Missouri / SSM Health St Clare Hospital - Fenton
CMS certification 260081 · Fenton, MO · 3 entries in CMS's price-transparency list
SSM Health St Clare Hospital - Fenton: charges and Medicare payments
SSM Health St Clare Hospital - Fenton reported 1,386 Medicare inpatient stays across 44 DRGs in 2024. Across them it charged 3.32 times what it was paid — among the lower ratios in Missouri, number 42 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: 268 stays at an average charge of $41,356, 54% below the national average. It also billed 1,301 outpatient services, charging 5.44 times what Medicare paid.
- 1Medicare inpatient stays 1,386
- 2Charge ÷ paid, inpatient 3.32×
- 3Rank in MO (highest ratio = 1) 42 of 59
- 4CMS price-transparency actions 3
Inpatient stays
For the 44 DRGs that can be compared with the national average, SSM Health St Clare Hospital - Fenton 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 | 268 | $41,356 | -54% | $13,431 |
| 291 Heart Failure and Shock with MCC | 139 | $31,247 | -45% | $8,998 |
| 177 Respiratory Infections and Inflammations with MCC | 62 | $33,494 | -53% | $11,798 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 48 | $26,712 | -46% | $7,857 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 45 | $26,863 | -26% | $5,670 |
| 193 Simple Pneumonia and Pleurisy with MCC | 44 | $32,878 | -45% | $9,361 |
| 189 Pulmonary Edema and Respiratory Failure | 43 | $30,488 | -47% | $8,849 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 42 | $22,545 | -63% | $9,156 |
| 683 Renal Failure with CC | 39 | $23,011 | -43% | $6,437 |
| 378 Gastrointestinal Hemorrhage with CC | 37 | $25,230 | -48% | $7,309 |
| 682 Renal Failure with MCC | 31 | $31,743 | -52% | $9,911 |
| 689 Kidney and Urinary Tract Infections with MCC | 31 | $22,186 | -57% | $8,293 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 30 | $21,729 | -46% | $6,654 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 27 | $53,065 | -47% | $13,179 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 27 | $29,432 | -47% | $7,739 |
| 603 Cellulitis without MCC | 27 | $17,106 | -54% | $6,521 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 27 | $94,172 | -59% | $30,037 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 26 | $18,916 | -49% | $5,771 |
| 552 Medical Back Problems without MCC | 24 | $21,438 | -56% | $6,788 |
| 690 Kidney and Urinary Tract Infections without MCC | 24 | $17,576 | -54% | $5,796 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 23 | $40,786 | -46% | $10,332 |
| 483 Major Joint or Limb Reattachment Procedures of Upper... | 22 | $64,353 | -49% | $17,675 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 22 | $27,449 | -63% | $10,870 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 18 | $56,946 | -50% | $12,696 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 17 | $52,784 | -43% | $12,902 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 16 | $79,251 | -52% | $19,932 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 14 | $26,327 | -48% | $6,747 |
| 314 Other Circulatory System Diagnoses with MCC | 14 | $49,238 | -48% | $14,435 |
| 377 Gastrointestinal Hemorrhage with MCC | 14 | $44,999 | -47% | $11,939 |
| 389 Gastrointestinal Obstruction with CC | 14 | $22,386 | -42% | $5,731 |
| 481 Hip and Femur Procedures except Major Joint with CC | 14 | $43,502 | -57% | $14,018 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 14 | $20,482 | -57% | $7,390 |
| 854 Infectious and Parasitic Diseases with O.R. Procedures with... | 14 | $49,917 | -49% | $14,472 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 13 | $26,208 | -54% | $8,364 |
| 329 Major Small and Large Bowel Procedures with MCC | 13 | $107,830 | -50% | $28,640 |
| 074 Cranial and Peripheral Nerve Disorders without MCC | 12 | $19,115 | -64% | $7,555 |
| 312 Syncope and Collapse | 12 | $23,492 | -48% | $6,573 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 12 | $43,976 | -57% | $13,750 |
| 812 Red Blood Cell Disorders without MCC | 12 | $25,369 | -43% | $6,804 |
| 070 Other Cerebrovascular Disorders with MCC | 11 | $35,395 | -53% | $11,145 |
| 176 Pulmonary Embolism without MCC | 11 | $27,292 | -34% | $6,062 |
| 194 Simple Pneumonia and Pleurisy with CC | 11 | $18,594 | -52% | $5,622 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 11 | $17,992 | -37% | $4,583 |
| 602 Cellulitis with MCC | 11 | $23,900 | -60% | $10,128 |
Outpatient services
Against the Missouri average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), SSM Health St Clare Hospital - Fenton charged $41,356 on average, 43% less than the Missouri average of $72,886, and was paid $13,431 against a state average of $15,808. For Heart Failure and Shock with MCC (DRG 291), SSM Health St Clare Hospital - Fenton charged $31,247 on average, 33% less than the Missouri average of $46,468, and was paid $8,998 against a state average of $10,539. For Respiratory Infections and Inflammations with MCC (DRG 177), SSM Health St Clare Hospital - Fenton charged $33,494 on average, 42% less than the Missouri average of $58,162, and was paid $11,798 against a state average of $13,151. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), SSM Health St Clare Hospital - Fenton charged $26,712 on average, 32% less than the Missouri average of $39,285, and was paid $7,857 against a state average of $8,750. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $14,661 was 29% below the state average of $20,571. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $46,175 was 12% below the state average of $52,262. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $7,812 was 21% below the state average of $9,865. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $12,168 was 15% above the state average of $10,541.
Price-transparency record
CMS's enforcement list records these actions for a hospital named SSM Health St Clare Hospital - Fenton in Fenton, 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 432)
- Closure Notice — 2022-02-14 (CMS case 432)
- Met Requirements — 2025-07-30 (CMS case 6059)
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.