Missouri / Barnes-Jewish St Peters Hospital
CMS certification 260191 · Saint Peters, MO · 2 entries in CMS's price-transparency list
Barnes-Jewish St Peters Hospital: charges and Medicare payments
Barnes-Jewish St Peters Hospital reported 1,146 Medicare inpatient stays across 39 DRGs in 2024. Across them it charged 4.19 times what it was paid — mid-range in Missouri, number 25 of 59 hospitals with at least 100 stays (state median 3.85×, national 4.15×). Its most frequent stay was DRG 291, Heart Failure and Shock with MCC: 130 stays at an average charge of $43,137, 23% below the national average. It also billed 1,520 outpatient services, charging 5.85 times what Medicare paid.
- 1Medicare inpatient stays 1,146
- 2Charge ÷ paid, inpatient 4.19×
- 3Rank in MO (highest ratio = 1) 25 of 59
- 4CMS price-transparency actions 2
Inpatient stays
For the 39 DRGs that can be compared with the national average, Barnes-Jewish St Peters Hospital charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 291 Heart Failure and Shock with MCC | 130 | $43,137 | -23% | $8,718 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 118 | $50,544 | -44% | $13,198 |
| 177 Respiratory Infections and Inflammations with MCC | 78 | $53,326 | -24% | $10,837 |
| 689 Kidney and Urinary Tract Infections with MCC | 62 | $28,260 | -45% | $7,370 |
| 690 Kidney and Urinary Tract Infections without MCC | 46 | $20,921 | -45% | $5,671 |
| 189 Pulmonary Edema and Respiratory Failure | 41 | $41,935 | -27% | $8,324 |
| 193 Simple Pneumonia and Pleurisy with MCC | 38 | $41,566 | -30% | $9,228 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 38 | $22,595 | -44% | $5,714 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 35 | $35,900 | -36% | $6,793 |
| 378 Gastrointestinal Hemorrhage with CC | 33 | $28,996 | -40% | $6,935 |
| 552 Medical Back Problems without MCC | 32 | $26,177 | -46% | $6,345 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 30 | $36,414 | -28% | $8,114 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 27 | $30,072 | -39% | $7,086 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 26 | $47,591 | -49% | $12,300 |
| 603 Cellulitis without MCC | 26 | $22,257 | -40% | $6,251 |
| 682 Renal Failure with MCC | 25 | $34,860 | -47% | $9,459 |
| 683 Renal Failure with CC | 24 | $28,166 | -31% | $6,266 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 23 | $33,491 | -54% | $11,040 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 22 | $116,512 | -49% | $34,948 |
| 178 Respiratory Infections and Inflammations with CC | 20 | $35,254 | -22% | $6,344 |
| 377 Gastrointestinal Hemorrhage with MCC | 19 | $52,630 | -38% | $11,695 |
| 312 Syncope and Collapse | 18 | $26,934 | -41% | $5,692 |
| 330 Major Small and Large Bowel Procedures with CC | 18 | $56,444 | -53% | $17,645 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 18 | $20,389 | -45% | $5,317 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 16 | $54,288 | -46% | $15,638 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 16 | $37,609 | -41% | $8,956 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 16 | $25,542 | -29% | $4,853 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 16 | $36,983 | -39% | $8,905 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 15 | $19,860 | -58% | $6,607 |
| 460 Spinal Fusion except Cervical without MCC | 14 | $122,364 | -28% | $25,651 |
| 194 Simple Pneumonia and Pleurisy with CC | 13 | $25,780 | -33% | $5,704 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 13 | $53,845 | -47% | $12,995 |
| 329 Major Small and Large Bowel Procedures with MCC | 12 | $126,389 | -41% | $31,850 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 12 | $35,449 | -42% | $8,373 |
| 884 Organic Disturbances and Intellectual Disability | 12 | $23,532 | -62% | $9,139 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 11 | $48,167 | -26% | $9,726 |
| 202 Bronchitis and Asthma with CC/MCC | 11 | $34,377 | -26% | $6,276 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 11 | $66,867 | -42% | $15,240 |
| 472 Cervical Spinal Fusion with CC | 11 | $87,326 | -39% | $19,247 |
Outpatient services
Against the Missouri average
For Heart Failure and Shock with MCC (DRG 291), Barnes-Jewish St Peters Hospital charged $43,137 on average, 7% less than the Missouri average of $46,468, and was paid $8,718 against a state average of $10,539. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Barnes-Jewish St Peters Hospital charged $50,544 on average, 31% less than the Missouri average of $72,886, and was paid $13,198 against a state average of $15,808. For Respiratory Infections and Inflammations with MCC (DRG 177), Barnes-Jewish St Peters Hospital charged $53,326 on average, 8% less than the Missouri average of $58,162, and was paid $10,837 against a state average of $13,151. For Kidney and Urinary Tract Infections with MCC (DRG 689), Barnes-Jewish St Peters Hospital charged $28,260 on average, 31% less than the Missouri average of $41,242, and was paid $7,370 against a state average of $9,430. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $9,488 was 11% below the state average of $10,642. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $17,028 was 17% below the state average of $20,571. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $42,601 was 18% below the state average of $52,262. For Level 5 Urology and Related Services (outpatient APC 5375), its average charge of $21,971 was 14% below the state average of $25,669.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Barnes-Jewish St Peters Hospital in Saint Peters, MO, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2024-10-16 (CMS case 2812)
- Closure Notice — 2025-01-22 (CMS case 2812)
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.