Providence St. Joseph Hospital: charges and Medicare payments

Providence St. Joseph Hospital reported 2,845 Medicare inpatient stays across 86 DRGs in 2024. Across them it charged 3.67 times what it was paid — among the lower ratios in California, number 195 of 247 hospitals with at least 100 stays (state median 5.18×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 471 stays at an average charge of $83,791, 7% below the national average. It also billed 2,478 outpatient services, charging 5.53 times what Medicare paid.

1Medicare inpatient stays 2,845
2Charge ÷ paid, inpatient 3.67×
3Rank in CA (highest ratio = 1) 195 of 247
4CMS price-transparency actions 0

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

Inpatient stays

For the 86 DRGs that can be compared with the national average, Providence St. Joseph Hospital charged more than the national average in 17 (20%). 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	471	$83,791	-7%	$22,117
291 Heart Failure and Shock with MCC	144	$62,702	+11%	$15,022
698 Other Kidney and Urinary Tract Diagnoses with MCC	130	$75,475	+3%	$17,677
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	123	$39,495	-19%	$11,819
177 Respiratory Infections and Inflammations with MCC	76	$76,949	+9%	$18,139
454 Combined Anterior and Posterior Spinal Fusion with CC	68	$200,486	-28%	$69,094
193 Simple Pneumonia and Pleurisy with MCC	64	$58,409	-2%	$14,763
266 Endovascular Cardiac Valve Replacement and Supplement...	64	$150,946	-47%	$62,826
274 Percutaneous and Other Intracardiac Procedures without MCC	63	$94,960	-39%	$32,970
699 Other Kidney and Urinary Tract Diagnoses with CC	61	$53,899	+14%	$11,892
853 Infectious and Parasitic Diseases with O.R. Procedures with...	61	$199,331	-13%	$51,521
682 Renal Failure with MCC	53	$52,431	-20%	$15,679
189 Pulmonary Edema and Respiratory Failure	52	$58,005	+1%	$15,027
690 Kidney and Urinary Tract Infections without MCC	48	$37,042	-2%	$10,580
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	47	$79,575	-20%	$20,824
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	47	$50,826	-16%	$14,411
481 Hip and Femur Procedures except Major Joint with CC	40	$80,008	-21%	$21,646
689 Kidney and Urinary Tract Infections with MCC	39	$47,878	-7%	$12,952
650 Kidney Transplant with Hemodialysis with MCC	38	$258,582	-38%	$49,305
652 Kidney Transplant	37	$184,382	-45%	$32,982
267 Endovascular Cardiac Valve Replacement and Supplement...	36	$139,336	-37%	$49,992
683 Renal Failure with CC	35	$43,941	+8%	$10,427
854 Infectious and Parasitic Diseases with O.R. Procedures with...	30	$78,200	-20%	$21,956
208 Respiratory System Diagnosis with Ventilator Support <=96...	29	$150,024	+11%	$31,560
377 Gastrointestinal Hemorrhage with MCC	29	$71,896	-16%	$18,456
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	29	$90,457	-12%	$22,412
472 Cervical Spinal Fusion with CC	28	$95,276	-33%	$32,386
603 Cellulitis without MCC	28	$29,653	-20%	$11,238
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	25	$51,196	-8%	$11,218
470 Major Hip and Knee Joint Replacement or Reattachment of...	25	$85,475	-8%	$23,965
870 Septicemia or Severe Sepsis with MV >96 Hours	25	$332,540	+3%	$71,295
389 Gastrointestinal Obstruction with CC	24	$44,833	+15%	$9,642
091 Other Disorders of Nervous System with MCC	21	$90,642	+10%	$19,181
194 Simple Pneumonia and Pleurisy with CC	21	$31,894	-17%	$8,934
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	21	$36,568	-9%	$9,032
552 Medical Back Problems without MCC	21	$36,727	-25%	$10,573
280 Acute Myocardial Infarction, Discharged Alive with MCC	20	$66,018	-13%	$17,006
092 Other Disorders of Nervous System with CC	19	$49,612	-4%	$11,638
321 Percutaneous Cardiovascular Procedures with Intraluminal...	19	$120,954	-26%	$34,418
330 Major Small and Large Bowel Procedures with CC	19	$94,908	-20%	$25,515
378 Gastrointestinal Hemorrhage with CC	19	$50,392	+4%	$10,932
455 Combined Anterior and Posterior Spinal Fusion without CC/MCC	19	$182,384	-10%	$51,081
460 Spinal Fusion except Cervical without MCC	18	$143,733	-16%	$37,290
308 Cardiac Arrhythmia and Conduction Disorders with MCC	16	$46,301	-18%	$13,045
314 Other Circulatory System Diagnoses with MCC	16	$88,829	-6%	$22,948
322 Percutaneous Cardiovascular Procedures with Intraluminal...	16	$94,811	-17%	$20,976
371 Major Gastrointestinal Disorders and Peritoneal Infections...	16	$75,927	-3%	$20,130
638 Diabetes with CC	16	$40,616	-3%	$10,337
228 Other Cardiothoracic Procedures with MCC	15	$246,102	-2%	$62,655
309 Cardiac Arrhythmia and Conduction Disorders with CC	15	$36,064	0%	$9,227
673 Other Kidney and Urinary Tract Procedures with MCC	15	$171,742	-1%	$42,616
025 Craniotomy and Endovascular Intracranial Procedures with MCC	14	$185,532	-20%	$44,555
196 Interstitial Lung Disease with MCC	14	$92,704	+8%	$35,531
207 Respiratory System Diagnosis with Ventilator Support >96...	14	$224,300	-23%	$69,400
270 Other Major Cardiovascular Procedures with MCC	14	$163,385	-37%	$52,253
329 Major Small and Large Bowel Procedures with MCC	14	$186,090	-13%	$46,141
813 Coagulation Disorders	14	$81,087	+1%	$19,573
070 Other Cerebrovascular Disorders with MCC	13	$48,323	-36%	$14,395
312 Syncope and Collapse	13	$42,264	-7%	$10,668
372 Major Gastrointestinal Disorders and Peritoneal Infections...	13	$34,412	-28%	$10,482

Showing the 60 most frequent of 86 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	616	$22,664	$3,357
Level 1 Endovascular Procedures	225	$17,727	$4,013
Level 2 Excision/ Biopsy/ Incision and Drainage	184	$10,929	$1,988
Level 3 Electrophysiologic Procedures	143	$135,077	$28,922
Level 3 Vascular Procedures	134	$19,429	$3,872
Level 5 Musculoskeletal Procedures	129	$71,794	$16,148
Level 3 Endovascular Procedures	120	$54,195	$13,503
Level 1 Laparoscopy and Related Services	107	$38,430	$7,094
Level 2 Vascular Procedures	80	$6,769	$1,305
Level 3 Urology and Related Services	74	$12,371	$2,504
Level 4 Vascular Procedures	67	$29,331	$6,474
Level 2 Upper GI Procedures	60	$12,567	$2,339
Level 2 Endovascular Procedures	54	$27,706	$7,027
Level 4 Endovascular Procedures	49	$92,927	$21,504
Level 3 Airway Endoscopy	43	$11,709	$2,087
Level 4 Musculoskeletal Procedures	41	$41,260	$8,792
Level 2 Laparoscopy and Related Services	40	$65,754	$12,637
Level 4 Airway Endoscopy	39	$24,870	$4,529
Level 3 Pacemaker and Similar Procedures	35	$39,573	$13,108
Level 5 Urology and Related Services	35	$28,268	$6,362
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	33	$23,884	$4,253
Level 4 Pacemaker and Similar Procedures	27	$96,647	$23,891
Level 3 Excision/ Biopsy/ Incision and Drainage	18	$16,978	$3,494
Level 4 Urology and Related Services	18	$21,747	$4,286
Level 6 Urology and Related Services	17	$61,665	$11,313

Against the California average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Providence St. Joseph Hospital charged $83,791 on average, 41% less than the California average of $143,063, and was paid $22,117 against a state average of $23,020. For Heart Failure and Shock with MCC (DRG 291), Providence St. Joseph Hospital charged $62,702 on average, 38% less than the California average of $100,739, and was paid $15,022 against a state average of $15,556. For Other Kidney and Urinary Tract Diagnoses with MCC (DRG 698), Providence St. Joseph Hospital charged $75,475 on average, 36% less than the California average of $117,988, and was paid $17,677 against a state average of $19,449. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Providence St. Joseph Hospital charged $39,495 on average, 48% less than the California average of $76,120, and was paid $11,819 against a state average of $12,552. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $22,664 was 46% below the state average of $41,628. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $17,727 was 56% below the state average of $40,544. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $10,929 was 26% below the state average of $14,749. For Level 3 Electrophysiologic Procedures (outpatient APC 5213), its average charge of $135,077 was 34% below the state average of $205,167.

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.