Missouri / SSM Health Saint Louis University Hospital
CMS certification 260105 · Saint Louis, MO · 4 entries in CMS's price-transparency list
SSM Health Saint Louis University Hospital: charges and Medicare payments
SSM Health Saint Louis University Hospital reported 1,852 Medicare inpatient stays across 84 DRGs in 2024. Across them it charged 3.85 times what it was paid — mid-range in Missouri, number 30 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: 142 stays at an average charge of $107,454, 19% above the national average. It also billed 1,865 outpatient services, charging 9.25 times what Medicare paid.
- 1Medicare inpatient stays 1,852
- 2Charge ÷ paid, inpatient 3.85×
- 3Rank in MO (highest ratio = 1) 30 of 59
- 4CMS price-transparency actions 4
Inpatient stays
For the 84 DRGs that can be compared with the national average, SSM Health Saint Louis University Hospital charged more than the national average in 28 (33%). 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 | 142 | $107,454 | +19% | $25,466 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 70 | $192,154 | -13% | $48,437 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 61 | $88,437 | -11% | $24,151 |
| 291 Heart Failure and Shock with MCC | 60 | $54,784 | -3% | $16,803 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 44 | $50,042 | -10% | $13,410 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 39 | $273,673 | +20% | $62,220 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 38 | $112,884 | -28% | $31,668 |
| 481 Hip and Femur Procedures except Major Joint with CC | 38 | $111,789 | +11% | $23,849 |
| 193 Simple Pneumonia and Pleurisy with MCC | 33 | $53,347 | -11% | $15,635 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 31 | $46,156 | -3% | $13,201 |
| 432 Cirrhosis and Alcoholic Hepatitis with MCC | 30 | $80,847 | -15% | $23,592 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 29 | $83,338 | +13% | $22,473 |
| 025 Craniotomy and Endovascular Intracranial Procedures with MCC | 28 | $183,842 | -21% | $47,169 |
| 177 Respiratory Infections and Inflammations with MCC | 28 | $71,599 | +1% | $20,273 |
| 441 Disorders of Liver except Malignancy, Cirrhosis or Alcoholic... | 28 | $56,507 | -34% | $22,225 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 28 | $134,877 | -3% | $33,387 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 28 | $220,676 | -32% | $68,811 |
| 003 ECMO or Tracheostomy with MV >96 Hours or Principal... | 27 | $558,365 | -47% | $189,130 |
| 552 Medical Back Problems without MCC | 27 | $51,079 | +5% | $13,048 |
| 101 Seizures without MCC | 26 | $30,267 | -38% | $12,275 |
| 682 Renal Failure with MCC | 26 | $54,520 | -17% | $18,579 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 25 | $81,781 | +36% | $19,599 |
| 377 Gastrointestinal Hemorrhage with MCC | 23 | $97,698 | +14% | $21,778 |
| 314 Other Circulatory System Diagnoses with MCC | 22 | $103,536 | +9% | $28,998 |
| 163 Major Chest Procedures with MCC | 21 | $153,057 | -27% | $50,440 |
| 189 Pulmonary Edema and Respiratory Failure | 21 | $43,662 | -24% | $15,415 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 21 | $68,989 | -9% | $19,333 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 21 | $113,022 | +1% | $26,045 |
| 330 Major Small and Large Bowel Procedures with CC | 21 | $76,875 | -35% | $27,892 |
| 689 Kidney and Urinary Tract Infections with MCC | 21 | $59,136 | +15% | $17,014 |
| 023 Craniotomy with Major Device Implant or Acute Complex Cns... | 20 | $217,834 | -22% | $58,296 |
| 252 Other Vascular Procedures with MCC | 20 | $111,013 | -35% | $39,128 |
| 493 Lower Extremity and Humerus Procedures except Hip, Foot and... | 20 | $132,031 | +11% | $30,962 |
| 236 Coronary Bypass without Cardiac Catheterization without MCC | 19 | $221,271 | +5% | $44,299 |
| 266 Endovascular Cardiac Valve Replacement and Supplement... | 19 | $223,952 | -21% | $61,588 |
| 235 Coronary Bypass without Cardiac Catheterization with MCC | 18 | $286,299 | -2% | $61,649 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 18 | $171,991 | +5% | $33,705 |
| 329 Major Small and Large Bowel Procedures with MCC | 18 | $210,738 | -2% | $46,921 |
| 378 Gastrointestinal Hemorrhage with CC | 18 | $43,806 | -10% | $11,543 |
| 638 Diabetes with CC | 18 | $34,596 | -17% | $11,837 |
| 683 Renal Failure with CC | 18 | $30,756 | -24% | $13,984 |
| 100 Seizures with MCC | 17 | $79,520 | -16% | $22,450 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 17 | $117,025 | +2% | $21,912 |
| 326 Stomach, Esophageal and Duodenal Procedures with MCC | 17 | $158,881 | -34% | $54,775 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 17 | $64,833 | +6% | $15,137 |
| 086 Traumatic Stupor and Coma <1 Hour with CC | 16 | $79,032 | +16% | $15,195 |
| 184 Major Chest Trauma with CC | 16 | $60,956 | +10% | $15,488 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 16 | $104,157 | -23% | $29,150 |
| 219 Cardiac Valve and Other Major Cardiothoracic Procedures... | 16 | $340,981 | -14% | $84,607 |
| 472 Cervical Spinal Fusion with CC | 16 | $124,324 | -13% | $30,201 |
| 603 Cellulitis without MCC | 16 | $26,508 | -29% | $11,264 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 16 | $48,268 | +30% | $11,626 |
| 919 Complications of Treatment with MCC | 16 | $59,953 | -32% | $22,613 |
| 963 Other Multiple Significant Trauma with MCC | 16 | $147,186 | +6% | $33,314 |
| 054 Nervous System Neoplasms with MCC | 15 | $68,070 | -12% | $18,981 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 15 | $25,903 | -36% | $10,444 |
| 690 Kidney and Urinary Tract Infections without MCC | 15 | $32,061 | -15% | $11,055 |
| 082 Traumatic Stupor and Coma >1 Hour with MCC | 14 | $100,950 | -12% | $27,081 |
| 652 Kidney Transplant | 14 | $342,387 | +2% | $32,815 |
| 856 Postoperative or Post-Traumatic Infections with O.R.... | 14 | $164,048 | -19% | $50,317 |
Showing the 60 most frequent of 84 DRGs.
Outpatient services
Against the Missouri average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), SSM Health Saint Louis University Hospital charged $107,454 on average, 47% more than the Missouri average of $72,886, and was paid $25,466 against a state average of $15,808. For Endovascular Cardiac Valve Replacement and Supplement Procedures without MCC (DRG 267), SSM Health Saint Louis University Hospital charged $192,154 on average, 6% more than the Missouri average of $181,999, and was paid $48,437 against a state average of $38,163. For Intracranial Hemorrhage or Cerebral Infarction with MCC (DRG 064), SSM Health Saint Louis University Hospital charged $88,437 on average, 13% more than the Missouri average of $78,537, and was paid $24,151 against a state average of $16,518. For Heart Failure and Shock with MCC (DRG 291), SSM Health Saint Louis University Hospital charged $54,784 on average, 18% more than the Missouri average of $46,468, and was paid $16,803 against a state average of $10,539. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $11,623 was 20% above the state average of $9,712. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $20,822 was 1% above the state average of $20,571. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $15,434 was 56% above the state average of $9,865. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $18,449 was 73% above the state average of $10,642.
Price-transparency record
CMS's enforcement list records these actions for a hospital named SSM Health Saint Louis University Hospital in Saint Louis, MO, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2021-08-25 (CMS case 431)
- Closure Notice — 2022-02-11 (CMS case 431)
- Met Requirements — 2025-03-25 (CMS case 3399)
- Met Requirements — 2025-04-02 (CMS case 3538)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
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.