53/100
#1,154 nationally
Cox Medical Centers
3801 South National Avenue, Springfield, MO 65807 · (417) 269-6000
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Cox Medical Centers billed $4.74 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
- 4.7x
- volume-weighted across all its priced work
- Procedures priced
- 198
- inpatient and outpatient combined
- Rank in MO
- #35
- lower markup ranks higher
- CMS quality stars
- 3/5
- 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 44% of U.S. hospitals.
Better than 53% of U.S. hospitals.
Better than 57% of U.S. hospitals.
Better than 69% 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 |
|---|---|---|---|---|
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
435 | $65,405 | $15,113 | about average |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
428 | $18,768 | $2,276 | -3% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
418 | $9,710 | $1,603 | -14% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
391 | $48,954 | $10,956 | -22% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
360 | $8,465 | $1,344 | -16% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
271 | $10,154 | $1,586 | -14% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
266 | $24,695 | $2,875 | +20% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
250 | $20,627 | $2,729 | -18% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
247 | $27,442 | $4,309 | about average |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
232 | $33,935 | $5,928 | -15% |
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 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
$7,349 | $539 | +134% |
|
Hip or Thigh Bone Surgery (severe)
MS-DRG 480 · Inpatient stay |
$166,018 | $27,193 | +41% |
|
Poisoning and Toxic Effects of Drugs without Major Complications
MS-DRG 918 · Inpatient stay |
$43,240 | $8,690 | +22% |
|
Endocrine Disorders with Major Complications
MS-DRG 643 · Inpatient stay |
$80,191 | $13,012 | +22% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$24,695 | $2,875 | +20% |
|
Skin Infection (severe)
MS-DRG 602 · Inpatient stay |
$61,272 | $14,203 | +19% |
|
Respiratory System Diagnosis with Ventilator Support <=96 Hours
MS-DRG 208 · Inpatient stay |
$133,989 | $22,263 | +18% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
$57,018 | $10,961 | +18% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 3 Breast/lymphatic Surgery and Related Procedures
APC 5093 · Hospital outpatient visit |
$24,395 | $7,926 | -64% |
|
Level 4 Breast/lymphatic Surgery and Related Procedures
APC 5094 · Hospital outpatient visit |
$42,809 | $13,594 | -55% |
|
Major Gastrointestinal Disorders and Peritoneal Infections with Major Complications
MS-DRG 371 · Inpatient stay |
$37,517 | $13,118 | -45% |
|
Digestive Malignancy with Major Complications
MS-DRG 374 · Inpatient stay |
$48,068 | $15,960 | -44% |
|
Organic Disturbances and Intellectual Disability
MS-DRG 884 · Inpatient stay |
$28,531 | $12,770 | -43% |
|
Pleural Effusion with Complications
MS-DRG 187 · Inpatient stay |
$32,072 | $7,120 | -42% |
|
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without Major
MS-DRG 897 · Inpatient stay |
$19,262 | $7,678 | -41% |
|
Combined Anterior and Posterior Spinal Fusion with Complications
MS-DRG 454 · Inpatient stay |
$132,093 | $48,186 | -41% |
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.