Missouri / Western Missouri Medical Center
CMS certification 260097 · Warrensburg, MO · 4 entries in CMS's price-transparency list
Western Missouri Medical Center: charges and Medicare payments
Western Missouri Medical Center reported 207 Medicare inpatient stays across 9 DRGs in 2024. Across them it charged 1.96 times what it was paid — among the lower ratios in Missouri, number 56 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: 42 stays at an average charge of $40,438, 55% below the national average. It also billed 709 outpatient services, charging 4.13 times what Medicare paid.
- 1Medicare inpatient stays 207
- 2Charge ÷ paid, inpatient 1.96×
- 3Rank in MO (highest ratio = 1) 56 of 59
- 4CMS price-transparency actions 4
Inpatient stays
For the 9 DRGs that can be compared with the national average, Western Missouri Medical Center 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 | 42 | $40,438 | -55% | $21,109 |
| 291 Heart Failure and Shock with MCC | 38 | $27,363 | -51% | $13,863 |
| 193 Simple Pneumonia and Pleurisy with MCC | 36 | $24,709 | -59% | $13,955 |
| 177 Respiratory Infections and Inflammations with MCC | 24 | $32,759 | -54% | $17,891 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 18 | $45,575 | -51% | $20,014 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 16 | $23,585 | -52% | $10,990 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 11 | $22,614 | -55% | $11,901 |
| 603 Cellulitis without MCC | 11 | $19,213 | -48% | $9,487 |
| 683 Renal Failure with CC | 11 | $21,324 | -48% | $9,732 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 1 Nerve Procedures | 260 | $3,661 | $1,739 |
| Comprehensive Observation Services | 158 | $12,129 | $2,453 |
| Level 4 Musculoskeletal Procedures | 62 | $21,127 | $6,360 |
| Level 5 Musculoskeletal Procedures | 50 | $37,409 | $11,837 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 37 | $3,705 | $1,460 |
| Level 3 Musculoskeletal Procedures | 33 | $10,810 | $2,915 |
| Level 2 Urology and Related Services | 22 | $1,032 | $615 |
| Level 3 Vascular Procedures | 20 | $13,351 | $2,870 |
| Level 1 Laparoscopy and Related Services | 19 | $19,592 | $5,196 |
| Level 2 Musculoskeletal Procedures | 13 | $6,171 | $1,447 |
| Level 4 Gynecologic Procedures | 13 | $9,606 | $2,815 |
| Level 2 Upper GI Procedures | 11 | $5,817 | $1,713 |
| Level 3 Urology and Related Services | 11 | $4,190 | $1,834 |
Against the Missouri average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Western Missouri Medical Center charged $40,438 on average, 45% less than the Missouri average of $72,886, and was paid $21,109 against a state average of $15,808. For Heart Failure and Shock with MCC (DRG 291), Western Missouri Medical Center charged $27,363 on average, 41% less than the Missouri average of $46,468, and was paid $13,863 against a state average of $10,539. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Western Missouri Medical Center charged $24,709 on average, 48% less than the Missouri average of $47,966, and was paid $13,955 against a state average of $10,821. For Respiratory Infections and Inflammations with MCC (DRG 177), Western Missouri Medical Center charged $32,759 on average, 44% less than the Missouri average of $58,162, and was paid $17,891 against a state average of $13,151. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $3,661 was 65% below the state average of $10,541. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $12,129 was 41% below the state average of $20,571. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $21,127 was 40% below the state average of $34,980. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $37,409 was 28% below the state average of $52,262.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Western Missouri Medical Center in Warrensburg, MO, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- CAP Request — 2024-09-12 (CMS case 2627)
- CAP Request — 2024-12-10 (CMS case 2627)
- Closure Notice — 2025-03-13 (CMS case 2627)
- Warning Notice — 2026-07-02 (CMS case 8166)
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.