Missouri / Cox Medical Center Branson
CMS certification 260094 · Branson, MO · 3 entries in CMS's price-transparency list
Cox Medical Center Branson: charges and Medicare payments
Cox Medical Center Branson reported 788 Medicare inpatient stays across 33 DRGs in 2024. Across them it charged 4.64 times what it was paid — among the higher ratios in Missouri, number 15 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: 126 stays at an average charge of $69,073, 24% below the national average. It also billed 891 outpatient services, charging 7.86 times what Medicare paid.
- 1Medicare inpatient stays 788
- 2Charge ÷ paid, inpatient 4.64×
- 3Rank in MO (highest ratio = 1) 15 of 59
- 4CMS price-transparency actions 3
Inpatient stays
For the 33 DRGs that can be compared with the national average, Cox Medical Center Branson charged more than the national average in 1 (3%). 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 | 126 | $69,073 | -24% | $14,299 |
| 291 Heart Failure and Shock with MCC | 44 | $43,422 | -23% | $9,967 |
| 885 Psychoses | 40 | $20,065 | -54% | $10,548 |
| 177 Respiratory Infections and Inflammations with MCC | 39 | $45,740 | -35% | $12,270 |
| 193 Simple Pneumonia and Pleurisy with MCC | 39 | $42,806 | -28% | $12,060 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 31 | $101,210 | -12% | $13,262 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 30 | $49,217 | -13% | $9,275 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 30 | $33,899 | -6% | $6,226 |
| 481 Hip and Femur Procedures except Major Joint with CC | 29 | $81,648 | -19% | $14,842 |
| 194 Simple Pneumonia and Pleurisy with CC | 25 | $31,141 | -19% | $6,774 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 23 | $55,992 | -26% | $11,513 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 21 | $39,842 | -34% | $10,038 |
| 682 Renal Failure with MCC | 21 | $53,064 | -20% | $11,085 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 20 | $28,338 | -42% | $8,259 |
| 689 Kidney and Urinary Tract Infections with MCC | 19 | $32,920 | -36% | $9,112 |
| 690 Kidney and Urinary Tract Infections without MCC | 19 | $28,756 | -24% | $6,651 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 17 | $42,677 | -16% | $10,571 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 17 | $90,439 | -12% | $15,137 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 17 | $155,316 | -32% | $38,232 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 16 | $39,391 | -29% | $8,961 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 16 | $28,757 | -28% | $7,058 |
| 813 Coagulation Disorders | 16 | $43,012 | -46% | $11,422 |
| 282 Acute Myocardial Infarction, Discharged Alive without CC/MCC | 14 | $37,376 | -14% | $6,158 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 13 | $63,309 | -44% | $15,530 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 13 | $29,058 | -22% | $6,576 |
| 683 Renal Failure with CC | 13 | $29,735 | -27% | $9,358 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 12 | $44,454 | -30% | $8,459 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 12 | $176,397 | +8% | $26,172 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 12 | $60,189 | -18% | $11,938 |
| 305 Hypertension without MCC | 11 | $32,112 | -20% | $6,395 |
| 378 Gastrointestinal Hemorrhage with CC | 11 | $40,147 | -17% | $7,913 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 11 | $121,399 | -12% | $20,623 |
| 603 Cellulitis without MCC | 11 | $25,169 | -33% | $7,263 |
Outpatient services
Against the Missouri average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Cox Medical Center Branson charged $69,073 on average, 5% less than the Missouri average of $72,886, and was paid $14,299 against a state average of $15,808. For Heart Failure and Shock with MCC (DRG 291), Cox Medical Center Branson charged $43,422 on average, 7% less than the Missouri average of $46,468, and was paid $9,967 against a state average of $10,539. For Psychoses (DRG 885), Cox Medical Center Branson charged $20,065 on average, 35% less than the Missouri average of $30,825, and was paid $10,548 against a state average of $12,977. For Respiratory Infections and Inflammations with MCC (DRG 177), Cox Medical Center Branson charged $45,740 on average, 21% less than the Missouri average of $58,162, and was paid $12,270 against a state average of $13,151. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $19,000 was 8% below the state average of $20,571. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $23,028 was 3% below the state average of $23,828. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $8,095 was 23% below the state average of $10,541. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $61,388 was 17% above the state average of $52,262.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Cox Medical Center Branson in Branson, MO, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2024-08-21 (CMS case 2528)
- CAP Request — 2024-11-25 (CMS case 2528)
- Closure Notice — 2025-01-22 (CMS case 2528)
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.