Missouri / Freeman Health System - Freeman West
CMS certification 260137 · Joplin, MO
Freeman Health System - Freeman West: charges and Medicare payments
Freeman Health System - Freeman West reported 2,791 Medicare inpatient stays across 88 DRGs in 2024. Across them it charged 5.91 times what it was paid — among the higher ratios in Missouri, number 10 of 59 hospitals with at least 100 stays (state median 3.85×, national 4.15×). Its most frequent stay was DRG 291, Heart Failure and Shock with MCC: 210 stays at an average charge of $53,073, 6% below the national average. It also billed 3,485 outpatient services, charging 8.52 times what Medicare paid.
- 1Medicare inpatient stays 2,791
- 2Charge ÷ paid, inpatient 5.91×
- 3Rank in MO (highest ratio = 1) 10 of 59
- 4CMS price-transparency actions 0
Inpatient stays
For the 88 DRGs that can be compared with the national average, Freeman Health System - Freeman West charged more than the national average in 18 (20%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 291 Heart Failure and Shock with MCC | 210 | $53,073 | -6% | $9,760 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 163 | $96,227 | +7% | $14,980 |
| 683 Renal Failure with CC | 83 | $38,749 | -5% | $7,208 |
| 193 Simple Pneumonia and Pleurisy with MCC | 82 | $49,454 | -17% | $10,281 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 82 | $36,088 | -3% | $6,485 |
| 690 Kidney and Urinary Tract Infections without MCC | 80 | $33,839 | -11% | $6,401 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 76 | $165,368 | +5% | $22,014 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 69 | $52,496 | -6% | $7,781 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 65 | $60,490 | 0% | $11,127 |
| 885 Psychoses | 64 | $21,343 | -52% | $9,819 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 61 | $153,216 | -6% | $21,191 |
| 378 Gastrointestinal Hemorrhage with CC | 61 | $37,468 | -23% | $7,670 |
| 481 Hip and Femur Procedures except Major Joint with CC | 59 | $85,970 | -15% | $15,065 |
| 194 Simple Pneumonia and Pleurisy with CC | 55 | $39,192 | +2% | $6,612 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 53 | $78,009 | -16% | $13,372 |
| 177 Respiratory Infections and Inflammations with MCC | 51 | $63,567 | -10% | $11,783 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 42 | $57,422 | +14% | $8,432 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 42 | $110,510 | -4% | $13,486 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 41 | $40,395 | +12% | $6,211 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 39 | $84,451 | -17% | $14,982 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 38 | $228,857 | +3% | $34,702 |
| 189 Pulmonary Edema and Respiratory Failure | 37 | $54,234 | -6% | $10,262 |
| 312 Syncope and Collapse | 37 | $45,551 | 0% | $6,821 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 34 | $79,417 | +5% | $11,555 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 34 | $183,830 | -20% | $36,885 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 33 | $91,574 | -8% | $15,921 |
| 229 Other Cardiothoracic Procedures without MCC | 33 | $124,138 | -25% | $21,758 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 32 | $115,849 | -15% | $18,595 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 32 | $52,820 | -17% | $8,466 |
| 330 Major Small and Large Bowel Procedures with CC | 31 | $86,960 | -27% | $16,719 |
| 682 Renal Failure with MCC | 31 | $55,929 | -15% | $10,610 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 30 | $84,862 | +50% | $9,207 |
| 603 Cellulitis without MCC | 28 | $41,473 | +11% | $7,772 |
| 178 Respiratory Infections and Inflammations with CC | 27 | $44,261 | -2% | $7,691 |
| 331 Major Small and Large Bowel Procedures without CC/MCC | 27 | $79,019 | -8% | $11,968 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 26 | $38,057 | -5% | $6,013 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 24 | $77,087 | -31% | $17,495 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 23 | $23,142 | -19% | $4,712 |
| 455 Combined Anterior and Posterior Spinal Fusion without CC/MCC | 23 | $190,887 | -6% | $34,366 |
| 552 Medical Back Problems without MCC | 23 | $40,482 | -17% | $7,311 |
| 066 Intracranial Hemorrhage or Cerebral Infarction without... | 22 | $38,480 | -9% | $5,889 |
| 252 Other Vascular Procedures with MCC | 20 | $158,453 | -7% | $24,637 |
| 482 Hip and Femur Procedures except Major Joint without CC/MCC | 20 | $61,144 | -22% | $11,457 |
| 689 Kidney and Urinary Tract Infections with MCC | 20 | $51,351 | 0% | $8,972 |
| 266 Endovascular Cardiac Valve Replacement and Supplement... | 19 | $308,447 | +8% | $42,111 |
| 394 Other Digestive System Diagnoses with CC | 19 | $38,661 | -18% | $7,335 |
| 036 Carotid Artery Stent Procedures without CC/MCC | 18 | $68,963 | -22% | $13,913 |
| 228 Other Cardiothoracic Procedures with MCC | 18 | $212,700 | -15% | $36,031 |
| 271 Other Major Cardiovascular Procedures with CC | 18 | $162,366 | -7% | $21,988 |
| 305 Hypertension without MCC | 18 | $36,118 | -10% | $6,351 |
| 812 Red Blood Cell Disorders without MCC | 18 | $34,137 | -23% | $7,082 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 17 | $35,615 | -10% | $6,482 |
| 270 Other Major Cardiovascular Procedures with MCC | 17 | $212,802 | -18% | $42,037 |
| 472 Cervical Spinal Fusion with CC | 17 | $128,792 | -10% | $23,912 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 17 | $42,728 | -13% | $9,068 |
| 881 Depressive Neuroses | 17 | $15,084 | -53% | $7,111 |
| 948 Signs and Symptoms without MCC | 16 | $34,013 | -11% | $6,284 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 15 | $59,779 | +18% | $7,560 |
| 377 Gastrointestinal Hemorrhage with MCC | 15 | $87,338 | +2% | $12,330 |
| 389 Gastrointestinal Obstruction with CC | 15 | $26,966 | -31% | $6,386 |
Showing the 60 most frequent of 88 DRGs.
Outpatient services
Against the Missouri average
For Heart Failure and Shock with MCC (DRG 291), Freeman Health System - Freeman West charged $53,073 on average, 14% more than the Missouri average of $46,468, and was paid $9,760 against a state average of $10,539. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Freeman Health System - Freeman West charged $96,227 on average, 32% more than the Missouri average of $72,886, and was paid $14,980 against a state average of $15,808. For Renal Failure with CC (DRG 683), Freeman Health System - Freeman West charged $38,749 on average, 15% more than the Missouri average of $33,758, and was paid $7,208 against a state average of $7,657. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Freeman Health System - Freeman West charged $49,454 on average, 3% more than the Missouri average of $47,966, and was paid $10,281 against a state average of $10,821. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $20,148 was 2% below the state average of $20,571. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $8,493 was 14% below the state average of $9,865. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $8,138 was 23% below the state average of $10,541. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $68,604 was 31% above the state average of $52,262.
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.