Saint Joseph Medical Center: charges and Medicare payments

Saint Joseph Medical Center reported 2,839 Medicare inpatient stays across 87 DRGs in 2024. Across them it charged 6.19 times what it was paid — among the higher ratios in Illinois, number 6 of 106 hospitals with at least 100 stays (state median 4.06×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 226 stays at an average charge of $93,686, 4% above the national average. It also billed 1,733 outpatient services, charging 9.8 times what Medicare paid.

1Medicare inpatient stays 2,839
2Charge ÷ paid, inpatient 6.19×
3Rank in IL (highest ratio = 1) 6 of 106
4CMS price-transparency actions 0

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

Inpatient stays

For the 87 DRGs that can be compared with the national average, Saint Joseph Medical Center charged more than the national average in 50 (57%). 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	226	$93,686	+4%	$14,216
291 Heart Failure and Shock with MCC	209	$64,119	+14%	$10,015
177 Respiratory Infections and Inflammations with MCC	171	$77,121	+9%	$12,777
885 Psychoses	75	$36,470	-17%	$10,399
193 Simple Pneumonia and Pleurisy with MCC	71	$60,881	+2%	$9,819
280 Acute Myocardial Infarction, Discharged Alive with MCC	64	$94,171	+24%	$11,777
682 Renal Failure with MCC	61	$69,936	+6%	$11,500
690 Kidney and Urinary Tract Infections without MCC	61	$42,107	+11%	$6,272
189 Pulmonary Edema and Respiratory Failure	59	$59,473	+3%	$9,340
689 Kidney and Urinary Tract Infections with MCC	58	$56,526	+10%	$8,824
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	57	$87,045	-13%	$14,659
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	54	$42,483	+6%	$6,037
683 Renal Failure with CC	49	$45,497	+12%	$6,955
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	44	$75,419	+35%	$9,556
377 Gastrointestinal Hemorrhage with MCC	44	$89,750	+5%	$13,477
274 Percutaneous and Other Intracardiac Procedures without MCC	42	$155,252	-1%	$23,453
698 Other Kidney and Urinary Tract Diagnoses with MCC	42	$74,394	+1%	$11,381
309 Cardiac Arrhythmia and Conduction Disorders with CC	41	$41,110	+14%	$5,854
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	41	$51,759	+6%	$8,445
378 Gastrointestinal Hemorrhage with CC	40	$42,274	-13%	$7,518
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	40	$54,457	-10%	$9,878
603 Cellulitis without MCC	39	$43,731	+17%	$7,910
811 Red Blood Cell Disorders with MCC	38	$70,256	+3%	$15,802
312 Syncope and Collapse	36	$45,323	0%	$6,777
267 Endovascular Cardiac Valve Replacement and Supplement...	32	$243,779	+10%	$34,819
481 Hip and Femur Procedures except Major Joint with CC	32	$123,711	+23%	$15,074
812 Red Blood Cell Disorders without MCC	32	$48,519	+9%	$6,886
321 Percutaneous Cardiovascular Procedures with Intraluminal...	31	$163,359	0%	$22,691
322 Percutaneous Cardiovascular Procedures with Intraluminal...	31	$113,048	-1%	$16,235
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	31	$43,924	+19%	$6,101
308 Cardiac Arrhythmia and Conduction Disorders with MCC	29	$63,302	+12%	$15,794
552 Medical Back Problems without MCC	28	$48,537	-1%	$7,475
638 Diabetes with CC	28	$46,243	+11%	$7,819
884 Organic Disturbances and Intellectual Disability	28	$49,378	-21%	$13,171
057 Degenerative Nervous System Disorders without MCC	27	$52,148	-8%	$11,886
190 Chronic Obstructive Pulmonary Disease with MCC	27	$45,103	-11%	$8,409
069 Transient Ischemia without Thrombolytic	25	$52,653	+4%	$8,914
178 Respiratory Infections and Inflammations with CC	25	$52,470	+16%	$7,590
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	25	$54,544	-11%	$9,586
300 Peripheral Vascular Disorders with CC	24	$49,526	0%	$8,060
853 Infectious and Parasitic Diseases with O.R. Procedures with...	24	$240,447	+5%	$38,037
602 Cellulitis with MCC	23	$70,770	+18%	$10,541
194 Simple Pneumonia and Pleurisy with CC	22	$39,769	+4%	$9,325
389 Gastrointestinal Obstruction with CC	21	$44,722	+15%	$6,266
394 Other Digestive System Diagnoses with CC	21	$44,201	-6%	$6,954
281 Acute Myocardial Infarction, Discharged Alive with CC	20	$61,761	+22%	$7,259
286 Circulatory Disorders except AMI, with Cardiac...	20	$113,030	+1%	$16,080
299 Peripheral Vascular Disorders with MCC	20	$63,432	-16%	$11,779
100 Seizures with MCC	19	$71,741	-24%	$17,994
563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,...	19	$39,262	-8%	$8,340
101 Seizures without MCC	18	$46,456	-5%	$6,919
036 Carotid Artery Stent Procedures without CC/MCC	17	$71,918	-19%	$13,590
208 Respiratory System Diagnosis with Ventilator Support <=96...	17	$121,706	-10%	$20,159
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	17	$36,775	+28%	$4,590
460 Spinal Fusion except Cervical without MCC	17	$155,265	-9%	$32,867
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	17	$106,526	+4%	$15,518
699 Other Kidney and Urinary Tract Diagnoses with CC	17	$50,916	+7%	$7,812
023 Craniotomy with Major Device Implant or Acute Complex Cns...	16	$237,237	-16%	$37,692
314 Other Circulatory System Diagnoses with MCC	16	$62,533	-34%	$14,808
056 Degenerative Nervous System Disorders with MCC	15	$81,795	-15%	$17,520

Showing the 60 most frequent of 87 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	359	$30,917	$2,587
Level 1 Endovascular Procedures	179	$33,350	$3,049
Level 3 Endovascular Procedures	108	$80,958	$10,435
Level 4 Urology and Related Services	103	$21,712	$3,284
Level 5 Urology and Related Services	75	$34,111	$4,913
Level 1 Nerve Procedures	74	$14,489	$1,813
Level 3 Electrophysiologic Procedures	66	$178,940	$22,490
Level 1 Laparoscopy and Related Services	63	$42,343	$5,478
Level 2 Upper GI Procedures	61	$10,214	$1,783
Level 2 Intraocular Procedures	58	$36,003	$3,807
Level 3 Vascular Procedures	53	$18,651	$3,026
Level 4 Endovascular Procedures	47	$114,442	$16,613
Level 4 Musculoskeletal Procedures	45	$48,871	$6,792
Level 3 Pacemaker and Similar Procedures	42	$56,625	$9,947
Level 5 Musculoskeletal Procedures	37	$84,947	$12,477
Level 2 Vascular Procedures	36	$13,473	$1,521
Level 4 Vascular Procedures	34	$59,677	$5,064
Level 3 Urology and Related Services	32	$21,122	$1,934
Level 2 Excision/ Biopsy/ Incision and Drainage	30	$13,548	$1,539
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	30	$25,841	$3,285
Level 2 Endovascular Procedures	27	$61,146	$5,274
Level 3 Airway Endoscopy	23	$23,156	$1,611
Level 3 Excision/ Biopsy/ Incision and Drainage	22	$27,296	$2,698
Level 1 Breast/Lymphatic Surgery and Related Procedures	22	$22,560	$3,619
Level 4 Airway Endoscopy	22	$31,573	$3,555

Against the Illinois average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Saint Joseph Medical Center charged $93,686 on average, 27% more than the Illinois average of $73,987, and was paid $14,216 against a state average of $17,651. For Heart Failure and Shock with MCC (DRG 291), Saint Joseph Medical Center charged $64,119 on average, 39% more than the Illinois average of $46,293, and was paid $10,015 against a state average of $11,813. For Respiratory Infections and Inflammations with MCC (DRG 177), Saint Joseph Medical Center charged $77,121 on average, 29% more than the Illinois average of $59,769, and was paid $12,777 against a state average of $14,404. For Psychoses (DRG 885), Saint Joseph Medical Center charged $36,470 on average, 18% more than the Illinois average of $30,984, and was paid $10,399 against a state average of $12,483. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $30,917 was 44% above the state average of $21,498. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $33,350 was 33% above the state average of $25,004. For Level 3 Endovascular Procedures (outpatient APC 5193), its average charge of $80,958 was 19% above the state average of $68,014. For Level 4 Urology and Related Services (outpatient APC 5374), its average charge of $21,712 was 9% below the state average of $23,744.

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.