Missouri / Phelps Health
CMS certification 260017 · Rolla, MO
Phelps Health: charges and Medicare payments
Phelps Health reported 1,102 Medicare inpatient stays across 33 DRGs in 2024. Across them it charged 4.67 times what it was paid — among the higher ratios in Missouri, number 14 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: 200 stays at an average charge of $74,615, 17% below the national average. It also billed 2,094 outpatient services, charging 7.48 times what Medicare paid.
- 1Medicare inpatient stays 1,102
- 2Charge ÷ paid, inpatient 4.67×
- 3Rank in MO (highest ratio = 1) 14 of 59
- 4CMS price-transparency actions 0
Inpatient stays
For the 33 DRGs that can be compared with the national average, Phelps Health charged more than the national average in 13 (39%). 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 | 200 | $74,615 | -17% | $18,235 |
| 291 Heart Failure and Shock with MCC | 138 | $57,166 | +1% | $11,715 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 53 | $98,221 | -14% | $16,503 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 39 | $127,871 | -22% | $26,466 |
| 683 Renal Failure with CC | 38 | $43,326 | +6% | $8,146 |
| 177 Respiratory Infections and Inflammations with MCC | 35 | $78,732 | +12% | $17,010 |
| 193 Simple Pneumonia and Pleurisy with MCC | 35 | $67,343 | +13% | $11,954 |
| 885 Psychoses | 35 | $32,674 | -26% | $12,374 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 33 | $42,833 | -13% | $9,325 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 32 | $74,997 | -33% | $19,602 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 31 | $61,987 | -3% | $9,867 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 30 | $47,445 | +18% | $7,122 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 30 | $100,407 | -2% | $19,079 |
| 689 Kidney and Urinary Tract Infections with MCC | 28 | $51,248 | 0% | $10,566 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 27 | $60,083 | -21% | $14,581 |
| 481 Hip and Femur Procedures except Major Joint with CC | 27 | $98,615 | -2% | $18,784 |
| 682 Renal Failure with MCC | 27 | $49,840 | -24% | $13,560 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 22 | $48,003 | -5% | $10,003 |
| 194 Simple Pneumonia and Pleurisy with CC | 22 | $44,634 | +16% | $7,442 |
| 690 Kidney and Urinary Tract Infections without MCC | 22 | $39,203 | +4% | $7,271 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 22 | $74,154 | +1% | $15,077 |
| 189 Pulmonary Edema and Respiratory Failure | 20 | $57,617 | 0% | $11,352 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 20 | $100,322 | +8% | $17,076 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 19 | $151,325 | -34% | $45,234 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 16 | $56,589 | -6% | $11,951 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 14 | $59,183 | +4% | $10,848 |
| 312 Syncope and Collapse | 14 | $34,170 | -25% | $7,859 |
| 389 Gastrointestinal Obstruction with CC | 14 | $41,492 | +7% | $7,225 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 12 | $54,970 | -1% | $9,182 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 12 | $50,173 | +27% | $7,689 |
| 313 Chest Pain | 12 | $42,306 | +6% | $6,552 |
| 378 Gastrointestinal Hemorrhage with CC | 12 | $34,520 | -29% | $8,938 |
| 638 Diabetes with CC | 11 | $33,354 | -20% | $8,212 |
Outpatient services
Against the Missouri average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Phelps Health charged $74,615 on average, 2% more than the Missouri average of $72,886, and was paid $18,235 against a state average of $15,808. For Heart Failure and Shock with MCC (DRG 291), Phelps Health charged $57,166 on average, 23% more than the Missouri average of $46,468, and was paid $11,715 against a state average of $10,539. For Percutaneous Cardiovascular Procedures with Intraluminal Device without MCC (DRG 322), Phelps Health charged $98,221 on average, 0% less than the Missouri average of $98,462, and was paid $16,503 against a state average of $15,078. For Percutaneous Cardiovascular Procedures with Intraluminal Device with MCC or 4+ Arteries/ (DRG 321), Phelps Health charged $127,871 on average, 6% less than the Missouri average of $135,339, and was paid $26,466 against a state average of $23,263. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $23,674 was 15% above the state average of $20,571. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $26,878 was 13% above the state average of $23,828. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $71,130 was 36% above the state average of $52,262. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $12,179 was 14% above the state average of $10,642.
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.