Washington / Peacehealth St John Medical Center
CMS certification 500041 · Longview, WA · 4 entries in CMS's price-transparency list
Peacehealth St John Medical Center: charges and Medicare payments
Peacehealth St John Medical Center reported 866 Medicare inpatient stays across 31 DRGs in 2024. Across them it charged 4.5 times what it was paid — mid-range in Washington, number 19 of 43 hospitals with at least 100 stays (state median 4.37×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 158 stays at an average charge of $66,538, 26% below the national average. It also billed 1,055 outpatient services, charging 8 times what Medicare paid.
- 1Medicare inpatient stays 866
- 2Charge ÷ paid, inpatient 4.5×
- 3Rank in WA (highest ratio = 1) 19 of 43
- 4CMS price-transparency actions 4
Inpatient stays
For the 31 DRGs that can be compared with the national average, Peacehealth St John Medical Center charged more than the national average in 10 (32%). 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 | 158 | $66,538 | -26% | $18,341 |
| 291 Heart Failure and Shock with MCC | 120 | $50,671 | -10% | $11,905 |
| 885 Psychoses | 69 | $61,383 | +39% | $12,301 |
| 177 Respiratory Infections and Inflammations with MCC | 38 | $66,228 | -6% | $16,824 |
| 193 Simple Pneumonia and Pleurisy with MCC | 38 | $52,690 | -12% | $11,818 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 28 | $61,202 | -19% | $14,470 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 27 | $51,455 | -8% | $9,815 |
| 683 Renal Failure with CC | 26 | $37,204 | -9% | $8,286 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 25 | $47,065 | -4% | $10,193 |
| 189 Pulmonary Edema and Respiratory Failure | 22 | $49,988 | -13% | $11,699 |
| 682 Renal Failure with MCC | 22 | $51,626 | -22% | $13,594 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 21 | $53,236 | -12% | $12,410 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 20 | $76,214 | -24% | $16,956 |
| 378 Gastrointestinal Hemorrhage with CC | 17 | $53,738 | +11% | $11,180 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 17 | $154,857 | +51% | $18,152 |
| 638 Diabetes with CC | 17 | $71,576 | +72% | $13,448 |
| 917 Poisoning and Toxic Effects of Drugs with MCC | 17 | $80,569 | +8% | $17,150 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 16 | $37,208 | -7% | $8,959 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 16 | $113,439 | +22% | $16,430 |
| 481 Hip and Femur Procedures except Major Joint with CC | 14 | $99,855 | -1% | $17,651 |
| 603 Cellulitis without MCC | 14 | $41,041 | +10% | $12,308 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 14 | $58,303 | -21% | $13,975 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 14 | $170,658 | -25% | $42,470 |
| 194 Simple Pneumonia and Pleurisy with CC | 13 | $35,077 | -9% | $7,574 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 13 | $49,359 | -2% | $8,195 |
| 377 Gastrointestinal Hemorrhage with MCC | 13 | $101,999 | +19% | $15,874 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 12 | $55,075 | -15% | $13,365 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 12 | $148,070 | +29% | $22,814 |
| 389 Gastrointestinal Obstruction with CC | 11 | $36,606 | -6% | $7,546 |
| 690 Kidney and Urinary Tract Infections without MCC | 11 | $41,542 | +10% | $7,630 |
| 811 Red Blood Cell Disorders with MCC | 11 | $52,674 | -23% | $12,487 |
Outpatient services
Against the Washington average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Peacehealth St John Medical Center charged $66,538 on average, 15% less than the Washington average of $78,715, and was paid $18,341 against a state average of $18,304. For Heart Failure and Shock with MCC (DRG 291), Peacehealth St John Medical Center charged $50,671 on average, 5% less than the Washington average of $53,424, and was paid $11,905 against a state average of $12,124. For Psychoses (DRG 885), Peacehealth St John Medical Center charged $61,383 on average, 14% less than the Washington average of $71,370, and was paid $12,301 against a state average of $16,372. For Respiratory Infections and Inflammations with MCC (DRG 177), Peacehealth St John Medical Center charged $66,228 on average, 0% less than the Washington average of $65,942, and was paid $16,824 against a state average of $15,782. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $6,393 was 38% below the state average of $10,318. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $27,647 was 23% above the state average of $22,427. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $12,224 was 26% above the state average of $9,672. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $21,812 was 0% below the state average of $21,838.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Peacehealth St John Medical Center in Longview, WA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2023-07-24 (CMS case 1154)
- CAP Request — 2024-04-04 (CMS case 1154)
- Closure Notice — 2024-04-30 (CMS case 1154)
- Met Requirements — 2026-03-02 (CMS case 7154)
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.