Missouri / Boone Hospital Center
CMS certification 260068 · Columbia, MO · 2 entries in CMS's price-transparency list
Boone Hospital Center: charges and Medicare payments
Boone Hospital Center reported 3,470 Medicare inpatient stays across 99 DRGs in 2024. Across them it charged 3.93 times what it was paid — mid-range in Missouri, number 29 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: 589 stays at an average charge of $45,089, 50% below the national average. It also billed 4,319 outpatient services, charging 5.57 times what Medicare paid.
- 1Medicare inpatient stays 3,470
- 2Charge ÷ paid, inpatient 3.93×
- 3Rank in MO (highest ratio = 1) 29 of 59
- 4CMS price-transparency actions 2
Inpatient stays
For the 99 DRGs that can be compared with the national average, Boone Hospital Center 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 |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 589 | $45,089 | -50% | $12,271 |
| 291 Heart Failure and Shock with MCC | 177 | $30,707 | -46% | $8,061 |
| 193 Simple Pneumonia and Pleurisy with MCC | 93 | $34,513 | -42% | $8,201 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 84 | $94,003 | -59% | $30,987 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 83 | $25,561 | -48% | $6,489 |
| 177 Respiratory Infections and Inflammations with MCC | 76 | $40,847 | -42% | $10,337 |
| 683 Renal Failure with CC | 67 | $19,851 | -51% | $5,593 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 64 | $52,372 | -44% | $11,930 |
| 682 Renal Failure with MCC | 63 | $31,097 | -53% | $9,233 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 61 | $28,024 | -50% | $6,416 |
| 378 Gastrointestinal Hemorrhage with CC | 61 | $28,222 | -42% | $6,354 |
| 481 Hip and Femur Procedures except Major Joint with CC | 54 | $52,900 | -47% | $12,900 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 50 | $82,351 | -47% | $19,987 |
| 455 Combined Anterior and Posterior Spinal Fusion without CC/MCC | 50 | $101,744 | -50% | $29,944 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 50 | $28,700 | -52% | $8,153 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 48 | $45,345 | -55% | $12,675 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 48 | $19,724 | -47% | $4,884 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 45 | $18,414 | -49% | $4,642 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 45 | $65,894 | -42% | $11,751 |
| 689 Kidney and Urinary Tract Infections with MCC | 45 | $24,001 | -53% | $7,256 |
| 690 Kidney and Urinary Tract Infections without MCC | 45 | $19,630 | -48% | $5,094 |
| 266 Endovascular Cardiac Valve Replacement and Supplement... | 43 | $170,068 | -40% | $39,265 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 42 | $35,825 | -53% | $9,695 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 39 | $94,772 | -42% | $18,231 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 38 | $52,579 | -49% | $13,133 |
| 483 Major Joint or Limb Reattachment Procedures of Upper... | 36 | $57,773 | -54% | $16,090 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 34 | $33,847 | -40% | $7,543 |
| 330 Major Small and Large Bowel Procedures with CC | 34 | $44,500 | -63% | $14,695 |
| 331 Major Small and Large Bowel Procedures without CC/MCC | 33 | $37,597 | -56% | $10,407 |
| 377 Gastrointestinal Hemorrhage with MCC | 33 | $49,771 | -42% | $10,903 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 32 | $48,946 | -33% | $11,303 |
| 189 Pulmonary Edema and Respiratory Failure | 31 | $42,149 | -27% | $7,695 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 31 | $19,292 | -52% | $4,968 |
| 454 Combined Anterior and Posterior Spinal Fusion with CC | 31 | $115,035 | -59% | $39,438 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 29 | $55,379 | -51% | $14,107 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 28 | $35,432 | -45% | $6,928 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 27 | $159,041 | -28% | $30,121 |
| 552 Medical Back Problems without MCC | 26 | $19,514 | -60% | $6,048 |
| 236 Coronary Bypass without Cardiac Catheterization without MCC | 25 | $108,505 | -49% | $25,244 |
| 389 Gastrointestinal Obstruction with CC | 25 | $15,276 | -61% | $5,004 |
| 854 Infectious and Parasitic Diseases with O.R. Procedures with... | 25 | $46,555 | -53% | $12,804 |
| 603 Cellulitis without MCC | 24 | $19,753 | -47% | $5,508 |
| 312 Syncope and Collapse | 23 | $20,693 | -55% | $5,634 |
| 467 Revision of Hip or Knee Replacement with CC | 23 | $94,500 | -40% | $20,750 |
| 066 Intracranial Hemorrhage or Cerebral Infarction without... | 22 | $25,402 | -40% | $4,312 |
| 460 Spinal Fusion except Cervical without MCC | 22 | $80,257 | -53% | $22,829 |
| 493 Lower Extremity and Humerus Procedures except Hip, Foot and... | 22 | $55,637 | -53% | $15,404 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 21 | $35,259 | -30% | $6,898 |
| 220 Cardiac Valve and Other Major Cardiothoracic Procedures... | 20 | $154,443 | -44% | $33,324 |
| 253 Other Vascular Procedures with CC | 20 | $49,953 | -62% | $15,930 |
| 305 Hypertension without MCC | 20 | $18,170 | -55% | $4,714 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 20 | $69,183 | -50% | $17,875 |
| 069 Transient Ischemia without Thrombolytic | 19 | $23,965 | -52% | $5,005 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 19 | $35,819 | -45% | $9,198 |
| 242 Permanent Cardiac Pacemaker Implant with MCC | 19 | $96,756 | -40% | $21,952 |
| 243 Permanent Cardiac Pacemaker Implant with CC | 19 | $78,368 | -29% | $15,785 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 19 | $13,225 | -54% | $3,848 |
| 314 Other Circulatory System Diagnoses with MCC | 19 | $50,505 | -47% | $19,786 |
| 329 Major Small and Large Bowel Procedures with MCC | 19 | $73,236 | -66% | $25,383 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 19 | $36,658 | -40% | $8,400 |
Showing the 60 most frequent of 99 DRGs.
Outpatient services
Against the Missouri average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Boone Hospital Center charged $45,089 on average, 38% less than the Missouri average of $72,886, and was paid $12,271 against a state average of $15,808. For Heart Failure and Shock with MCC (DRG 291), Boone Hospital Center charged $30,707 on average, 34% less than the Missouri average of $46,468, and was paid $8,061 against a state average of $10,539. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Boone Hospital Center charged $34,513 on average, 28% less than the Missouri average of $47,966, and was paid $8,201 against a state average of $10,821. For Infectious and Parasitic Diseases with O.R. Procedures with MCC (DRG 853), Boone Hospital Center charged $94,003 on average, 47% less than the Missouri average of $177,281, and was paid $30,987 against a state average of $40,500. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $8,638 was 11% below the state average of $9,712. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $17,873 was 25% below the state average of $23,828. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $42,687 was 18% below the state average of $52,262. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $10,049 was 2% above the state average of $9,865.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Boone Hospital Center in Columbia, MO, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2025-08-22 (CMS case 6348)
- Closure Notice — 2025-09-05 (CMS case 6348)
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.