Saint Lukes North Hospital: charges and Medicare payments

Saint Lukes North Hospital reported 985 Medicare inpatient stays across 40 DRGs in 2024. Across them it charged 6.48 times what it was paid — among the higher ratios in Missouri, number 7 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: 138 stays at an average charge of $61,920, 10% above the national average. It also billed 1,197 outpatient services, charging 9.85 times what Medicare paid.

1Medicare inpatient stays 985
2Charge ÷ paid, inpatient 6.48×
3Rank in MO (highest ratio = 1) 7 of 59
4CMS price-transparency actions 0

Average charge per stay at Saint Lukes North Hospital, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 40 DRGs that can be compared with the national average, Saint Lukes North Hospital charged more than the national average in 29 (73%). 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	138	$61,920	+10%	$10,341
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC	69	$105,887	+17%	$14,006
885 Psychoses	68	$53,759	+22%	$11,486
378 Gastrointestinal Hemorrhage with CC	40	$53,061	+9%	$8,078
309 Cardiac Arrhythmia and Conduction Disorders with CC	37	$39,937	+11%	$5,980
690 Kidney and Urinary Tract Infections without MCC	36	$45,656	+21%	$6,383
177 Respiratory Infections and Inflammations with MCC	33	$82,844	+17%	$11,547
689 Kidney and Urinary Tract Infections with MCC	32	$60,058	+17%	$8,705
193 Simple Pneumonia and Pleurisy with MCC	31	$67,511	+13%	$9,899
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	25	$55,925	0%	$7,345
308 Cardiac Arrhythmia and Conduction Disorders with MCC	24	$65,375	+15%	$10,618
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	23	$49,654	+24%	$8,722
189 Pulmonary Edema and Respiratory Failure	21	$87,879	+53%	$8,757
190 Chronic Obstructive Pulmonary Disease with MCC	21	$57,722	+14%	$9,056
481 Hip and Femur Procedures except Major Joint with CC	21	$89,064	-12%	$15,083
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	21	$54,769	+48%	$6,066
389 Gastrointestinal Obstruction with CC	19	$57,129	+47%	$6,945
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	19	$76,806	-25%	$14,670
194 Simple Pneumonia and Pleurisy with CC	18	$47,690	+24%	$6,417
322 Percutaneous Cardiovascular Procedures with Intraluminal...	18	$122,154	+7%	$17,573
897 Alcohol, Drug Abuse or Dependence without Rehabilitation...	18	$40,863	+10%	$6,651
603 Cellulitis without MCC	16	$49,460	+33%	$6,819
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	16	$90,599	+50%	$10,872
330 Major Small and Large Bowel Procedures with CC	15	$94,978	-20%	$16,601
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	14	$83,164	-17%	$13,027
178 Respiratory Infections and Inflammations with CC	14	$54,346	+20%	$7,413
281 Acute Myocardial Infarction, Discharged Alive with CC	14	$59,924	+19%	$6,871
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	14	$32,046	+12%	$5,284
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	14	$67,968	+39%	$7,778
321 Percutaneous Cardiovascular Procedures with Intraluminal...	13	$147,261	-10%	$21,339
329 Major Small and Large Bowel Procedures with MCC	13	$184,946	-14%	$40,302
637 Diabetes with MCC	13	$88,422	+33%	$11,789
682 Renal Failure with MCC	13	$61,384	-7%	$12,732
698 Other Kidney and Urinary Tract Diagnoses with MCC	13	$80,247	+9%	$13,449
699 Other Kidney and Urinary Tract Diagnoses with CC	13	$67,935	+43%	$7,640
202 Bronchitis and Asthma with CC/MCC	12	$59,500	+29%	$7,291
812 Red Blood Cell Disorders without MCC	12	$63,671	+43%	$6,913
853 Infectious and Parasitic Diseases with O.R. Procedures with...	12	$177,843	-22%	$35,737
286 Circulatory Disorders except AMI, with Cardiac...	11	$85,352	-24%	$14,721
377 Gastrointestinal Hemorrhage with MCC	11	$84,435	-1%	$12,395

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	224	$36,648	$2,348
Level 5 Musculoskeletal Procedures	123	$60,260	$11,239
Level 2 Excision/ Biopsy/ Incision and Drainage	106	$13,584	$1,395
Level 1 Laparoscopy and Related Services	84	$39,666	$5,039
Level 2 Upper GI Procedures	72	$14,861	$1,662
Level 1 Endovascular Procedures	63	$28,325	$2,785
Level 3 Urology and Related Services	46	$7,405	$1,431
Level 3 Musculoskeletal Procedures	45	$19,510	$2,777
Level 3 Excision/ Biopsy/ Incision and Drainage	42	$30,107	$2,481
Level 1 Nerve Procedures	42	$13,628	$1,654
Level 3 Endovascular Procedures	41	$93,025	$9,601
Level 3 Vascular Procedures	37	$12,006	$2,724
Level 4 Musculoskeletal Procedures	33	$37,294	$6,248
Level 4 Endovascular Procedures	29	$132,240	$15,284
Level 2 Musculoskeletal Procedures	23	$14,153	$1,404
Level 4 Urology and Related Services	21	$30,851	$3,045
Level 3 Lower GI Procedures	20	$23,750	$2,451
Level 2 Breast/Lymphatic Surgery and Related Procedures	19	$54,353	$5,695
Level 2 Vascular Procedures	19	$8,715	$1,399
Level 6 Musculoskeletal Procedures	16	$89,368	$16,241
Level 3 Pacemaker and Similar Procedures	15	$40,795	$9,320
Level 2 Laparoscopy and Related Services	15	$64,549	$8,986
Level 1 Breast/Lymphatic Surgery and Related Procedures	14	$31,541	$3,329
Level 2 Pacemaker and Similar Procedures	13	$44,331	$7,420
Level 5 Urology and Related Services	13	$40,016	$4,519

Against the Missouri average

For Heart Failure and Shock with MCC (DRG 291), Saint Lukes North Hospital charged $61,920 on average, 33% more than the Missouri average of $46,468, and was paid $10,341 against a state average of $10,539. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Saint Lukes North Hospital charged $105,887 on average, 45% more than the Missouri average of $72,886, and was paid $14,006 against a state average of $15,808. For Psychoses (DRG 885), Saint Lukes North Hospital charged $53,759 on average, 74% more than the Missouri average of $30,825, and was paid $11,486 against a state average of $12,977. For Gastrointestinal Hemorrhage with CC (DRG 378), Saint Lukes North Hospital charged $53,061 on average, 38% more than the Missouri average of $38,405, and was paid $8,078 against a state average of $8,210. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $36,648 was 78% above the state average of $20,571. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $60,260 was 15% above the state average of $52,262. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $13,584 was 38% above the state average of $9,865. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $39,666 was 27% above the state average of $31,180.

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.