Missouri / Ozarks Healthcare
CMS certification 260078 · West Plains, MO
Ozarks Healthcare: charges and Medicare payments
Ozarks Healthcare reported 604 Medicare inpatient stays across 28 DRGs in 2024. Across them it charged 3.74 times what it was paid — mid-range in Missouri, number 34 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: 64 stays at an average charge of $46,770, 48% below the national average. It also billed 613 outpatient services, charging 5.82 times what Medicare paid.
- 1Medicare inpatient stays 604
- 2Charge ÷ paid, inpatient 3.74×
- 3Rank in MO (highest ratio = 1) 34 of 59
- 4CMS price-transparency actions 0
Inpatient stays
For the 28 DRGs that can be compared with the national average, Ozarks Healthcare 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 | 64 | $46,770 | -48% | $13,662 |
| 291 Heart Failure and Shock with MCC | 62 | $34,654 | -39% | $9,230 |
| 177 Respiratory Infections and Inflammations with MCC | 33 | $43,079 | -39% | $11,704 |
| 885 Psychoses | 31 | $17,176 | -61% | $9,794 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 29 | $58,410 | -23% | $11,334 |
| 193 Simple Pneumonia and Pleurisy with MCC | 27 | $32,346 | -46% | $9,430 |
| 189 Pulmonary Edema and Respiratory Failure | 26 | $36,063 | -37% | $8,933 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 25 | $29,793 | -47% | $7,461 |
| 690 Kidney and Urinary Tract Infections without MCC | 22 | $21,808 | -42% | $6,196 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 21 | $81,350 | -29% | $12,776 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 19 | $29,362 | -42% | $8,025 |
| 481 Hip and Femur Procedures except Major Joint with CC | 19 | $55,654 | -45% | $14,160 |
| 689 Kidney and Urinary Tract Infections with MCC | 19 | $31,562 | -39% | $8,508 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 17 | $91,664 | -44% | $19,733 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 16 | $33,594 | -47% | $7,933 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 16 | $24,409 | -57% | $8,729 |
| 194 Simple Pneumonia and Pleurisy with CC | 15 | $25,001 | -35% | $6,223 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 15 | $61,465 | -40% | $14,674 |
| 305 Hypertension without MCC | 14 | $19,768 | -51% | $5,786 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 14 | $16,147 | -55% | $5,723 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 14 | $17,144 | -54% | $5,914 |
| 682 Renal Failure with MCC | 14 | $50,975 | -23% | $10,583 |
| 683 Renal Failure with CC | 14 | $21,282 | -48% | $6,733 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 13 | $36,326 | -40% | $9,515 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 12 | $33,524 | -54% | $11,396 |
| 378 Gastrointestinal Hemorrhage with CC | 11 | $26,311 | -46% | $7,363 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 11 | $121,584 | -47% | $33,566 |
| 883 Disorders of Personality and Impulse Control | 11 | $9,852 | -83% | $13,080 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 141 | $13,515 | $2,465 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 66 | $4,948 | $1,460 |
| Level 4 Musculoskeletal Procedures | 58 | $23,208 | $6,443 |
| Level 1 Nerve Procedures | 52 | $7,637 | $1,705 |
| Level 5 Musculoskeletal Procedures | 49 | $51,650 | $11,837 |
| Level 1 Endovascular Procedures | 42 | $20,091 | $2,939 |
| Level 3 Musculoskeletal Procedures | 29 | $13,207 | $2,915 |
| Level 3 Vascular Procedures | 27 | $9,951 | $2,870 |
| Level 2 Upper GI Procedures | 25 | $12,686 | $1,714 |
| Level 1 Laparoscopy and Related Services | 24 | $23,300 | $5,196 |
| Level 2 Musculoskeletal Procedures | 23 | $7,127 | $1,447 |
| Level 2 Vascular Procedures | 21 | $9,852 | $1,442 |
| Level 3 Endovascular Procedures | 20 | $61,819 | $9,899 |
| Level 3 Pacemaker and Similar Procedures | 13 | $31,527 | $9,610 |
| Level 2 Endovascular Procedures | 12 | $29,623 | $5,147 |
| Level 5 Gynecologic Procedures | 11 | $24,856 | $4,479 |
Against the Missouri average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Ozarks Healthcare charged $46,770 on average, 36% less than the Missouri average of $72,886, and was paid $13,662 against a state average of $15,808. For Heart Failure and Shock with MCC (DRG 291), Ozarks Healthcare charged $34,654 on average, 25% less than the Missouri average of $46,468, and was paid $9,230 against a state average of $10,539. For Respiratory Infections and Inflammations with MCC (DRG 177), Ozarks Healthcare charged $43,079 on average, 26% less than the Missouri average of $58,162, and was paid $11,704 against a state average of $13,151. For Psychoses (DRG 885), Ozarks Healthcare charged $17,176 on average, 44% less than the Missouri average of $30,825, and was paid $9,794 against a state average of $12,977. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $13,515 was 34% below the state average of $20,571. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $4,948 was 50% below the state average of $9,865. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $23,208 was 34% below the state average of $34,980. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $7,637 was 28% below the state average of $10,541.
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.