Missouri / Fitzgibbon Hospital
CMS certification 260142 · Marshall, MO · 3 entries in CMS's price-transparency list
Fitzgibbon Hospital: charges and Medicare payments
Fitzgibbon Hospital reported 173 Medicare inpatient stays across 9 DRGs in 2024. Across them it charged 2.75 times what it was paid — among the lower ratios in Missouri, number 50 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: 50 stays at an average charge of $39,674, 56% below the national average. It also billed 131 outpatient services, charging 6.07 times what Medicare paid.
- 1Medicare inpatient stays 173
- 2Charge ÷ paid, inpatient 2.75×
- 3Rank in MO (highest ratio = 1) 50 of 59
- 4CMS price-transparency actions 3
Inpatient stays
For the 9 DRGs that can be compared with the national average, Fitzgibbon 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 |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 50 | $39,674 | -56% | $16,366 |
| 690 Kidney and Urinary Tract Infections without MCC | 22 | $23,709 | -37% | $7,549 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 18 | $35,920 | -27% | $9,268 |
| 178 Respiratory Infections and Inflammations with CC | 16 | $22,482 | -50% | $8,802 |
| 193 Simple Pneumonia and Pleurisy with MCC | 15 | $27,794 | -53% | $11,660 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 14 | $22,892 | -38% | $7,559 |
| 194 Simple Pneumonia and Pleurisy with CC | 13 | $29,366 | -23% | $7,870 |
| 291 Heart Failure and Shock with MCC | 13 | $30,773 | -45% | $11,425 |
| 683 Renal Failure with CC | 12 | $22,113 | -46% | $8,282 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 96 | $19,007 | $2,465 |
| Level 2 Pacemaker and Similar Procedures | 22 | $17,963 | $7,651 |
| Level 3 Pacemaker and Similar Procedures | 13 | $28,309 | $9,610 |
Against the Missouri average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Fitzgibbon Hospital charged $39,674 on average, 46% less than the Missouri average of $72,886, and was paid $16,366 against a state average of $15,808. For Kidney and Urinary Tract Infections without MCC (DRG 690), Fitzgibbon Hospital charged $23,709 on average, 22% less than the Missouri average of $30,270, and was paid $7,549 against a state average of $6,812. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Fitzgibbon Hospital charged $35,920 on average, 9% less than the Missouri average of $39,285, and was paid $9,268 against a state average of $8,750. For Respiratory Infections and Inflammations with CC (DRG 178), Fitzgibbon Hospital charged $22,482 on average, 42% less than the Missouri average of $38,965, and was paid $8,802 against a state average of $8,213. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $19,007 was 8% below the state average of $20,571. For Level 2 Pacemaker and Similar Procedures (outpatient APC 5222), its average charge of $17,963 was 56% below the state average of $40,778. For Level 3 Pacemaker and Similar Procedures (outpatient APC 5223), its average charge of $28,309 was 41% below the state average of $47,867.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Fitzgibbon Hospital in Marshall, MO, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2024-02-26 (CMS case 2217)
- Closure Notice — 2024-05-31 (CMS case 2217)
- Met Requirements — 2026-02-11 (CMS case 7010)
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.