CostGrade
C

49/100

#1,277 nationally

Barnes Jewish Hospital

One Barnes-Jewish Hospital Plaza, Saint Louis, MO 63110 · (314) 747-3000

Charges well above the national norm

For every $1 of care Medicare actually paid for here, Barnes Jewish Hospital billed $3.91 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.

Charge-to-payment
3.9x
volume-weighted across all its priced work
Procedures priced
334
inpatient and outpatient combined
Rank in MO
#37
lower markup ranks higher
CMS quality stars
4/5
shown for context, not in the grade

How this grade was reached

Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.

Inpatient charge markup 19.9/35

Better than 57% of U.S. hospitals.

Outpatient charge markup 13.4/25

Better than 54% of U.S. hospitals.

Price level vs national median 12.0/30

Better than 40% of U.S. hospitals.

Price consistency 3.8/10

Better than 38% of U.S. hospitals.

What this hospital treats most

The ten procedures it billed Medicare for most often, with its charge beside the national middle.

Procedure Patients Charged Actually paid vs national
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

851 $11,907 $1,406 +18%
Level 1 Intraocular Procedures

APC 5491 · Hospital outpatient visit

659 $11,351 $2,056 -3%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

606 $9,289 $1,663 -21%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

526 $14,352 $2,797 -25%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

442 $20,240 $2,352 +14%
Sepsis (severe)

MS-DRG 871 · Inpatient stay

421 $116,515 $27,754 +79%
Level 4 Airway Endoscopy

APC 5154 · Hospital outpatient visit

365 $14,697 $3,268 -35%
Level 1 Nerve Procedures

APC 5431 · Hospital outpatient visit

360 $16,859 $1,695 +49%
Level 2 Intraocular Procedures

APC 5492 · Hospital outpatient visit

345 $18,818 $3,543 -9%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

330 $11,577 $1,730 -10%

Where its charges run furthest above the national middle

Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.

Procedure Charged Actually paid vs national
Coagulation Disorders

MS-DRG 813 · Inpatient stay

$201,475 $59,219 +201%
Respiratory Failure

MS-DRG 189 · Inpatient stay

$102,376 $22,639 +111%
Psychoses

MS-DRG 885 · Inpatient stay

$70,766 $22,390 +96%
Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulatio

MS-DRG 809 · Inpatient stay

$102,452 $31,325 +86%
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale

MS-DRG 175 · Inpatient stay

$101,306 $22,664 +86%
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with Major

MS-DRG 542 · Inpatient stay

$125,062 $28,257 +82%
Sepsis (severe)

MS-DRG 871 · Inpatient stay

$116,515 $27,754 +79%
Pneumonia (severe)

MS-DRG 193 · Inpatient stay

$83,047 $19,831 +78%

Where it charges least relative to everyone else

Procedure Charged Actually paid vs national
Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Other Procedures Wi

MS-DRG 829 · Inpatient stay

$82,941 $34,889 -55%
Cardiac Congenital and Valvular Disorders without Major Complications

MS-DRG 307 · Inpatient stay

$45,127 $12,402 -45%
Other Multiple Significant Trauma with Complications

MS-DRG 964 · Inpatient stay

$39,993 $16,341 -44%
Level 8 Urology and Related Services

APC 5378 · Hospital outpatient visit

$50,193 $17,405 -42%
Complex GI Procedures

APC 5331 · Hospital outpatient visit

$18,691 $4,130 -38%
Level 3 Pacemaker and Similar Procedures

APC 5223 · Hospital outpatient visit

$32,129 $9,251 -38%
Level 4 Airway Endoscopy

APC 5154 · Hospital outpatient visit

$14,697 $3,268 -35%
Other Myeloproliferative Disorders or Poorly Differentiated Neoplastic Diagnoses with Mc

MS-DRG 843 · Inpatient stay

$99,305 $21,760 -35%

What this page cannot tell you

  • It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
  • It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
  • A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
  • Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.