Florida / Ascension St Vincent's St Johns County
CMS certification 100361 · St Johns, FL · 2 entries in CMS's price-transparency list
Ascension St Vincent's St Johns County: charges and Medicare payments
Ascension St Vincent's St Johns County reported 280 Medicare inpatient stays across 12 DRGs in 2024. Across them it charged 5.58 times what it was paid — mid-range in Florida, number 103 of 159 hospitals with at least 100 stays (state median 7.04×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 72 stays at an average charge of $59,959, 34% below the national average. It also billed 645 outpatient services, charging 11.79 times what Medicare paid.
- 1Medicare inpatient stays 280
- 2Charge ÷ paid, inpatient 5.58×
- 3Rank in FL (highest ratio = 1) 103 of 159
- 4CMS price-transparency actions 2
Inpatient stays
For the 12 DRGs that can be compared with the national average, Ascension St Vincent's St Johns County charged more than the national average in 2 (17%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 72 | $59,959 | -34% | $13,188 |
| 177 Respiratory Infections and Inflammations with MCC | 37 | $49,896 | -29% | $11,010 |
| 291 Heart Failure and Shock with MCC | 26 | $39,910 | -29% | $8,562 |
| 193 Simple Pneumonia and Pleurisy with MCC | 25 | $50,224 | -16% | $9,230 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 22 | $47,916 | -37% | $10,422 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 18 | $128,597 | +38% | $13,077 |
| 468 Revision of Hip or Knee Replacement without CC/MCC | 15 | $184,036 | +49% | $19,441 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 15 | $200,822 | -12% | $36,131 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 14 | $54,152 | -26% | $10,964 |
| 689 Kidney and Urinary Tract Infections with MCC | 13 | $32,255 | -37% | $7,563 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 12 | $48,909 | 0% | $8,231 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 11 | $26,703 | -34% | $5,685 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 5 Musculoskeletal Procedures | 140 | $109,195 | $11,906 |
| Comprehensive Observation Services | 131 | $20,585 | $2,427 |
| Level 4 Musculoskeletal Procedures | 59 | $87,101 | $6,393 |
| Level 5 Urology and Related Services | 59 | $46,506 | $4,560 |
| Level 3 Musculoskeletal Procedures | 53 | $41,697 | $2,888 |
| Level 2 Musculoskeletal Procedures | 45 | $27,236 | $1,430 |
| Level 4 Urology and Related Services | 28 | $36,742 | $2,978 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 23 | $11,201 | $1,469 |
| Level 6 Musculoskeletal Procedures | 23 | $134,792 | $16,845 |
| Level 1 Endovascular Procedures | 21 | $36,778 | $2,956 |
| Level 8 Urology and Related Services | 21 | $120,608 | $17,006 |
| Level 2 Upper GI Procedures | 16 | $19,654 | $1,723 |
| Level 3 Urology and Related Services | 15 | $32,657 | $1,783 |
| Level 1 Laparoscopy and Related Services | 11 | $74,121 | $5,227 |
Against the Florida average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Ascension St Vincent's St Johns County charged $59,959 on average, 47% less than the Florida average of $112,838, and was paid $13,188 against a state average of $15,663. For Respiratory Infections and Inflammations with MCC (DRG 177), Ascension St Vincent's St Johns County charged $49,896 on average, 42% less than the Florida average of $85,454, and was paid $11,010 against a state average of $13,200. For Heart Failure and Shock with MCC (DRG 291), Ascension St Vincent's St Johns County charged $39,910 on average, 41% less than the Florida average of $67,659, and was paid $8,562 against a state average of $10,715. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Ascension St Vincent's St Johns County charged $50,224 on average, 36% less than the Florida average of $78,292, and was paid $9,230 against a state average of $10,939. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $109,195 was 2% above the state average of $106,979. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $20,585 was 28% below the state average of $28,431. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $87,101 was 18% above the state average of $74,087. For Level 5 Urology and Related Services (outpatient APC 5375), its average charge of $46,506 was 9% below the state average of $51,337.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Ascension St Vincent's St Johns County in St Johns, FL, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-04-24 (CMS case 4110)
- Met Requirements — 2026-05-14 (CMS case 7790)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.