66/100
#748 nationally
Barnes-Jewish West County Hospital
12634 Olive Boulevard, Creve Coeur, MO 63141 · (314) 996-8000
Charges moderately above what care is paid for
For every $1 of care Medicare actually paid for here, Barnes-Jewish West County Hospital billed $4.60 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
- 4.6x
- volume-weighted across all its priced work
- Procedures priced
- 67
- inpatient and outpatient combined
- Rank in MO
- #25
- lower markup ranks higher
- CMS quality stars
- 5/5
- 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.
Better than 58% of U.S. hospitals.
Better than 68% of U.S. hospitals.
Better than 68% of U.S. hospitals.
Better than 89% 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 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
714 | $43,693 | $11,435 | -30% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
429 | $10,506 | $813 | -11% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
393 | $7,661 | $1,663 | -35% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
223 | $10,336 | $1,744 | -20% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
172 | $60,708 | $16,471 | -27% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
172 | $13,674 | $1,702 | +20% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
171 | $9,665 | $1,160 | -4% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
167 | $9,229 | $2,752 | -52% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
156 | $14,943 | $3,023 | -28% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
147 | $27,385 | $4,605 | about average |
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 |
|---|---|---|---|
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$13,674 | $1,702 | +20% |
|
Level 4 Endovascular Procedures
APC 5194 · Hospital outpatient visit |
$95,511 | $15,575 | about average |
|
Cochlear Implant Procedure
APC 5166 · Hospital outpatient visit |
$121,955 | $11,758 | about average |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
$27,385 | $4,605 | about average |
|
Level 3 Breast/lymphatic Surgery and Related Procedures
APC 5093 · Hospital outpatient visit |
$67,036 | $8,086 | about average |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$9,665 | $1,160 | -4% |
|
Level 5 Neurostimulator and Related Procedures
APC 5465 · Hospital outpatient visit |
$107,924 | $26,191 | -4% |
|
Level 3 Extraocular, Repair, and Plastic Eye Procedures
APC 5503 · Hospital outpatient visit |
$13,657 | $854 | -6% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
$9,229 | $2,752 | -52% |
|
Level 3 Upper GI Procedures
APC 5303 · Hospital outpatient visit |
$11,712 | $3,219 | -46% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
$35,339 | $13,300 | -38% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
$14,469 | $3,079 | -38% |
|
Red Blood Cell Disorders without Major Complications
MS-DRG 812 · Inpatient stay |
$23,191 | $6,734 | -38% |
|
Complex GI Procedures
APC 5331 · Hospital outpatient visit |
$18,804 | $4,696 | -37% |
|
Major Small and Large Bowel Procedures with Major Complications
MS-DRG 329 · Inpatient stay |
$112,746 | $33,361 | -37% |
|
Major Small and Large Bowel Procedures with Complications
MS-DRG 330 · Inpatient stay |
$63,290 | $18,672 | -37% |
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.