Saint Luke's East Hospital: charges and Medicare payments

Saint Luke's East Hospital reported 2,937 Medicare inpatient stays across 91 DRGs in 2024. Across them it charged 8.43 times what it was paid — among the higher ratios in Missouri, number 5 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: 315 stays at an average charge of $62,647, 11% above the national average. It also billed 2,133 outpatient services, charging 10.09 times what Medicare paid.

1Medicare inpatient stays 2,937
2Charge ÷ paid, inpatient 8.43×
3Rank in MO (highest ratio = 1) 5 of 59
4CMS price-transparency actions 0

Average charge per stay at Saint Luke's East Hospital, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 91 DRGs that can be compared with the national average, Saint Luke's East Hospital charged more than the national average in 79 (87%). 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	315	$62,647	+11%	$8,645
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC	153	$125,796	+39%	$14,896
690 Kidney and Urinary Tract Infections without MCC	141	$51,990	+37%	$5,339
193 Simple Pneumonia and Pleurisy with MCC	96	$80,204	+34%	$8,473
309 Cardiac Arrhythmia and Conduction Disorders with CC	84	$38,428	+6%	$4,917
177 Respiratory Infections and Inflammations with MCC	83	$92,469	+31%	$11,033
378 Gastrointestinal Hemorrhage with CC	74	$64,108	+32%	$6,967
689 Kidney and Urinary Tract Infections with MCC	71	$85,805	+67%	$8,549
194 Simple Pneumonia and Pleurisy with CC	65	$53,877	+40%	$5,933
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	60	$59,722	+49%	$5,445
308 Cardiac Arrhythmia and Conduction Disorders with MCC	58	$61,378	+8%	$8,245
178 Respiratory Infections and Inflammations with CC	53	$62,709	+38%	$6,684
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	52	$29,319	+2%	$3,584
603 Cellulitis without MCC	52	$54,675	+47%	$5,657
190 Chronic Obstructive Pulmonary Disease with MCC	50	$86,934	+72%	$7,412
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	42	$69,144	+24%	$6,741
189 Pulmonary Edema and Respiratory Failure	42	$107,046	+86%	$7,877
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	42	$103,774	+1%	$13,721
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	38	$49,790	+34%	$5,301
683 Renal Failure with CC	38	$58,004	+42%	$7,302
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	37	$87,100	+44%	$8,422
698 Other Kidney and Urinary Tract Diagnoses with MCC	36	$89,132	+21%	$10,482
191 Chronic Obstructive Pulmonary Disease with CC	34	$64,891	+64%	$6,041
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	34	$78,744	+61%	$8,676
481 Hip and Femur Procedures except Major Joint with CC	33	$97,063	-4%	$13,291
312 Syncope and Collapse	32	$68,621	+51%	$5,607
699 Other Kidney and Urinary Tract Diagnoses with CC	32	$52,120	+10%	$6,526
322 Percutaneous Cardiovascular Procedures with Intraluminal...	31	$128,920	+13%	$16,704
389 Gastrointestinal Obstruction with CC	31	$57,153	+47%	$5,137
516 Other Musculoskeletal System and Connective Tissue O.R....	28	$102,851	+1%	$14,120
682 Renal Failure with MCC	28	$94,580	+43%	$9,317
280 Acute Myocardial Infarction, Discharged Alive with MCC	27	$87,144	+15%	$9,748
330 Major Small and Large Bowel Procedures with CC	27	$132,611	+11%	$15,091
812 Red Blood Cell Disorders without MCC	27	$64,032	+44%	$5,837
660 Kidney and Ureter Procedures for Non-Neoplasm with CC	25	$66,308	-2%	$10,676
853 Infectious and Parasitic Diseases with O.R. Procedures with...	25	$278,845	+22%	$41,783
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	24	$81,167	+33%	$8,672
638 Diabetes with CC	24	$57,481	+38%	$5,825
377 Gastrointestinal Hemorrhage with MCC	23	$130,579	+53%	$13,973
552 Medical Back Problems without MCC	23	$61,587	+26%	$6,024
176 Pulmonary Embolism without MCC	22	$54,039	+30%	$5,907
331 Major Small and Large Bowel Procedures without CC/MCC	22	$93,291	+9%	$14,760
286 Circulatory Disorders except AMI, with Cardiac...	21	$104,282	-7%	$16,437
287 Circulatory Disorders except AMI, with Cardiac...	20	$72,692	+14%	$6,930
467 Revision of Hip or Knee Replacement with CC	20	$129,742	-18%	$19,816
202 Bronchitis and Asthma with CC/MCC	19	$55,610	+20%	$6,138
314 Other Circulatory System Diagnoses with MCC	19	$93,775	-1%	$13,823
329 Major Small and Large Bowel Procedures with MCC	19	$291,299	+35%	$33,858
372 Major Gastrointestinal Disorders and Peritoneal Infections...	19	$58,077	+22%	$6,497
281 Acute Myocardial Infarction, Discharged Alive with CC	18	$65,670	+30%	$6,600
292 Heart Failure and Shock with CC	18	$54,811	+41%	$5,949
394 Other Digestive System Diagnoses with CC	18	$52,276	+11%	$6,028
811 Red Blood Cell Disorders with MCC	18	$84,757	+24%	$12,444
315 Other Circulatory System Diagnoses with CC	17	$52,983	+11%	$6,740
468 Revision of Hip or Knee Replacement without CC/MCC	17	$100,118	-19%	$17,057
637 Diabetes with MCC	17	$98,331	+48%	$11,302
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	16	$121,011	+21%	$22,864
243 Permanent Cardiac Pacemaker Implant with CC	16	$77,189	-31%	$18,338
305 Hypertension without MCC	15	$48,742	+22%	$5,540
313 Chest Pain	15	$56,702	+42%	$5,339

Showing the 60 most frequent of 91 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	686	$39,438	$2,347
Level 2 Excision/ Biopsy/ Incision and Drainage	201	$15,851	$1,416
Level 5 Musculoskeletal Procedures	193	$63,220	$11,480
Level 5 Urology and Related Services	126	$34,774	$4,462
Level 1 Endovascular Procedures	115	$28,000	$2,850
Level 3 Vascular Procedures	89	$16,563	$2,763
Level 1 Laparoscopy and Related Services	64	$41,675	$4,976
Level 4 Musculoskeletal Procedures	55	$47,315	$6,168
Level 3 Excision/ Biopsy/ Incision and Drainage	54	$30,411	$2,481
Level 3 Endovascular Procedures	53	$83,750	$9,601
Level 4 Urology and Related Services	50	$29,856	$2,908
Level 3 Pacemaker and Similar Procedures	48	$39,161	$9,320
Level 2 Breast/Lymphatic Surgery and Related Procedures	36	$48,656	$5,695
Level 2 Pacemaker and Similar Procedures	33	$47,359	$7,419
Level 2 Vascular Procedures	32	$7,258	$1,399
Level 1 Breast/Lymphatic Surgery and Related Procedures	30	$38,194	$3,329
Level 2 Laparoscopy and Related Services	30	$64,857	$8,986
Level 6 Musculoskeletal Procedures	29	$72,998	$16,241
Level 4 Endovascular Procedures	28	$119,508	$15,284
Level 3 Urology and Related Services	25	$17,490	$1,779
Level 2 ICD and Similar Procedures	24	$113,620	$27,521
Level 2 Upper GI Procedures	24	$16,332	$1,607
Level 3 Musculoskeletal Procedures	19	$35,634	$2,827
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	19	$15,479	$3,021
Level 2 Musculoskeletal Procedures	16	$16,226	$1,404

Against the Missouri average

For Heart Failure and Shock with MCC (DRG 291), Saint Luke's East Hospital charged $62,647 on average, 35% more than the Missouri average of $46,468, and was paid $8,645 against a state average of $10,539. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Saint Luke's East Hospital charged $125,796 on average, 73% more than the Missouri average of $72,886, and was paid $14,896 against a state average of $15,808. For Kidney and Urinary Tract Infections without MCC (DRG 690), Saint Luke's East Hospital charged $51,990 on average, 72% more than the Missouri average of $30,270, and was paid $5,339 against a state average of $6,812. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Saint Luke's East Hospital charged $80,204 on average, 67% more than the Missouri average of $47,966, and was paid $8,473 against a state average of $10,821. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $39,438 was 92% above the state average of $20,571. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $15,851 was 61% above the state average of $9,865. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $63,220 was 21% above the state average of $52,262. For Level 5 Urology and Related Services (outpatient APC 5375), its average charge of $34,774 was 35% above the state average of $25,669.

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.