California / Providence St. Jude Medical Center
CMS certification 050168 · Fullerton, CA · 2 entries in CMS's price-transparency list
Providence St. Jude Medical Center: charges and Medicare payments
Providence St. Jude Medical Center reported 3,127 Medicare inpatient stays across 81 DRGs in 2024. Across them it charged 4.64 times what it was paid — mid-range in California, number 156 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: 712 stays at an average charge of $89,902, 0% below the national average. It also billed 3,714 outpatient services, charging 5.69 times what Medicare paid.
- 1Medicare inpatient stays 3,127
- 2Charge ÷ paid, inpatient 4.64×
- 3Rank in CA (highest ratio = 1) 156 of 247
- 4CMS price-transparency actions 2
Inpatient stays
For the 81 DRGs that can be compared with the national average, Providence St. Jude Medical Center charged more than the national average in 39 (48%). 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 | 712 | $89,902 | 0% | $18,488 |
| 291 Heart Failure and Shock with MCC | 155 | $57,222 | +1% | $12,730 |
| 177 Respiratory Infections and Inflammations with MCC | 136 | $78,918 | +12% | $15,674 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 124 | $50,523 | +3% | $10,210 |
| 193 Simple Pneumonia and Pleurisy with MCC | 109 | $70,826 | +19% | $14,155 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 90 | $67,029 | -9% | $15,084 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 86 | $195,606 | -15% | $45,858 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 82 | $106,309 | +6% | $18,866 |
| 189 Pulmonary Edema and Respiratory Failure | 71 | $59,847 | +4% | $12,355 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 66 | $73,290 | +32% | $10,137 |
| 683 Renal Failure with CC | 51 | $42,888 | +5% | $9,108 |
| 481 Hip and Femur Procedures except Major Joint with CC | 49 | $77,685 | -23% | $19,093 |
| 377 Gastrointestinal Hemorrhage with MCC | 47 | $75,970 | -11% | $16,644 |
| 682 Renal Failure with MCC | 47 | $54,511 | -17% | $15,650 |
| 689 Kidney and Urinary Tract Infections with MCC | 44 | $60,200 | +17% | $11,334 |
| 025 Craniotomy and Endovascular Intracranial Procedures with MCC | 43 | $216,904 | -6% | $43,204 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 43 | $63,496 | -16% | $15,645 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 40 | $61,068 | +1% | $13,474 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 38 | $331,491 | +3% | $65,344 |
| 378 Gastrointestinal Hemorrhage with CC | 36 | $55,251 | +14% | $9,885 |
| 603 Cellulitis without MCC | 34 | $41,063 | +10% | $8,650 |
| 690 Kidney and Urinary Tract Infections without MCC | 34 | $43,734 | +16% | $10,815 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 31 | $81,723 | -20% | $20,948 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 30 | $38,006 | +5% | $7,617 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 29 | $127,627 | -6% | $25,899 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 29 | $56,170 | -1% | $11,991 |
| 393 Other Digestive System Diagnoses with MCC | 28 | $87,237 | +14% | $18,487 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 27 | $44,345 | +10% | $8,035 |
| 552 Medical Back Problems without MCC | 26 | $56,285 | +15% | $9,279 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 22 | $116,483 | -29% | $28,385 |
| 330 Major Small and Large Bowel Procedures with CC | 22 | $101,917 | -14% | $24,106 |
| 389 Gastrointestinal Obstruction with CC | 21 | $46,221 | +19% | $8,019 |
| 673 Other Kidney and Urinary Tract Procedures with MCC | 20 | $120,350 | -31% | $36,862 |
| 813 Coagulation Disorders | 20 | $72,456 | -10% | $15,356 |
| 023 Craniotomy with Major Device Implant or Acute Complex Cns... | 19 | $261,191 | -7% | $63,982 |
| 062 Ischemic Stroke, Precerebral Occlusion or Transient Ischemia... | 19 | $104,591 | +3% | $18,068 |
| 228 Other Cardiothoracic Procedures with MCC | 19 | $205,111 | -18% | $50,227 |
| 266 Endovascular Cardiac Valve Replacement and Supplement... | 19 | $240,092 | -16% | $62,373 |
| 643 Endocrine Disorders with MCC | 19 | $51,275 | -31% | $14,849 |
| 180 Respiratory Neoplasms with MCC | 18 | $92,700 | +6% | $17,564 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 18 | $70,840 | -38% | $18,320 |
| 441 Disorders of Liver except Malignancy, Cirrhosis or Alcoholic... | 18 | $90,254 | +5% | $17,697 |
| 314 Other Circulatory System Diagnoses with MCC | 17 | $75,373 | -21% | $22,347 |
| 100 Seizures with MCC | 16 | $89,849 | -5% | $18,536 |
| 312 Syncope and Collapse | 16 | $41,054 | -10% | $8,758 |
| 374 Digestive Malignancy with MCC | 16 | $111,353 | +11% | $17,688 |
| 388 Gastrointestinal Obstruction with MCC | 16 | $61,686 | -10% | $14,406 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 16 | $55,683 | -9% | $12,724 |
| 454 Combined Anterior and Posterior Spinal Fusion with CC | 16 | $181,305 | -35% | $72,146 |
| 637 Diabetes with MCC | 16 | $66,767 | 0% | $13,379 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 16 | $44,048 | +19% | $8,317 |
| 070 Other Cerebrovascular Disorders with MCC | 15 | $54,952 | -28% | $16,963 |
| 101 Seizures without MCC | 15 | $54,618 | +12% | $8,928 |
| 394 Other Digestive System Diagnoses with CC | 15 | $53,601 | +14% | $10,155 |
| 460 Spinal Fusion except Cervical without MCC | 15 | $135,456 | -20% | $36,823 |
| 521 Hip Replacement with Principal Diagnosis of Hip Fracture... | 15 | $138,615 | +3% | $27,054 |
| 054 Nervous System Neoplasms with MCC | 14 | $100,920 | +30% | $15,483 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 14 | $46,781 | -7% | $9,048 |
| 329 Major Small and Large Bowel Procedures with MCC | 14 | $188,409 | -12% | $45,589 |
| 435 Malignancy of Hepatobiliary System or Pancreas with MCC | 14 | $75,141 | -20% | $17,491 |
Showing the 60 most frequent of 81 DRGs.
Outpatient services
Against the California average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Providence St. Jude Medical Center charged $89,902 on average, 37% less than the California average of $143,063, and was paid $18,488 against a state average of $23,020. For Heart Failure and Shock with MCC (DRG 291), Providence St. Jude Medical Center charged $57,222 on average, 43% less than the California average of $100,739, and was paid $12,730 against a state average of $15,556. For Respiratory Infections and Inflammations with MCC (DRG 177), Providence St. Jude Medical Center charged $78,918 on average, 37% less than the California average of $124,302, and was paid $15,674 against a state average of $18,986. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Providence St. Jude Medical Center charged $50,523 on average, 34% less than the California average of $76,120, and was paid $10,210 against a state average of $12,552. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $28,257 was 32% below the state average of $41,628. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $11,216 was 47% below the state average of $20,986. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $9,038 was 39% below the state average of $14,749. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $61,076 was 44% below the state average of $109,149.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Providence St. Jude Medical Center in Fullerton, CA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2023-05-10 (CMS case 1398)
- Met Requirements — 2025-04-03 (CMS case 3570)
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.