Progress West Hospital

2 Progress Point Pkwy · O Fallon, MO 63368

🤖AI Overview

⚠️ This hospital charges 4.1x what Medicare pays — significantly above the national average of 5.5x.

Total Charges

$34.6M

Medicare Payments

$8.3M

Discharges

897

Avg Length of Stay

4.4 days

Markup Ratio

4.1x

Risk Score

2.06

Fairness Grade: D

Poor — charges 4–5x what Medicare pays

Progress West Hospital charges an average of $38,550 per discharge, but Medicare only pays $9,302 — a markup of 4.1x. Grades are based on this ratio: A (under 2x), B (2–3x), C (3–4x), D (4–5x), F (over 5x).

How This Hospital Compares

Markup Ratio

This Hospital

4.1x

State Avg

5.3x

National Avg

5.3x

Avg Charge per Discharge

This Hospital

$38,550

State Avg

$70,874

National Avg

$69,838

Avg Length of Stay

This Hospital

4.4 days

State Avg

5.3 days

National Avg

4.8 days

Patient Demographics

Age Distribution

Under 65

9.4%

65–74

29.9%

75–84

36.5%

85+

24.2%

Gender

59.4%

Female

40.6%

Male

Dual Eligibility

9.1%

Dual Eligible

90.9%

Non-Dual

Race & Ethnicity

White

93.0%

Black

3.5%

Other

2.2%

Chronic Condition Profile

Prevalence of chronic conditions among this hospital's Medicare patients

Hypertension

75.0%

High Cholesterol

75.0%

Arthritis

62.6%

Mood Disorders

47.6%

Chronic Kidney Disease

47.3%

Ischemic Heart Disease

46.6%

Depression

45.9%

Anxiety

45.8%

Heart Failure

42.7%

Diabetes

39.5%

Atrial Fibrillation

36.8%

COPD

32.2%

Alzheimer's/Dementia

25.6%

Cancer

20.8%

Stroke/TIA

20.5%

Osteoporosis

19.7%

Asthma

15.7%

Tobacco Use

14.9%

Bipolar Disorder

14.3%

Substance Use

9.1%

Parkinson's

6.7%

Schizophrenia/Psychosis

4.3%

PTSD

3.8%

Personality Disorders

3.0%

ADHD/Conduct Disorders

2.1%

Related from TheDataProject.ai

🔍 See Medicare provider data on OpenMedicare

⚠️ Important: Data reflects Medicare inpatient claims. Charges represent what hospitals bill — not what patients typically pay. Medicare payment amounts reflect negotiated rates. Individual patient costs depend on insurance coverage and specific services.