Missouri / St Lukes Hospital
CMS certification 260179 · Chesterfield, MO · 3 entries in CMS's price-transparency list
St Lukes Hospital: charges and Medicare payments
St Lukes Hospital reported 3,909 Medicare inpatient stays across 107 DRGs in 2024. Across them it charged 3.84 times what it was paid — mid-range in Missouri, number 31 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: 477 stays at an average charge of $59,203, 34% below the national average. It also billed 4,030 outpatient services, charging 4.85 times what Medicare paid.
- 1Medicare inpatient stays 3,909
- 2Charge ÷ paid, inpatient 3.84×
- 3Rank in MO (highest ratio = 1) 31 of 59
- 4CMS price-transparency actions 3
Inpatient stays
For the 107 DRGs that can be compared with the national average, St Lukes Hospital charged more than the national average in 1 (1%). 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 | 477 | $59,203 | -34% | $14,383 |
| 291 Heart Failure and Shock with MCC | 276 | $41,328 | -27% | $9,395 |
| 177 Respiratory Infections and Inflammations with MCC | 104 | $49,308 | -30% | $11,801 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 98 | $22,089 | -45% | $5,700 |
| 690 Kidney and Urinary Tract Infections without MCC | 98 | $22,297 | -41% | $6,061 |
| 193 Simple Pneumonia and Pleurisy with MCC | 83 | $50,529 | -15% | $9,694 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 83 | $29,290 | -40% | $7,417 |
| 378 Gastrointestinal Hemorrhage with CC | 79 | $34,514 | -29% | $7,444 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 77 | $43,312 | -24% | $9,035 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 71 | $76,736 | -51% | $22,284 |
| 312 Syncope and Collapse | 67 | $24,997 | -45% | $6,180 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 64 | $46,643 | -50% | $13,420 |
| 689 Kidney and Urinary Tract Infections with MCC | 64 | $33,829 | -34% | $8,423 |
| 266 Endovascular Cardiac Valve Replacement and Supplement... | 62 | $124,583 | -56% | $45,815 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 62 | $24,089 | -33% | $5,475 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 62 | $40,022 | -45% | $11,838 |
| 603 Cellulitis without MCC | 60 | $20,579 | -45% | $7,006 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 60 | $36,970 | -39% | $9,228 |
| 552 Medical Back Problems without MCC | 56 | $21,080 | -57% | $6,693 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 56 | $21,124 | -43% | $5,811 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 50 | $129,088 | -44% | $34,505 |
| 683 Renal Failure with CC | 49 | $24,283 | -40% | $6,706 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 41 | $72,785 | -36% | $13,463 |
| 481 Hip and Femur Procedures except Major Joint with CC | 40 | $52,175 | -48% | $14,431 |
| 194 Simple Pneumonia and Pleurisy with CC | 39 | $23,213 | -40% | $5,810 |
| 682 Renal Failure with MCC | 39 | $31,807 | -52% | $10,209 |
| 036 Carotid Artery Stent Procedures without CC/MCC | 36 | $39,445 | -55% | $13,019 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 36 | $30,845 | -45% | $7,040 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 36 | $44,972 | -30% | $8,370 |
| 236 Coronary Bypass without Cardiac Catheterization without MCC | 35 | $125,209 | -41% | $31,047 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 35 | $38,812 | -36% | $9,634 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 33 | $57,040 | -25% | $12,356 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 33 | $49,540 | -52% | $14,942 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 32 | $73,826 | -34% | $15,185 |
| 389 Gastrointestinal Obstruction with CC | 32 | $24,870 | -36% | $5,943 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 31 | $51,831 | +2% | $8,118 |
| 178 Respiratory Infections and Inflammations with CC | 30 | $28,657 | -37% | $7,065 |
| 243 Permanent Cardiac Pacemaker Implant with CC | 30 | $63,483 | -43% | $15,711 |
| 377 Gastrointestinal Hemorrhage with MCC | 30 | $49,774 | -42% | $13,344 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 29 | $56,563 | -43% | $13,679 |
| 329 Major Small and Large Bowel Procedures with MCC | 29 | $122,581 | -43% | $35,319 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 28 | $21,515 | -25% | $4,210 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 27 | $87,654 | -46% | $21,079 |
| 394 Other Digestive System Diagnoses with CC | 27 | $28,324 | -40% | $7,252 |
| 812 Red Blood Cell Disorders without MCC | 27 | $33,816 | -24% | $6,800 |
| 202 Bronchitis and Asthma with CC/MCC | 26 | $35,772 | -22% | $7,253 |
| 234 Coronary Bypass with Cardiac Catheterization or Open... | 26 | $148,772 | -45% | $37,725 |
| 220 Cardiac Valve and Other Major Cardiothoracic Procedures... | 25 | $133,008 | -52% | $41,627 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 25 | $28,213 | -41% | $7,518 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 24 | $104,654 | -53% | $33,305 |
| 069 Transient Ischemia without Thrombolytic | 23 | $21,464 | -57% | $5,665 |
| 314 Other Circulatory System Diagnoses with MCC | 23 | $58,699 | -38% | $15,641 |
| 330 Major Small and Large Bowel Procedures with CC | 22 | $80,503 | -32% | $17,991 |
| 149 Dysequilibrium | 21 | $24,374 | -45% | $5,317 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 21 | $55,251 | -15% | $10,243 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 21 | $26,963 | -32% | $6,226 |
| 813 Coagulation Disorders | 21 | $50,575 | -37% | $10,988 |
| 854 Infectious and Parasitic Diseases with O.R. Procedures with... | 21 | $70,151 | -29% | $14,502 |
| 269 Aortic and Heart Assist Procedures except Pulsation Balloon... | 20 | $82,241 | -57% | $31,206 |
| 305 Hypertension without MCC | 20 | $26,088 | -35% | $5,389 |
Showing the 60 most frequent of 107 DRGs.
Outpatient services
Against the Missouri average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), St Lukes Hospital charged $59,203 on average, 19% less than the Missouri average of $72,886, and was paid $14,383 against a state average of $15,808. For Heart Failure and Shock with MCC (DRG 291), St Lukes Hospital charged $41,328 on average, 11% less than the Missouri average of $46,468, and was paid $9,395 against a state average of $10,539. For Respiratory Infections and Inflammations with MCC (DRG 177), St Lukes Hospital charged $49,308 on average, 15% less than the Missouri average of $58,162, and was paid $11,801 against a state average of $13,151. For Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders without MCC (DRG 392), St Lukes Hospital charged $22,089 on average, 32% less than the Missouri average of $32,372, and was paid $5,700 against a state average of $6,937. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $12,010 was 42% below the state average of $20,571. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $18,432 was 23% below the state average of $23,828. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $37,239 was 29% below the state average of $52,262. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $5,964 was 40% below the state average of $9,865.
Price-transparency record
CMS's enforcement list records these actions for a hospital named St Lukes Hospital in Chesterfield, MO, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2023-06-16 (CMS case 1482)
- CAP Request — 2023-10-19 (CMS case 1482)
- Closure Notice — 2023-11-27 (CMS case 1482)
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.