Saint John's Health Center: charges and Medicare payments

Saint John's Health Center reported 3,841 Medicare inpatient stays across 100 DRGs in 2024. Across them it charged 4.61 times what it was paid — mid-range in California, number 159 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: 598 stays at an average charge of $100,141, 11% above the national average. It also billed 3,924 outpatient services, charging 4.94 times what Medicare paid.

1Medicare inpatient stays 3,841
2Charge ÷ paid, inpatient 4.61×
3Rank in CA (highest ratio = 1) 159 of 247
4CMS price-transparency actions 0

Average charge per stay at Saint John's Health Center, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 100 DRGs that can be compared with the national average, Saint John's Health Center charged more than the national average in 45 (45%). 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	598	$100,141	+11%	$19,774
470 Major Hip and Knee Joint Replacement or Reattachment of...	505	$77,201	-17%	$18,077
291 Heart Failure and Shock with MCC	152	$59,471	+5%	$12,342
274 Percutaneous and Other Intracardiac Procedures without MCC	121	$109,469	-30%	$30,766
177 Respiratory Infections and Inflammations with MCC	107	$88,689	+26%	$16,835
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	88	$52,573	+7%	$10,112
193 Simple Pneumonia and Pleurisy with MCC	87	$68,053	+14%	$12,833
698 Other Kidney and Urinary Tract Diagnoses with MCC	81	$68,296	-7%	$15,491
853 Infectious and Parasitic Diseases with O.R. Procedures with...	68	$226,643	-1%	$50,188
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	57	$54,837	-2%	$11,432
280 Acute Myocardial Infarction, Discharged Alive with MCC	52	$76,613	+1%	$15,630
689 Kidney and Urinary Tract Infections with MCC	51	$63,663	+24%	$11,421
690 Kidney and Urinary Tract Infections without MCC	50	$40,041	+6%	$7,831
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	49	$106,886	+7%	$18,756
378 Gastrointestinal Hemorrhage with CC	49	$54,940	+13%	$9,875
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	49	$41,515	+3%	$7,742
460 Spinal Fusion except Cervical without MCC	47	$122,452	-28%	$35,052
481 Hip and Femur Procedures except Major Joint with CC	43	$94,868	-6%	$19,800
189 Pulmonary Edema and Respiratory Failure	41	$57,206	-1%	$11,997
682 Renal Failure with MCC	38	$72,185	+9%	$14,743
683 Renal Failure with CC	38	$47,927	+18%	$8,689
330 Major Small and Large Bowel Procedures with CC	37	$111,067	-7%	$21,968
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	37	$108,839	+6%	$19,706
603 Cellulitis without MCC	37	$41,670	+12%	$9,236
267 Endovascular Cardiac Valve Replacement and Supplement...	35	$198,192	-10%	$45,861
309 Cardiac Arrhythmia and Conduction Disorders with CC	35	$38,280	+6%	$7,354
519 Back and Neck Procedures except Spinal Fusion with CC	34	$74,641	-29%	$18,058
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	34	$70,497	+17%	$13,694
483 Major Joint or Limb Reattachment Procedures of Upper...	33	$89,748	-29%	$23,791
312 Syncope and Collapse	32	$47,108	+3%	$8,493
552 Medical Back Problems without MCC	32	$46,332	-5%	$9,141
329 Major Small and Large Bowel Procedures with MCC	31	$268,502	+25%	$60,671
870 Septicemia or Severe Sepsis with MV >96 Hours	30	$324,590	0%	$70,406
281 Acute Myocardial Infarction, Discharged Alive with CC	29	$48,899	-3%	$8,935
467 Revision of Hip or Knee Replacement with CC	29	$124,214	-21%	$31,775
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	29	$43,572	+18%	$8,609
308 Cardiac Arrhythmia and Conduction Disorders with MCC	27	$57,478	+1%	$13,141
389 Gastrointestinal Obstruction with CC	27	$42,611	+9%	$8,068
377 Gastrointestinal Hemorrhage with MCC	25	$79,678	-7%	$16,650
025 Craniotomy and Endovascular Intracranial Procedures with MCC	24	$207,090	-11%	$41,156
517 Other Musculoskeletal System and Connective Tissue O.R....	23	$58,913	-25%	$14,169
536 Fractures of Hip and Pelvis without MCC	23	$43,324	+15%	$7,303
190 Chronic Obstructive Pulmonary Disease with MCC	21	$76,190	+51%	$13,872
322 Percutaneous Cardiovascular Procedures with Intraluminal...	21	$85,220	-26%	$18,098
518 Back and Neck Procedures except Spinal Fusion with MCC or...	21	$108,070	-41%	$31,224
454 Combined Anterior and Posterior Spinal Fusion with CC	20	$247,934	-11%	$58,205
472 Cervical Spinal Fusion with CC	20	$114,372	-20%	$28,336
516 Other Musculoskeletal System and Connective Tissue O.R....	20	$69,715	-31%	$17,679
194 Simple Pneumonia and Pleurisy with CC	19	$45,611	+19%	$8,214
455 Combined Anterior and Posterior Spinal Fusion without CC/MCC	19	$149,838	-26%	$43,754
314 Other Circulatory System Diagnoses with MCC	18	$95,485	+1%	$23,236
563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,...	18	$41,217	-3%	$8,722
812 Red Blood Cell Disorders without MCC	17	$53,843	+21%	$9,753
178 Respiratory Infections and Inflammations with CC	16	$63,587	+40%	$9,773
468 Revision of Hip or Knee Replacement without CC/MCC	16	$98,189	-21%	$25,334
092 Other Disorders of Nervous System with CC	15	$40,313	-22%	$10,459
287 Circulatory Disorders except AMI, with Cardiac...	15	$49,393	-23%	$10,556
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	15	$30,779	+7%	$5,962
393 Other Digestive System Diagnoses with MCC	15	$79,862	+4%	$15,962
473 Cervical Spinal Fusion without CC/MCC	15	$107,874	-6%	$26,308

Showing the 60 most frequent of 100 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	504	$24,241	$3,360
Level 3 Urology and Related Services	336	$11,509	$2,498
Level 2 Urology and Related Services	306	$3,273	$838
Level 5 Musculoskeletal Procedures	265	$68,176	$16,006
Level 2 Excision/ Biopsy/ Incision and Drainage	258	$8,802	$1,967
Level 3 Electrophysiologic Procedures	200	$87,169	$28,984
Level 1 Endovascular Procedures	150	$18,373	$3,993
Level 1 Laparoscopy and Related Services	138	$35,151	$7,094
Level 4 Urology and Related Services	136	$18,329	$4,236
Level 5 Urology and Related Services	129	$26,849	$6,362
Level 2 Upper GI Procedures	127	$11,450	$2,295
Level 1 Breast/Lymphatic Surgery and Related Procedures	107	$21,705	$4,686
Level 2 Breast/Lymphatic Surgery and Related Procedures	101	$34,768	$8,017
Level 3 Excision/ Biopsy/ Incision and Drainage	97	$14,073	$3,493
Level 3 Vascular Procedures	84	$17,718	$3,686
Level 6 Urology and Related Services	73	$50,677	$11,180
Level 4 Musculoskeletal Procedures	69	$41,319	$8,792
Level 3 Pacemaker and Similar Procedures	66	$30,651	$13,107
Level 3 Endovascular Procedures	64	$57,314	$13,336
Level 2 Laparoscopy and Related Services	61	$94,978	$12,637
Level 7 Radiation Therapy	57	$93,460	$9,568
Level 5 ENT Procedures	54	$29,002	$7,094
Level 2 Pacemaker and Similar Procedures	48	$20,971	$10,435
Level 2 Vascular Procedures	47	$6,791	$1,969
Level 6 Musculoskeletal Procedures	42	$82,951	$21,887

Against the California average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Saint John's Health Center charged $100,141 on average, 30% less than the California average of $143,063, and was paid $19,774 against a state average of $23,020. For Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC (DRG 470), Saint John's Health Center charged $77,201 on average, 44% less than the California average of $137,972, and was paid $18,077 against a state average of $21,800. For Heart Failure and Shock with MCC (DRG 291), Saint John's Health Center charged $59,471 on average, 41% less than the California average of $100,739, and was paid $12,342 against a state average of $15,556. For Percutaneous and Other Intracardiac Procedures without MCC (DRG 274), Saint John's Health Center charged $109,469 on average, 46% less than the California average of $200,964, and was paid $30,766 against a state average of $35,770. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $24,241 was 42% below the state average of $41,628. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $11,509 was 35% below the state average of $17,793. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $3,273 was 33% below the state average of $4,853. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $68,176 was 38% below the state average of $109,149.

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.