Missouri / Barnes-Jewish West County Hospital
CMS certification 260162 · Creve Coeur, MO
Barnes-Jewish West County Hospital: charges and Medicare payments
Barnes-Jewish West County Hospital reported 575 Medicare inpatient stays across 26 DRGs in 2024. Across them it charged 3.64 times what it was paid — mid-range in Missouri, number 36 of 59 hospitals with at least 100 stays (state median 3.85×, national 4.15×). Its most frequent stay was DRG 330, Major Small and Large Bowel Procedures with CC: 45 stays at an average charge of $63,290, 47% below the national average. It also billed 4,050 outpatient services, charging 5.9 times what Medicare paid.
- 1Medicare inpatient stays 575
- 2Charge ÷ paid, inpatient 3.64×
- 3Rank in MO (highest ratio = 1) 36 of 59
- 4CMS price-transparency actions 0
Inpatient stays
For the 26 DRGs that can be compared with the national average, Barnes-Jewish West County 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 |
|---|---|---|---|---|
| 330 Major Small and Large Bowel Procedures with CC | 45 | $63,290 | -47% | $18,672 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 43 | $25,637 | -36% | $6,052 |
| 468 Revision of Hip or Knee Replacement without CC/MCC | 36 | $83,044 | -33% | $21,712 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 36 | $43,101 | -52% | $13,321 |
| 291 Heart Failure and Shock with MCC | 34 | $28,780 | -49% | $9,174 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 31 | $54,448 | -42% | $14,167 |
| 483 Major Joint or Limb Reattachment Procedures of Upper... | 30 | $69,675 | -45% | $18,268 |
| 690 Kidney and Urinary Tract Infections without MCC | 29 | $25,637 | -32% | $6,515 |
| 812 Red Blood Cell Disorders without MCC | 26 | $23,191 | -48% | $6,734 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 26 | $28,475 | -42% | $8,237 |
| 467 Revision of Hip or Knee Replacement with CC | 22 | $102,530 | -35% | $27,561 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 20 | $28,747 | -22% | $6,110 |
| 378 Gastrointestinal Hemorrhage with CC | 19 | $27,526 | -43% | $7,933 |
| 389 Gastrointestinal Obstruction with CC | 19 | $27,074 | -30% | $5,974 |
| 460 Spinal Fusion except Cervical without MCC | 18 | $114,487 | -33% | $29,560 |
| 331 Major Small and Large Bowel Procedures without CC/MCC | 17 | $49,226 | -43% | $12,326 |
| 329 Major Small and Large Bowel Procedures with MCC | 16 | $112,746 | -48% | $33,361 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 14 | $35,339 | -52% | $13,300 |
| 193 Simple Pneumonia and Pleurisy with MCC | 13 | $33,516 | -44% | $9,869 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 13 | $34,599 | -43% | $9,697 |
| 178 Respiratory Infections and Inflammations with CC | 12 | $28,651 | -37% | $7,380 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 12 | $25,724 | -46% | $7,636 |
| 177 Respiratory Infections and Inflammations with MCC | 11 | $36,957 | -48% | $11,108 |
| 386 Inflammatory Bowel Disease with CC | 11 | $26,422 | -46% | $7,299 |
| 660 Kidney and Ureter Procedures for Non-Neoplasm with CC | 11 | $40,757 | -40% | $10,798 |
| 683 Renal Failure with CC | 11 | $25,299 | -38% | $6,512 |
Outpatient services
Against the Missouri average
For Major Small and Large Bowel Procedures with CC (DRG 330), Barnes-Jewish West County Hospital charged $63,290 on average, 30% less than the Missouri average of $90,266, and was paid $18,672 against a state average of $19,928. For Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders without MCC (DRG 392), Barnes-Jewish West County Hospital charged $25,637 on average, 21% less than the Missouri average of $32,372, and was paid $6,052 against a state average of $6,937. For Revision of Hip or Knee Replacement without CC/MCC (DRG 468), Barnes-Jewish West County Hospital charged $83,044 on average, 7% less than the Missouri average of $89,299, and was paid $21,712 against a state average of $20,532. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Barnes-Jewish West County Hospital charged $43,101 on average, 41% less than the Missouri average of $72,886, and was paid $13,321 against a state average of $15,808. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $43,693 was 16% below the state average of $52,262. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $10,506 was 1% below the state average of $10,642. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $7,661 was 21% below the state average of $9,712. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $10,336 was 13% below the state average of $11,923.
Price-transparency record
No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.
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.