Missouri / University of Missouri Health Care
CMS certification 260141 · Columbia, MO · 6 entries in CMS's price-transparency list
University of Missouri Health Care: charges and Medicare payments
University of Missouri Health Care reported 4,858 Medicare inpatient stays across 150 DRGs in 2024. Across them it charged 4.54 times what it was paid — among the higher ratios in Missouri, number 17 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: 247 stays at an average charge of $89,141, 1% below the national average. It also billed 6,794 outpatient services, charging 8.11 times what Medicare paid.
- 1Medicare inpatient stays 4,858
- 2Charge ÷ paid, inpatient 4.54×
- 3Rank in MO (highest ratio = 1) 17 of 59
- 4CMS price-transparency actions 6
Inpatient stays
For the 150 DRGs that can be compared with the national average, University of Missouri Health Care charged more than the national average in 28 (19%). 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 | 247 | $89,141 | -1% | $18,649 |
| 291 Heart Failure and Shock with MCC | 214 | $49,012 | -13% | $12,491 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 105 | $29,872 | -19% | $8,465 |
| 177 Respiratory Infections and Inflammations with MCC | 104 | $65,226 | -8% | $16,036 |
| 193 Simple Pneumonia and Pleurisy with MCC | 103 | $45,848 | -23% | $12,413 |
| 189 Pulmonary Edema and Respiratory Failure | 99 | $88,159 | +53% | $13,806 |
| 378 Gastrointestinal Hemorrhage with CC | 86 | $47,024 | -3% | $10,365 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 86 | $53,742 | -11% | $13,594 |
| 683 Renal Failure with CC | 82 | $37,392 | -8% | $9,264 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 81 | $56,382 | +1% | $10,741 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 79 | $43,496 | -14% | $10,901 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 78 | $87,651 | -12% | $17,855 |
| 194 Simple Pneumonia and Pleurisy with CC | 76 | $31,324 | -18% | $8,749 |
| 481 Hip and Femur Procedures except Major Joint with CC | 76 | $91,579 | -9% | $20,258 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 72 | $32,833 | -9% | $8,032 |
| 690 Kidney and Urinary Tract Infections without MCC | 70 | $31,435 | -17% | $8,648 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 67 | $104,898 | -8% | $16,757 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 63 | $225,964 | -1% | $47,433 |
| 682 Renal Failure with MCC | 59 | $46,668 | -29% | $13,853 |
| 552 Medical Back Problems without MCC | 58 | $37,612 | -23% | $10,431 |
| 638 Diabetes with CC | 58 | $34,109 | -18% | $9,418 |
| 025 Craniotomy and Endovascular Intracranial Procedures with MCC | 54 | $207,052 | -11% | $47,557 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 52 | $101,776 | -1% | $18,466 |
| 101 Seizures without MCC | 50 | $38,024 | -22% | $9,602 |
| 689 Kidney and Urinary Tract Infections with MCC | 50 | $40,620 | -21% | $11,455 |
| 812 Red Blood Cell Disorders without MCC | 49 | $35,697 | -20% | $9,351 |
| 377 Gastrointestinal Hemorrhage with MCC | 48 | $93,306 | +9% | $18,686 |
| 071 Other Cerebrovascular Disorders with CC | 46 | $42,161 | -16% | $10,899 |
| 178 Respiratory Infections and Inflammations with CC | 46 | $43,929 | -3% | $9,867 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 46 | $39,242 | -20% | $10,078 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 45 | $29,897 | -26% | $8,413 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 44 | $185,943 | +19% | $29,722 |
| 330 Major Small and Large Bowel Procedures with CC | 41 | $91,015 | -24% | $21,500 |
| 603 Cellulitis without MCC | 41 | $32,715 | -12% | $9,448 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 40 | $71,302 | -3% | $16,255 |
| 057 Degenerative Nervous System Disorders without MCC | 39 | $39,494 | -30% | $12,849 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 38 | $280,564 | +27% | $42,518 |
| 389 Gastrointestinal Obstruction with CC | 38 | $25,162 | -35% | $8,190 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 37 | $43,005 | -33% | $10,534 |
| 897 Alcohol, Drug Abuse or Dependence without Rehabilitation... | 37 | $32,639 | -12% | $10,403 |
| 023 Craniotomy with Major Device Implant or Acute Complex Cns... | 36 | $242,546 | -14% | $57,105 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 36 | $99,913 | +7% | $16,853 |
| 253 Other Vascular Procedures with CC | 34 | $101,351 | -23% | $22,585 |
| 312 Syncope and Collapse | 33 | $31,518 | -31% | $8,887 |
| 314 Other Circulatory System Diagnoses with MCC | 30 | $85,142 | -10% | $19,261 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 30 | $55,141 | -10% | $13,442 |
| 493 Lower Extremity and Humerus Procedures except Hip, Foot and... | 30 | $104,798 | -12% | $21,739 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 29 | $28,152 | -29% | $8,966 |
| 082 Traumatic Stupor and Coma >1 Hour with MCC | 28 | $98,784 | -14% | $21,968 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 28 | $139,675 | +3% | $26,392 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 28 | $164,172 | +46% | $27,907 |
| 329 Major Small and Large Bowel Procedures with MCC | 28 | $181,256 | -16% | $43,443 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 28 | $150,887 | +9% | $27,199 |
| 442 Disorders of Liver except Malignancy, Cirrhosis or Alcoholic... | 27 | $32,749 | -31% | $9,696 |
| 467 Revision of Hip or Knee Replacement with CC | 27 | $161,941 | +3% | $31,383 |
| 176 Pulmonary Embolism without MCC | 26 | $34,833 | -16% | $8,982 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 26 | $64,589 | -15% | $14,812 |
| 468 Revision of Hip or Knee Replacement without CC/MCC | 26 | $121,030 | -2% | $23,168 |
| 536 Fractures of Hip and Pelvis without MCC | 26 | $33,777 | -10% | $8,472 |
| 637 Diabetes with MCC | 26 | $57,429 | -14% | $13,140 |
Showing the 60 most frequent of 150 DRGs.
Outpatient services
Against the Missouri average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), University of Missouri Health Care charged $89,141 on average, 22% more than the Missouri average of $72,886, and was paid $18,649 against a state average of $15,808. For Heart Failure and Shock with MCC (DRG 291), University of Missouri Health Care charged $49,012 on average, 5% more than the Missouri average of $46,468, and was paid $12,491 against a state average of $10,539. For Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes without MCC (DRG 641), University of Missouri Health Care charged $29,872 on average, 2% less than the Missouri average of $30,438, and was paid $8,465 against a state average of $6,908. For Respiratory Infections and Inflammations with MCC (DRG 177), University of Missouri Health Care charged $65,226 on average, 12% more than the Missouri average of $58,162, and was paid $16,036 against a state average of $13,151. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $14,490 was 30% below the state average of $20,571. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $3,068 was 5% above the state average of $2,933. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $9,144 was 7% below the state average of $9,865. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $12,311 was 16% above the state average of $10,642.
Price-transparency record
CMS's enforcement list records these actions for a hospital named University of Missouri Health Care in Columbia, MO, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2021-04-19 (CMS case 124)
- Closure Notice — 2021-09-29 (CMS case 124)
- Warning Notice — 2024-03-08 (CMS case 1550)
- Closure Notice — 2024-06-12 (CMS case 1550)
- Met Requirements — 2025-03-20 (CMS case 3290)
- Met Requirements — 2026-06-04 (CMS case 7585)
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.