CHI St Joseph Health Regional Hospital: charges and Medicare payments

CHI St Joseph Health Regional Hospital reported 2,387 Medicare inpatient stays across 72 DRGs in 2024. Across them it charged 5.68 times what it was paid — mid-range in Texas, number 90 of 190 hospitals with at least 100 stays (state median 5.35×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 320 stays at an average charge of $73,714, 18% below the national average. It also billed 1,680 outpatient services, charging 13.09 times what Medicare paid.

1Medicare inpatient stays 2,387
2Charge ÷ paid, inpatient 5.68×
3Rank in TX (highest ratio = 1) 90 of 190
4CMS price-transparency actions 0

Average charge per stay at CHI St Joseph Health Regional Hospital, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 72 DRGs that can be compared with the national average, CHI St Joseph Health Regional Hospital charged more than the national average in 21 (29%). 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	320	$73,714	-18%	$14,675
291 Heart Failure and Shock with MCC	163	$51,402	-9%	$10,214
280 Acute Myocardial Infarction, Discharged Alive with MCC	87	$72,304	-5%	$12,469
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	79	$41,811	-15%	$8,645
177 Respiratory Infections and Inflammations with MCC	74	$64,358	-9%	$12,945
193 Simple Pneumonia and Pleurisy with MCC	73	$50,838	-15%	$10,394
189 Pulmonary Edema and Respiratory Failure	61	$53,448	-7%	$10,157
274 Percutaneous and Other Intracardiac Procedures without MCC	55	$212,344	+35%	$23,801
689 Kidney and Urinary Tract Infections with MCC	50	$44,322	-14%	$9,663
698 Other Kidney and Urinary Tract Diagnoses with MCC	50	$60,343	-18%	$13,103
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	49	$75,886	-24%	$14,773
683 Renal Failure with CC	47	$37,941	-7%	$7,571
481 Hip and Femur Procedures except Major Joint with CC	45	$103,911	+3%	$15,887
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	43	$55,579	0%	$8,591
378 Gastrointestinal Hemorrhage with CC	42	$60,210	+24%	$8,459
853 Infectious and Parasitic Diseases with O.R. Procedures with...	42	$185,202	-19%	$35,529
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	39	$99,797	-2%	$15,751
309 Cardiac Arrhythmia and Conduction Disorders with CC	37	$33,459	-7%	$6,741
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	37	$43,609	+9%	$7,051
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	36	$64,722	+7%	$10,670
690 Kidney and Urinary Tract Infections without MCC	36	$36,873	-3%	$7,047
312 Syncope and Collapse	35	$47,690	+5%	$7,525
682 Renal Failure with MCC	33	$56,805	-14%	$11,905
313 Chest Pain	29	$41,106	+3%	$6,300
638 Diabetes with CC	29	$50,125	+20%	$7,906
637 Diabetes with MCC	26	$71,324	+7%	$12,253
305 Hypertension without MCC	25	$40,254	0%	$6,788
441 Disorders of Liver except Malignancy, Cirrhosis or Alcoholic...	25	$59,744	-31%	$13,595
069 Transient Ischemia without Thrombolytic	24	$44,721	-11%	$7,242
308 Cardiac Arrhythmia and Conduction Disorders with MCC	23	$56,447	0%	$10,231
281 Acute Myocardial Infarction, Discharged Alive with CC	22	$50,450	0%	$7,534
470 Major Hip and Knee Joint Replacement or Reattachment of...	22	$114,577	+23%	$15,724
603 Cellulitis without MCC	22	$35,920	-4%	$7,594
812 Red Blood Cell Disorders without MCC	22	$47,672	+7%	$7,611
070 Other Cerebrovascular Disorders with MCC	21	$61,083	-20%	$12,588
389 Gastrointestinal Obstruction with CC	21	$48,748	+25%	$7,325
552 Medical Back Problems without MCC	21	$39,079	-20%	$8,125
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	21	$30,604	-17%	$6,834
377 Gastrointestinal Hemorrhage with MCC	20	$88,359	+3%	$13,955
208 Respiratory System Diagnosis with Ventilator Support <=96...	19	$135,252	0%	$19,423
287 Circulatory Disorders except AMI, with Cardiac...	19	$67,189	+5%	$9,351
643 Endocrine Disorders with MCC	19	$66,821	-10%	$12,680
242 Permanent Cardiac Pacemaker Implant with MCC	17	$147,773	-8%	$25,652
180 Respiratory Neoplasms with MCC	16	$72,450	-17%	$13,837
233 Coronary Bypass with Cardiac Catheterization or Open...	16	$342,044	-11%	$55,724
236 Coronary Bypass without Cardiac Catheterization without MCC	16	$205,219	-3%	$31,702
322 Percutaneous Cardiovascular Procedures with Intraluminal...	16	$103,559	-10%	$14,304
330 Major Small and Large Bowel Procedures with CC	16	$125,331	+5%	$18,235
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	16	$60,339	-1%	$10,475
393 Other Digestive System Diagnoses with MCC	16	$71,542	-7%	$13,139
394 Other Digestive System Diagnoses with CC	16	$45,473	-3%	$7,945
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	15	$49,945	-23%	$10,850
178 Respiratory Infections and Inflammations with CC	15	$47,106	+4%	$8,150
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	15	$30,006	+4%	$5,422
329 Major Small and Large Bowel Procedures with MCC	15	$200,313	-7%	$29,566
432 Cirrhosis and Alcoholic Hepatitis with MCC	15	$87,970	-8%	$14,613
644 Endocrine Disorders with CC	15	$44,734	-7%	$8,684
699 Other Kidney and Urinary Tract Diagnoses with CC	15	$34,440	-27%	$8,710
243 Permanent Cardiac Pacemaker Implant with CC	14	$110,131	-1%	$17,537
811 Red Blood Cell Disorders with MCC	14	$69,497	+2%	$11,391

Showing the 60 most frequent of 72 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	418	$28,390	$2,366
Level 1 Laparoscopy and Related Services	110	$54,295	$4,916
Level 5 Musculoskeletal Procedures	101	$101,853	$11,351
Level 2 Excision/ Biopsy/ Incision and Drainage	94	$23,031	$1,400
Level 1 Endovascular Procedures	88	$40,133	$2,750
Level 2 Intraocular Procedures	84	$36,206	$3,508
Level 4 Musculoskeletal Procedures	83	$70,700	$6,114
Level 3 Vascular Procedures	65	$34,147	$2,691
Level 5 Urology and Related Services	62	$43,240	$4,333
Level 3 Urology and Related Services	52	$21,665	$1,703
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	51	$48,790	$2,873
Level 3 Musculoskeletal Procedures	46	$50,164	$2,773
Level 3 Electrophysiologic Procedures	46	$200,404	$20,634
Level 3 Excision/ Biopsy/ Incision and Drainage	35	$37,971	$2,366
Level 5 Airway Endoscopy	35	$51,810	$5,825
Level 1 Nerve Procedures	35	$33,124	$1,682
Level 6 Musculoskeletal Procedures	32	$112,760	$16,198
Level 4 Urology and Related Services	32	$37,555	$3,036
Level 2 Musculoskeletal Procedures	28	$28,712	$1,400
Level 2 Upper GI Procedures	28	$25,837	$1,657
Level 1 Breast/Lymphatic Surgery and Related Procedures	27	$52,147	$3,320
Level 4 Airway Endoscopy	26	$41,525	$3,262
Level 5 ENT Procedures	23	$65,559	$5,100
Level 3 Endovascular Procedures	22	$90,152	$9,575
Level 3 Pacemaker and Similar Procedures	22	$69,512	$8,947

Against the Texas average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), CHI St Joseph Health Regional Hospital charged $73,714 on average, 34% less than the Texas average of $111,133, and was paid $14,675 against a state average of $16,694. For Heart Failure and Shock with MCC (DRG 291), CHI St Joseph Health Regional Hospital charged $51,402 on average, 24% less than the Texas average of $67,944, and was paid $10,214 against a state average of $11,820. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), CHI St Joseph Health Regional Hospital charged $72,304 on average, 22% less than the Texas average of $92,713, and was paid $12,469 against a state average of $13,694. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), CHI St Joseph Health Regional Hospital charged $41,811 on average, 28% less than the Texas average of $58,253, and was paid $8,645 against a state average of $10,103. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $28,390 was 2% above the state average of $27,955. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $54,295 was 6% above the state average of $50,995. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $101,853 was 3% above the state average of $98,771. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $23,031 was 63% above the state average of $14,089.

Price-transparency record

No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.

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.