Transplant | 98 | $255,559 | -24% | $55,697 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 97 | $43,713 | -8% | $13,087 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 94 | $96,241 | -4% | $24,389 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 94 | $128,789 | +15% | $33,731 |
| 177 Respiratory Infections and Inflammations with MCC | 92 | $91,612 | +30% | $25,969 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 84 | $36,875 | -8% | $10,794 |
| 189 Pulmonary Edema and Respiratory Failure | 80 | $102,376 | +78% | $22,639 |
| 682 Renal Failure with MCC | 78 | $67,311 | +2% | $20,694 |
| 164 Major Chest Procedures with CC | 77 | $80,159 | -37% | $26,469 |
| 314 Other Circulatory System Diagnoses with MCC | 77 | $100,807 | +6% | $28,007 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 77 | $75,769 | +24% | $17,837 |
| 329 Major Small and Large Bowel Procedures with MCC | 75 | $179,364 | -17% | $54,403 |
| 683 Renal Failure with CC | 75 | $44,313 | +9% | $11,975 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 74 | $179,862 | -19% | $48,346 |
| 472 Cervical Spinal Fusion with CC | 74 | $123,216 | -14% | $30,772 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 73 | $66,718 | +20% | $13,846 |
| 057 Degenerative Nervous System Disorders without MCC | 72 | $40,463 | -29% | $15,656 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 72 | $52,695 | +7% | $14,485 |
| 840 Lymphoma and Non-Acute Leukemia with MCC | 71 | $250,764 | +61% | $70,404 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 70 | $59,794 | -1% | $17,479 |
| 220 Cardiac Valve and Other Major Cardiothoracic Procedures... | 68 | $246,845 | -11% | $62,551 |
| 327 Stomach, Esophageal and Duodenal Procedures with CC | 67 | $89,594 | -29% | $27,036 |
| 328 Stomach, Esophageal and Duodenal Procedures without CC/MCC | 67 | $59,871 | -31% | $18,526 |
| 552 Medical Back Problems without MCC | 62 | $42,154 | -14% | $12,434 |
| 460 Spinal Fusion except Cervical without MCC | 61 | $164,608 | -3% | $39,911 |
| 003 ECMO or Tracheostomy with MV >96 Hours or Principal... | 60 | $826,674 | -21% | $284,969 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 59 | $22,345 | -22% | $8,151 |
| 690 Kidney and Urinary Tract Infections without MCC | 58 | $31,354 | -17% | $10,296 |
| 846 Chemotherapy without Acute Leukemia As Secondary Diagnosis... | 58 | $118,973 | -12% | $36,029 |
| 023 Craniotomy with Major Device Implant or Acute Complex Cns... | 57 | $194,813 | -31% | $63,500 |
| 205 Other Respiratory System Diagnoses with MCC | 57 | $83,840 | -5% | $24,002 |
| 919 Complications of Treatment with MCC | 57 | $82,689 | -7% | $21,947 |
| 378 Gastrointestinal Hemorrhage with CC | 56 | $48,221 | -1% | $12,626 |
| 493 Lower Extremity and Humerus Procedures except Hip, Foot and... | 56 | $98,129 | -18% | $23,884 |
| 603 Cellulitis without MCC | 56 | $37,914 | +2% | $11,204 |
| 660 Kidney and Ureter Procedures for Non-Neoplasm with CC | 56 | $57,067 | -15% | $16,117 |
| 101 Seizures without MCC | 52 | $38,283 | -21% | $12,635 |
| 454 Combined Anterior and Posterior Spinal Fusion with CC | 52 | $312,289 | +12% | $78,862 |
| 193 Simple Pneumonia and Pleurisy with MCC | 51 | $83,047 | +39% | $19,831 |
| 266 Endovascular Cardiac Valve Replacement and Supplement... | 51 | $221,388 | -22% | $61,357 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 51 | $75,460 | 0% | $19,582 |
| 377 Gastrointestinal Hemorrhage with MCC | 51 | $82,757 | -3% | $22,114 |
| 393 Other Digestive System Diagnoses with MCC | 51 | $84,934 | +11% | $26,228 |
| 441 Disorders of Liver except Malignancy, Cirrhosis or Alcoholic... | 51 | $75,570 | -12% | $24,791 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 51 | $35,065 | -5% | $10,617 |
| 270 Other Major Cardiovascular Procedures with MCC | 50 | $241,438 | -7% | $63,155 |
| 394 Other Digestive System Diagnoses with CC | 50 | $42,062 | -11% | $13,078 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 49 | $60,094 | +6% | $15,762 |
Showing the 60 most frequent of 277 DRGs.
Outpatient services
Against the Missouri average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Barnes Jewish Hospital charged $116,515 on average, 60% more than the Missouri average of $72,886, and was paid $27,754 against a state average of $15,808. For Heart Failure and Shock with MCC (DRG 291), Barnes Jewish Hospital charged $63,751 on average, 37% more than the Missouri average of $46,468, and was paid $17,470 against a state average of $10,539. For Psychoses (DRG 885), Barnes Jewish Hospital charged $70,766 on average, 130% more than the Missouri average of $30,825, and was paid $22,390 against a state average of $12,977. For Craniotomy and Endovascular Intracranial Procedures with MCC (DRG 025), Barnes Jewish Hospital charged $210,809 on average, 21% more than the Missouri average of $173,790, and was paid $57,700 against a state average of $43,604. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $11,907 was 21% above the state average of $9,865. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $11,351 was 7% above the state average of $10,642. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $9,289 was 4% below the state average of $9,712. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $14,352 was 17% below the state average of $17,355.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Barnes Jewish Hospital in Saint Louis, MO, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2021-08-25 (CMS case 292)
- Closure Notice — 2022-03-09 (CMS case 292)
- Met Requirements — 2025-03-12 (CMS case 3260)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.