Hospital · CCN 260040
Cox Medical Centers
3801 South National Avenue, Springfield, MO 65807 · Greene County
Part of CoxHealth · 792 beds · 1
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater
146 admission types 65 outpatient services
Billed per dollar paid, all admissions
4.27×
$319.2M billed against $74.7M paid across 4,879 Medicare discharges; the national figure is 5.03×.
2.5%
of adults in Greene County have medical debt in collections
11.1%
uninsured in the county · state 10.2%
$60K
median household income
4.2×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (2 in the inpatient or outpatient file)ⓘ
36.7%
obesity in the countyⓘ
11.0%
diagnosed diabetes (PLACES)
6.5%
coronary heart disease (PLACES)
—
median age · — below poverty (ACS)
01 · Admissions
What it billed Medicare, by admission type
Average charge submitted and average total payment per discharge, 2024. Rows under 11 discharges are suppressed by CMS. The last column is the hospital's ratio against its state's for the same admission.
DRG
Admission
Discharges
Charge
Paid
Billed ÷ paid
871
Septicemia or severe sepsis without mv >96 hours with mcc
435
$65,405
$15,113
4.3× st 4.6×
885
Psychoses
190
$22,296
$10,971
2.0× st 2.4×
193
Simple pneumonia and pleurisy with mcc
128
$47,139
$10,833
4.4× st 4.5×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
111
$42,850
$8,787
4.9× st 5.6×
291
Heart failure and shock with mcc
106
$44,209
$10,305
4.3× st 4.4×
309
Cardiac arrhythmia and conduction disorders with cc
99
$21,832
$6,702
3.3× st 4.7×
683
Renal failure with cc
92
$28,903
$7,809
3.7× st 4.5×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
91
$47,005
$11,027
4.3× st 4.4×
872
Septicemia or severe sepsis without mv >96 hours without mcc
90
$34,834
$8,874
3.9× st 4.6×
177
Respiratory infections and inflammations with mcc
84
$50,814
$12,775
4.0× st 4.5×
682
Renal failure with mcc
74
$44,264
$11,939
3.7× st 4.4×
194
Simple pneumonia and pleurisy with cc
73
$27,688
$7,294
3.8× st 4.5×
690
Kidney and urinary tract infections without mcc
72
$33,124
$7,210
4.6× st 4.5×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
70
$25,673
$7,046
3.6× st 4.5×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
67
$29,072
$7,601
3.8× st 4.8×
481
Hip and femur procedures except major joint with cc
62
$93,296
$17,246
5.4× st 4.9×
853
Infectious and parasitic diseases with o.r. procedures with mcc
61
$149,364
$34,272
4.4× st 4.4×
190
Chronic obstructive pulmonary disease with mcc
59
$41,491
$9,252
4.5× st 5.1×
064
Intracranial hemorrhage or cerebral infarction with mcc
58
$64,908
$16,095
4.0× st 4.9×
378
Gastrointestinal hemorrhage with cc
56
$32,786
$8,418
3.9× st 4.7×
308
Cardiac arrhythmia and conduction disorders with mcc
54
$46,704
$9,892
4.7× st 5.0×
266
Endovascular cardiac valve replacement and supplement procedures with mcc
53
$180,699
$42,609
4.2× st 4.8×
330
Major small and large bowel procedures with cc
52
$77,899
$18,280
4.3× st 4.3×
455
Combined anterior and posterior spinal fusion without cc/mcc
52
$116,434
$35,704
3.3× st 3.8×
522
Hip replacement with principal diagnosis of hip fracture without mcc
52
$77,821
$17,315
4.5× st 4.6×
603
Cellulitis without mcc
50
$28,774
$7,871
3.7× st 4.0×
329
Major small and large bowel procedures with mcc
50
$156,427
$34,249
4.6× st 4.5×
274
Percutaneous and other intracardiac procedures without mcc
49
$112,504
$24,485
4.6× st 5.2×
025
Craniotomy and endovascular intracranial procedures with mcc
43
$136,508
$30,293
4.5× st 3.8×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
42
$102,204
$13,961
7.3× st 6.6×
236
Coronary bypass without cardiac catheterization without mcc
42
$138,876
$29,730
4.7× st 4.8×
689
Kidney and urinary tract infections with mcc
41
$34,355
$9,370
3.7× st 4.5×
189
Pulmonary edema and respiratory failure
40
$57,018
$10,961
5.2× st 5.1×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
40
$18,652
$5,710
3.3× st 4.6×
178
Respiratory infections and inflammations with cc
37
$31,620
$8,361
3.8× st 5.0×
552
Medical back problems without mcc
36
$37,039
$8,237
4.5× st 4.6×
267
Endovascular cardiac valve replacement and supplement procedures without mcc
36
$168,785
$33,518
5.0× st 4.8×
638
Diabetes with cc
36
$34,431
$8,573
4.0× st 4.4×
191
Chronic obstructive pulmonary disease with cc
34
$27,801
$7,796
3.6× st 4.7×
066
Intracranial hemorrhage or cerebral infarction without cc/mcc
34
$34,777
$6,399
5.4× st 5.9×
660
Kidney and ureter procedures for non-neoplasm with cc
34
$50,175
$11,422
4.4× st 4.1×
280
Acute myocardial infarction, discharged alive with mcc
33
$40,621
$12,044
3.4× st 4.8×
377
Gastrointestinal hemorrhage with mcc
33
$68,866
$13,864
5.0× st 4.8×
208
Respiratory system diagnosis with ventilator support <=96 hours
32
$133,989
$22,263
6.0× st 5.1×
281
Acute myocardial infarction, discharged alive with cc
31
$37,072
$7,953
4.7× st 5.7×
305
Hypertension without mcc
31
$32,563
$6,814
4.8× st 4.9×
253
Other vascular procedures with cc
30
$85,174
$19,234
4.4× st 4.3×
036
Carotid artery stent procedures without cc/mcc
28
$64,752
$13,686
4.7× st 4.3×
698
Other kidney and urinary tract diagnoses with mcc
28
$49,369
$12,423
4.0× st 4.5×
312
Syncope and collapse
28
$34,575
$7,838
4.4× st 5.3×
175
Pulmonary embolism with mcc or acute cor pulmonale
28
$46,026
$10,806
4.3× st 4.6×
460
Spinal fusion except cervical without mcc
27
$117,327
$24,304
4.8× st 4.8×
163
Major chest procedures with mcc
27
$151,804
$34,214
4.4× st 4.3×
394
Other digestive system diagnoses with cc
26
$33,321
$8,107
4.1× st 4.5×
637
Diabetes with mcc
26
$42,789
$11,154
3.8× st 4.4×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
26
$37,809
$9,025
4.2× st 5.7×
493
Lower extremity and humerus procedures except hip, foot and femur with cc
25
$87,273
$19,084
4.6× st 4.3×
164
Major chest procedures with cc
25
$99,604
$19,292
5.2× st 4.2×
454
Combined anterior and posterior spinal fusion with cc
25
$132,093
$48,186
2.7× st 3.8×
389
Gastrointestinal obstruction with cc
24
$26,745
$7,086
3.8× st 4.6×
467
Revision of hip or knee replacement with cc
24
$136,822
$25,410
5.4× st 4.3×
314
Other circulatory system diagnoses with mcc
23
$47,389
$14,661
3.2× st 4.1×
870
Septicemia or severe sepsis with mv >96 hours
23
$195,811
$45,798
4.3× st 4.5×
480
Hip and femur procedures except major joint with mcc
23
$166,018
$27,193
6.1× st 4.6×
854
Infectious and parasitic diseases with o.r. procedures with cc
23
$66,785
$18,571
3.6× st 4.4×
234
Coronary bypass with cardiac catheterization or open ablation without mcc
23
$168,970
$36,495
4.6× st 4.7×
292
Heart failure and shock with cc
23
$30,198
$6,933
4.4× st 4.8×
811
Red blood cell disorders with mcc
23
$39,039
$11,460
3.4× st 5.0×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
22
$44,912
$10,367
4.3× st 4.6×
418
Laparoscopic cholecystectomy without c.d.e. with cc
22
$82,638
$13,139
6.3× st 5.5×
083
Traumatic stupor and coma >1 hour with cc
22
$53,883
$10,963
4.9× st 4.1×
100
Seizures with mcc
22
$58,771
$15,347
3.8× st 5.0×
270
Other major cardiovascular procedures with mcc
22
$182,553
$39,531
4.6× st 4.8×
057
Degenerative nervous system disorders without mcc
21
$49,921
$10,044
5.0× st 3.4×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
21
$71,002
$16,811
4.2× st 4.9×
101
Seizures without mcc
20
$31,167
$7,711
4.0× st 4.9×
176
Pulmonary embolism without mcc
20
$35,110
$7,271
4.8× st 5.1×
897
Alcohol, drug abuse or dependence without rehabilitation therapy without mcc
19
$19,262
$7,678
2.5× st 3.0×
812
Red blood cell disorders without mcc
19
$42,131
$7,945
5.3× st 4.3×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
19
$85,718
$14,337
6.0× st 4.5×
372
Major gastrointestinal disorders and peritoneal infections with cc
19
$37,028
$8,739
4.2× st 4.3×
271
Other major cardiovascular procedures with cc
19
$113,499
$24,637
4.6× st 5.0×
023
Craniotomy with major device implant or acute complex cns principal diagnosis with mcc o
19
$196,411
$52,014
3.8× st 4.3×
202
Bronchitis and asthma with cc/mcc
19
$38,468
$8,279
4.6× st 4.7×
269
Aortic and heart assist procedures except pulsation balloon without mcc
18
$123,166
$35,870
3.4× st 4.5×
402
Single level combined anterior and posterior spinal fusion except cervical
18
$113,700
$29,186
3.9× st 3.6×
981
Extensive o.r. procedures unrelated to principal diagnosis with mcc
18
$187,775
$45,772
4.1× st 4.4×
393
Other digestive system diagnoses with mcc
17
$44,599
$12,626
3.5× st 3.8×
699
Other kidney and urinary tract diagnoses with cc
17
$31,614
$8,546
3.7× st 4.2×
027
Craniotomy and endovascular intracranial procedures without cc/mcc
16
$88,873
$19,581
4.5× st 4.6×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
16
$30,021
$7,778
3.9× st 4.8×
482
Hip and femur procedures except major joint without cc/mcc
16
$66,695
$14,077
4.7× st 4.9×
252
Other vascular procedures with mcc
16
$115,100
$24,506
4.7× st 4.9×
071
Other cerebrovascular disorders with cc
16
$36,961
$9,040
4.1× st 4.5×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
16
$123,596
$20,773
6.0× st 5.9×
948
Signs and symptoms without mcc
16
$35,468
$7,111
5.0× st 4.7×
441
Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with mcc
16
$75,485
$15,631
4.8× st 4.0×
200
Pneumothorax with cc
16
$44,498
$9,163
4.9× st 3.8×
220
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
16
$169,382
$39,457
4.3× st 4.1×
069
Transient ischemia without thrombolytic
16
$34,593
$7,090
4.9× st 5.9×
082
Traumatic stupor and coma >1 hour with mcc
15
$65,582
$15,262
4.3× st 3.9×
242
Permanent cardiac pacemaker implant with mcc
15
$112,109
$24,600
4.6× st 4.1×
644
Endocrine disorders with cc
15
$31,885
$9,873
3.2× st 4.2×
235
Coronary bypass without cardiac catheterization with mcc
15
$195,370
$42,741
4.6× st 4.5×
813
Coagulation disorders
15
$44,249
$12,076
3.7× st 5.3×
024
Craniotomy with major device implant or acute complex cns principal diagnosis without mc
15
$103,388
$27,004
3.8× st 3.7×
390
Gastrointestinal obstruction without cc/mcc
15
$19,553
$5,578
3.5× st 3.9×
917
Poisoning and toxic effects of drugs with mcc
15
$44,053
$12,325
3.6× st 4.4×
551
Medical back problems with mcc
14
$56,535
$14,828
3.8× st 5.1×
445
Disorders of the biliary tract with cc
14
$44,495
$9,053
4.9× st 5.1×
673
Other kidney and urinary tract procedures with mcc
14
$139,316
$29,220
4.8× st 3.5×
219
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
14
$238,850
$69,717
3.4× st 4.3×
304
Hypertension with mcc
14
$40,978
$10,247
4.0× st 4.9×
884
Organic disturbances and intellectual disability
14
$28,531
$12,770
2.2× st 3.4×
602
Cellulitis with mcc
14
$61,272
$14,203
4.3× st 3.8×
473
Cervical spinal fusion without cc/mcc
14
$61,049
$21,455
2.8× st 3.4×
086
Traumatic stupor and coma <1 hour with cc
13
$52,716
$10,363
5.1× st 4.8×
919
Complications of treatment with mcc
13
$74,766
$14,056
5.3× st 3.6×
987
Non-extensive o.r. procedures unrelated to principal diagnosis with mcc
13
$111,904
$26,786
4.2× st 3.4×
092
Other disorders of nervous system with cc
13
$33,367
$8,468
3.9× st 4.5×
371
Major gastrointestinal disorders and peritoneal infections with mcc
13
$37,517
$13,118
2.9× st 3.9×
300
Peripheral vascular disorders with cc
13
$28,234
$8,675
3.3× st 4.0×
521
Hip replacement with principal diagnosis of hip fracture with mcc
13
$109,516
$21,341
5.1× st 3.9×
432
Cirrhosis and alcoholic hepatitis with mcc
13
$55,858
$14,739
3.8× st 4.1×
442
Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with cc
13
$45,713
$8,102
5.6× st 4.4×
062
Ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent wit
12
$72,479
$14,053
5.2× st 5.7×
417
Laparoscopic cholecystectomy without c.d.e. with mcc
12
$83,528
$16,009
5.2× st 4.0×
243
Permanent cardiac pacemaker implant with cc
12
$93,647
$17,025
5.5× st 5.0×
982
Extensive o.r. procedures unrelated to principal diagnosis with cc
12
$89,404
$18,034
5.0× st 4.0×
492
Lower extremity and humerus procedures except hip, foot and femur with mcc
12
$101,640
$24,139
4.2× st 4.2×
444
Disorders of the biliary tract with mcc
12
$62,364
$12,793
4.9× st 3.8×
907
Other o.r. procedures for injuries with mcc
12
$172,751
$28,609
6.0× st 4.0×
282
Acute myocardial infarction, discharged alive without cc/mcc
11
$39,945
$6,801
5.9× st 7.9×
918
Poisoning and toxic effects of drugs without mcc
11
$43,240
$8,690
5.0× st 4.0×
374
Digestive malignancy with mcc
11
$48,068
$15,960
3.0× st 3.9×
920
Complications of treatment with cc
11
$42,125
$8,704
4.8× st 3.8×
472
Cervical spinal fusion with cc
11
$85,123
$21,777
3.9× st 4.0×
187
Pleural effusion with cc
11
$32,072
$7,120
4.5× st 4.5×
195
Simple pneumonia and pleurisy without cc/mcc
11
$19,694
$5,972
3.3× st 5.5×
643
Endocrine disorders with mcc
11
$80,191
$13,012
6.2× st 4.0×
617
Amputation of lower limb for endocrine, nutritional and metabolic disorders with cc
11
$47,309
$15,713
3.0× st 4.3×
070
Other cerebrovascular disorders with mcc
11
$63,590
$13,360
4.8× st 4.5×
856
Postoperative or post-traumatic infections with o.r. procedures with mcc
11
$169,680
$40,814
4.2× st 3.8×
056
Degenerative nervous system disorders with mcc
11
$72,522
$19,056
3.8× st 2.8×
054
Nervous system neoplasms with mcc
11
$44,998
$11,669
3.9× st 3.4×
184
Major chest trauma with cc
11
$44,565
$9,125
4.9× st 4.0×
02 · Outpatient
Outpatient services
Comprehensive APCs, Medicare's outpatient payment groups: submitted charge against what Medicare allowed, per service.
APC
Service
Services
Charge
Allowed
Billed ÷ allowed
8011
Comprehensive Observation Services
428
$18,768
$2,276
8.2×
5431
Level 1 Nerve Procedures
418
$9,710
$1,603
6.1×
5115
Level 5 Musculoskeletal Procedures
391
$48,954
$10,956
4.5×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
360
$8,465
$1,344
6.3×
5302
Level 2 Upper GI Procedures
271
$10,154
$1,586
6.4×
5374
Level 4 Urology and Related Services
266
$24,695
$2,875
8.6×
5191
Level 1 Endovascular Procedures
250
$20,627
$2,729
7.6×
5375
Level 5 Urology and Related Services
247
$27,442
$4,309
6.4×
5114
Level 4 Musculoskeletal Procedures
232
$33,935
$5,928
5.7×
5491
Level 1 Intraocular Procedures
205
$12,900
$1,952
6.6×
5361
Level 1 Laparoscopy and Related Services
199
$36,645
$4,797
7.6×
5183
Level 3 Vascular Procedures
189
$17,510
$2,505
7.0×
5113
Level 3 Musculoskeletal Procedures
151
$16,864
$2,689
6.3×
5213
Level 3 Electrophysiologic Procedures
145
$123,339
$19,485
6.3×
5193
Level 3 Endovascular Procedures
132
$70,039
$9,175
7.6×
5362
Level 2 Laparoscopy and Related Services
122
$51,598
$8,435
6.1×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
121
$13,705
$2,338
5.9×
5373
Level 3 Urology and Related Services
100
$14,409
$1,545
9.3×
5194
Level 4 Endovascular Procedures
86
$86,488
$14,033
6.2×
5116
Level 6 Musculoskeletal Procedures
85
$62,395
$15,474
4.0×
5165
Level 5 ENT Procedures
83
$30,684
$4,877
6.3×
5112
Level 2 Musculoskeletal Procedures
82
$10,886
$1,325
8.2×
5465
Level 5 Neurostimulator and Related Procedures
77
$110,512
$25,731
4.3×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
76
$37,935
$5,426
7.0×
5223
Level 3 Pacemaker and Similar Procedures
72
$42,478
$8,873
4.8×
5192
Level 2 Endovascular Procedures
72
$29,839
$4,753
6.3×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
71
$22,581
$3,205
7.0×
5153
Level 3 Airway Endoscopy
68
$12,544
$1,397
9.0×
5313
Level 3 Lower GI Procedures
60
$15,541
$2,360
6.6×
5182
Level 2 Vascular Procedures
59
$8,683
$1,324
6.6×
5462
Level 2 Neurostimulator and Related Procedures
55
$18,574
$3,450
5.4×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
51
$19,185
$2,807
6.8×
5184
Level 4 Vascular Procedures
49
$39,488
$4,621
8.5×
5155
Level 5 Airway Endoscopy
47
$25,752
$5,755
4.5×
5303
Level 3 Upper GI Procedures
45
$21,923
$3,220
6.8×
5154
Level 4 Airway Endoscopy
44
$19,571
$3,149
6.2×
5414
Level 4 Gynecologic Procedures
41
$20,802
$2,629
7.9×
5464
Level 4 Neurostimulator and Related Procedures
39
$79,046
$18,352
4.3×
5331
Complex GI Procedures
35
$26,885
$4,518
6.0×
5212
Level 2 Electrophysiologic Procedures
30
$29,252
$6,280
4.7×
5164
Level 4 ENT Procedures
29
$14,062
$2,707
5.2×
5222
Level 2 Pacemaker and Similar Procedures
28
$35,740
$7,144
5.0×
5376
Level 6 Urology and Related Services
18
$49,998
$7,746
6.5×
5232
Level 2 ICD and Similar Procedures
17
$149,163
$27,583
5.4×
5415
Level 5 Gynecologic Procedures
16
$25,791
$4,183
6.2×
5503
Level 3 Extraocular, Repair, and Plastic Eye Procedures
15
$11,902
$1,965
6.1×
5224
Level 4 Pacemaker and Similar Procedures
15
$89,209
$16,350
5.5×
5627
Level 7 Radiation Therapy
14
$51,869
$6,548
7.9×
5093
Level 3 Breast/Lymphatic Surgery and Related Procedures
13
$24,395
$7,926
3.1×
5372
Level 2 Urology and Related Services
13
$7,349
$539
13.6×
5461
Level 1 Neurostimulator and Related Procedures
11
$18,856
$2,861
6.6×
5094
Level 4 Breast/Lymphatic Surgery and Related Procedures
11
$42,809
$13,594
3.1×
5378
Level 8 Urology and Related Services
—
—
—
—
5231
Level 1 ICD and Similar Procedures
—
—
—
—
5504
Level 4 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5342
Level 2 Abdominal/Peritoneal/Biliary and Related Procedures
—
—
—
—
5493
Level 3 Intraocular Procedures
—
—
—
—
5492
Level 2 Intraocular Procedures
—
—
—
—
5471
Implantation of Drug Infusion Device
—
—
—
—
5166
Cochlear Implant Procedure
—
—
—
—
5163
Level 3 ENT Procedures
—
—
—
—
5211
Level 1 Electrophysiologic Procedures
—
—
—
—
5432
Level 2 Nerve Procedures
—
—
—
—
5377
Level 7 Urology and Related Services
—
—
—
—
5463
Level 3 Neurostimulator and Related Procedures
—
—
—
—
Sources for this hospital
the files read, as fetched — not our copy of them- MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
- MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
- chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
- 2020 ZCTA to County relationship file · US Census Bureau · 2020tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
Every figure on this page is computed from these files by pipeline/prices/; the same rows are in the API.
Source rows for this hospital as JSON: inpatient · outpatient. CMS, Medicare Inpatient and Outpatient Hospitals by Provider and Service, 2024.