Missouri / Bothwell Regional Health Center
CMS certification 260009 · Sedalia, MO · 2 entries in CMS's price-transparency list
Bothwell Regional Health Center: charges and Medicare payments
Bothwell Regional Health Center reported 472 Medicare inpatient stays across 16 DRGs in 2024. Across them it charged 2.74 times what it was paid — among the lower ratios in Missouri, number 51 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: 94 stays at an average charge of $37,644, 58% below the national average. It also billed 1,142 outpatient services, charging 4.84 times what Medicare paid.
- 1Medicare inpatient stays 472
- 2Charge ÷ paid, inpatient 2.74×
- 3Rank in MO (highest ratio = 1) 51 of 59
- 4CMS price-transparency actions 2
Inpatient stays
For the 16 DRGs that can be compared with the national average, Bothwell Regional Health 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 | 94 | $37,644 | -58% | $14,636 |
| 291 Heart Failure and Shock with MCC | 72 | $24,866 | -56% | $9,926 |
| 193 Simple Pneumonia and Pleurisy with MCC | 41 | $31,659 | -47% | $10,308 |
| 177 Respiratory Infections and Inflammations with MCC | 33 | $37,984 | -46% | $12,959 |
| 194 Simple Pneumonia and Pleurisy with CC | 33 | $21,132 | -45% | $6,728 |
| 690 Kidney and Urinary Tract Infections without MCC | 26 | $21,494 | -43% | $6,581 |
| 189 Pulmonary Edema and Respiratory Failure | 23 | $28,674 | -50% | $9,687 |
| 481 Hip and Femur Procedures except Major Joint with CC | 22 | $40,071 | -60% | $15,645 |
| 683 Renal Failure with CC | 22 | $23,299 | -43% | $7,265 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 21 | $26,120 | -47% | $8,123 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 17 | $44,024 | -57% | $15,995 |
| 682 Renal Failure with MCC | 16 | $26,179 | -60% | $11,296 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 14 | $22,956 | -43% | $6,474 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 13 | $25,854 | -54% | $9,486 |
| 330 Major Small and Large Bowel Procedures with CC | 13 | $32,625 | -73% | $17,750 |
| 378 Gastrointestinal Hemorrhage with CC | 12 | $26,493 | -45% | $7,909 |
Outpatient services
Against the Missouri average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Bothwell Regional Health Center charged $37,644 on average, 48% less than the Missouri average of $72,886, and was paid $14,636 against a state average of $15,808. For Heart Failure and Shock with MCC (DRG 291), Bothwell Regional Health Center charged $24,866 on average, 46% less than the Missouri average of $46,468, and was paid $9,926 against a state average of $10,539. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Bothwell Regional Health Center charged $31,659 on average, 34% less than the Missouri average of $47,966, and was paid $10,308 against a state average of $10,821. For Respiratory Infections and Inflammations with MCC (DRG 177), Bothwell Regional Health Center charged $37,984 on average, 35% less than the Missouri average of $58,162, and was paid $12,959 against a state average of $13,151. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $18,976 was 8% below the state average of $20,571. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $2,015 was 31% below the state average of $2,933. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $5,459 was 48% below the state average of $10,541. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $37,146 was 29% below the state average of $52,262.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Bothwell Regional Health Center in Sedalia, MO, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- CAP Request — 2026-01-06 (CMS case 6767)
- Closure Notice — 2026-04-07 (CMS case 6767)
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.