Peacehealth St Joseph Medical Center: charges and Medicare payments

Peacehealth St Joseph Medical Center reported 3,418 Medicare inpatient stays across 101 DRGs in 2024. Across them it charged 4.85 times what it was paid — among the higher ratios in Washington, number 11 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: 245 stays at an average charge of $97,532, 8% above the national average. It also billed 3,191 outpatient services, charging 6.91 times what Medicare paid.

1Medicare inpatient stays 3,418
2Charge ÷ paid, inpatient 4.85×
3Rank in WA (highest ratio = 1) 11 of 43
4CMS price-transparency actions 0

Average charge per stay at Peacehealth St Joseph Medical Center, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 101 DRGs that can be compared with the national average, Peacehealth St Joseph Medical Center charged more than the national average in 65 (64%). 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	245	$97,532	+8%	$20,146
291 Heart Failure and Shock with MCC	208	$63,523	+13%	$13,590
193 Simple Pneumonia and Pleurisy with MCC	140	$65,463	+10%	$12,887
177 Respiratory Infections and Inflammations with MCC	119	$75,323	+7%	$16,205
280 Acute Myocardial Infarction, Discharged Alive with MCC	99	$88,887	+17%	$15,794
189 Pulmonary Edema and Respiratory Failure	83	$65,195	+13%	$12,942
690 Kidney and Urinary Tract Infections without MCC	82	$45,053	+19%	$7,478
378 Gastrointestinal Hemorrhage with CC	80	$48,500	0%	$10,582
689 Kidney and Urinary Tract Infections with MCC	77	$55,877	+9%	$11,548
274 Percutaneous and Other Intracardiac Procedures without MCC	65	$136,262	-13%	$30,673
321 Percutaneous Cardiovascular Procedures with Intraluminal...	62	$171,718	+5%	$33,269
683 Renal Failure with CC	61	$46,825	+15%	$8,678
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	56	$58,829	+6%	$10,379
322 Percutaneous Cardiovascular Procedures with Intraluminal...	52	$128,183	+12%	$22,626
308 Cardiac Arrhythmia and Conduction Disorders with MCC	51	$61,828	+9%	$11,869
309 Cardiac Arrhythmia and Conduction Disorders with CC	51	$42,566	+18%	$8,040
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	50	$91,316	-9%	$19,830
470 Major Hip and Knee Joint Replacement or Reattachment of...	49	$79,306	-15%	$20,142
603 Cellulitis without MCC	49	$48,574	+30%	$10,134
377 Gastrointestinal Hemorrhage with MCC	48	$77,981	-9%	$17,859
481 Hip and Femur Procedures except Major Joint with CC	48	$103,374	+3%	$20,361
811 Red Blood Cell Disorders with MCC	47	$58,095	-15%	$13,292
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	45	$41,028	+2%	$8,465
267 Endovascular Cardiac Valve Replacement and Supplement...	44	$147,207	-33%	$46,554
194 Simple Pneumonia and Pleurisy with CC	43	$37,424	-2%	$8,801
281 Acute Myocardial Infarction, Discharged Alive with CC	42	$55,719	+10%	$9,462
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	42	$66,995	+11%	$12,401
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	40	$113,691	+11%	$19,508
853 Infectious and Parasitic Diseases with O.R. Procedures with...	38	$246,988	+8%	$62,892
330 Major Small and Large Bowel Procedures with CC	36	$141,214	+19%	$24,281
682 Renal Failure with MCC	36	$72,410	+10%	$14,535
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	36	$58,787	+20%	$9,833
287 Circulatory Disorders except AMI, with Cardiac...	30	$65,668	+3%	$10,942
698 Other Kidney and Urinary Tract Diagnoses with MCC	30	$75,655	+3%	$20,579
286 Circulatory Disorders except AMI, with Cardiac...	27	$123,549	+10%	$20,108
394 Other Digestive System Diagnoses with CC	27	$46,277	-2%	$9,790
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	26	$72,364	+19%	$11,867
543 Pathological Fractures and Musculoskeletal and Connective...	25	$43,235	-12%	$9,996
208 Respiratory System Diagnosis with Ventilator Support <=96...	24	$142,817	+5%	$25,471
243 Permanent Cardiac Pacemaker Implant with CC	24	$104,573	-6%	$23,185
389 Gastrointestinal Obstruction with CC	24	$49,510	+27%	$7,470
812 Red Blood Cell Disorders without MCC	24	$43,970	-1%	$8,414
418 Laparoscopic Cholecystectomy without C.D.E. with CC	23	$118,608	+27%	$15,142
445 Disorders of The Biliary Tract with CC	23	$51,278	-12%	$11,061
552 Medical Back Problems without MCC	23	$46,519	-5%	$9,996
329 Major Small and Large Bowel Procedures with MCC	22	$211,379	-2%	$51,981
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	22	$39,077	+5%	$7,584
917 Poisoning and Toxic Effects of Drugs with MCC	22	$84,002	+12%	$14,885
220 Cardiac Valve and Other Major Cardiothoracic Procedures...	21	$303,845	+10%	$67,508
312 Syncope and Collapse	21	$53,927	+18%	$9,976
480 Hip and Femur Procedures except Major Joint with MCC	21	$132,138	-5%	$27,201
638 Diabetes with CC	21	$69,582	+67%	$12,437
699 Other Kidney and Urinary Tract Diagnoses with CC	21	$52,513	+11%	$12,203
070 Other Cerebrovascular Disorders with MCC	20	$80,690	+6%	$18,826
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	20	$79,054	+21%	$17,814
314 Other Circulatory System Diagnoses with MCC	20	$98,066	+3%	$26,660
372 Major Gastrointestinal Disorders and Peritoneal Infections...	20	$39,744	-16%	$11,659
521 Hip Replacement with Principal Diagnosis of Hip Fracture...	20	$140,941	+4%	$27,486
660 Kidney and Ureter Procedures for Non-Neoplasm with CC	20	$51,820	-23%	$12,440
331 Major Small and Large Bowel Procedures without CC/MCC	19	$89,308	+4%	$25,588

Showing the 60 most frequent of 101 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	540	$26,577	$2,934
Level 5 Musculoskeletal Procedures	313	$71,068	$13,913
Level 1 Endovascular Procedures	217	$18,470	$3,508
Level 2 Excision/ Biopsy/ Incision and Drainage	172	$13,089	$1,743
Level 1 Laparoscopy and Related Services	161	$56,500	$6,110
Level 4 Musculoskeletal Procedures	160	$37,128	$7,652
Level 3 Electrophysiologic Procedures	158	$133,376	$25,458
Level 3 Vascular Procedures	131	$23,110	$3,405
Level 4 Urology and Related Services	111	$31,994	$3,747
Level 3 Endovascular Procedures	97	$80,456	$11,705
Level 2 Upper GI Procedures	96	$10,066	$2,028
Level 2 Vascular Procedures	93	$10,864	$1,707
Level 2 Endovascular Procedures	85	$32,294	$5,981
Level 3 Musculoskeletal Procedures	63	$22,012	$3,435
Level 3 Pacemaker and Similar Procedures	62	$54,295	$11,464
Level 6 Musculoskeletal Procedures	58	$93,036	$19,667
Level 2 Musculoskeletal Procedures	56	$11,969	$1,728
Level 3 Excision/ Biopsy/ Incision and Drainage	50	$17,045	$3,054
Level 2 Laparoscopy and Related Services	50	$110,890	$11,052
Level 5 Urology and Related Services	48	$37,069	$5,562
Level 2 Pacemaker and Similar Procedures	44	$29,052	$8,957
Level 4 Airway Endoscopy	40	$16,511	$4,025
Level 4 Endovascular Procedures	36	$115,462	$18,805
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	32	$28,690	$3,719
Level 2 Breast/Lymphatic Surgery and Related Procedures	31	$52,452	$7,010

Against the Washington average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Peacehealth St Joseph Medical Center charged $97,532 on average, 24% more than the Washington average of $78,715, and was paid $20,146 against a state average of $18,304. For Heart Failure and Shock with MCC (DRG 291), Peacehealth St Joseph Medical Center charged $63,523 on average, 19% more than the Washington average of $53,424, and was paid $13,590 against a state average of $12,124. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Peacehealth St Joseph Medical Center charged $65,463 on average, 21% more than the Washington average of $54,278, and was paid $12,887 against a state average of $12,466. For Respiratory Infections and Inflammations with MCC (DRG 177), Peacehealth St Joseph Medical Center charged $75,323 on average, 14% more than the Washington average of $65,942, and was paid $16,205 against a state average of $15,782. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $26,577 was 19% above the state average of $22,427. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $71,068 was 2% above the state average of $69,838. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $18,470 was 15% below the state average of $21,838. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $13,089 was 35% above the state average of $9,672.

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.