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University of Missouri Health Care

University of Missouri Health Care in Columbia, MO charges 5.2x the Medicare reimbursement rate across 122 analyzed procedures at this government-owned hospital system.

Columbia, MO 65212 · Acute Care Hospitals · CMS Rating: 3/5

By Kevin Nyk , Medical Billing Analyst · ·
Data from CMS files published FY 2024 CMS IPPS. Refreshed weekly.
About the analyst

Kevin Nyk analyzes hospital pricing data at BillRazor Research. He specializes in Medicare reimbursement patterns and chargemaster pricing across U.S. hospitals. Expertise: hospital pricing, Medicare rates, chargemaster analysis.

122 procedures analyzed
CMS price transparency data
Updated 2026-04-03
Median 3.6x2.1x15.0x
5.2x
Medicare markup ratio
MO lowestUniversity of Missouri...MO highest
5.2x
Avg markup ratio
5.1x
Median markup
122
Procedures
1%
Outlier procedures
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Billing patterns — government

Government hospitals in our dataset demonstrate distinct billing patterns compared to other ownership types. With 374 facilities analyzed, these hospitals show an average markup of 4.2x Medicare rates, which typically falls below the industry average for comparable services. Government hospitals often maintain more standardized pricing structures due to regulatory oversight and public accountability requirements. Patients may encounter charges above the benchmark for certain procedures, though the potential difference between government hospital billing and private facilities can vary significantly by service type and geographic region. Common charge patterns include transparent itemization of services and adherence to established fee schedules. Patients should be aware that government hospitals frequently offer financial assistance programs and sliding scale payment options based on income eligibility. These facilities often provide detailed cost estimates upon request and maintain patient financial counselors to discuss billing arrangements before treatment when possible.

Pricing grade

D

High

Avg markup vs Medicare

5.18x

Charge / Medicare rate

Max markup

8.15x

Worst procedure

Procedures analyzed

122

With pricing data

Outlier procedures

0.8%

Above 90th percentile

Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.

ProcedureCodeGross chargeCash priceMedicareMarkup
MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC371$103,388$51,6948.2x
OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC964$84,536$42,2688.1x
SEIZURES WITH MCC100$104,451$52,2267.8x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O246$170,186$85,0937.8x
POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC917$84,939$42,4707.4x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC247$115,194$57,5977.3x
PULMONARY EDEMA AND RESPIRATORY FAILURE189$70,137$35,0697x
LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC493$129,833$64,9176.9x
ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WIT062$88,744$44,3726.6x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC872$50,912$25,4566.6x
HEART FAILURE AND SHOCK WITH CC292$45,063$22,5326.6x
MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES483$125,484$62,7426.6x
PULMONARY EMBOLISM WITHOUT MCC176$43,522$21,7616.5x
AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC269$237,558$118,7796.5x
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC470$94,594$47,2976.5x
PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC274$177,964$88,9826.4x
ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC267$264,665$132,3336.3x
HYPERTENSION WITH MCC304$59,040$29,5206.2x
FRACTURES OF HIP AND PELVIS WITHOUT MCC536$39,803$19,9026.1x
EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC981$212,625$106,3126.1x
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC480$162,632$81,3166.1x
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC516$99,357$49,6796x
PNEUMOTHORAX WITH MCC199$90,732$45,3666x
RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS208$132,159$66,0806x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC871$97,790$48,8956x
REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC468$127,607$63,8046x
DIABETES WITH MCC637$67,966$33,9835.9x
OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC091$81,058$40,5295.9x
CAROTID ARTERY STENT PROCEDURES WITH CC035$105,806$52,9035.8x
MAJOR CHEST PROCEDURES WITH MCC163$193,977$96,9885.8x
HYPERTENSION WITHOUT MCC305$36,019$18,0095.8x
SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS870$324,473$162,2365.8x
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC481$96,513$48,2565.8x
OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC315$47,393$23,6965.7x
O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC621$61,577$30,7895.7x
DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC057$56,068$28,0345.7x
COMPLICATIONS OF TREATMENT WITH MCC919$223,358$111,6795.7x
SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC460$168,323$84,1625.7x
CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC287$50,956$25,4785.7x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS065$44,782$22,3915.7x
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC281$43,560$21,7805.7x
OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC314$96,979$48,4895.7x
MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC640$66,817$33,4085.7x
BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC519$87,386$43,6935.6x
CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC235$256,353$128,1765.6x
CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC286$86,411$43,2065.6x
OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC271$142,915$71,4585.6x
CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC O023$239,079$119,5395.6x
HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC522$94,407$47,2045.6x
PNEUMOTHORAX WITH CC200$51,287$25,6435.6x

Showing 50 of 122 procedures

How UNIVERSITY OF MISSOURI HEALTH CARE compares to nearby hospitals

Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.

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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.

Rates shown are from the 2026 Medicare Physician Fee Schedule and CMS IPPS. BillRazor compares your bill against these data sources. See how it works →

FAQ — government hospital billing

How do government hospital billing rates compare to Medicare benchmarks?
Based on available data from 374 government hospitals, charges average 4.2 times the Medicare benchmark rates. Government hospitals, while publicly owned, still establish their own pricing structures that can result in charges above standard Medicare rates.
Why do government hospitals charge above Medicare rates if they're publicly owned?
Government hospitals operate as independent entities that must cover operational costs, equipment, and staffing expenses. Public ownership doesn't require hospitals to limit charges to Medicare benchmark levels, as they still need to maintain financial sustainability for continued operations.
What should I expect when reviewing a government hospital bill?
Government hospital bills typically show charges that may be several times higher than Medicare benchmark rates, with the average markup being approximately 4.2x across sampled facilities. The final amount you pay will depend on your insurance coverage, negotiated rates, and any applicable financial assistance programs.
Are there potential billing differences between government hospitals and other facility types?
Government hospitals show similar billing patterns to other hospital types, with charges typically set above Medicare benchmarks. The potential difference in what patients ultimately pay often depends more on individual insurance plans and hospital financial assistance policies than on the ownership structure of the facility.

Related pricing data

Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.

Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.

This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use

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