Indiana / Saint Joseph Regional Medical Center - Plymouth
CMS certification 150076 · Plymouth, IN
Saint Joseph Regional Medical Center - Plymouth: charges and Medicare payments
Saint Joseph Regional Medical Center - Plymouth reported 132 Medicare inpatient stays across 7 DRGs in 2024. Across them it charged 2.54 times what it was paid — among the lower ratios in Indiana, number 62 of 70 hospitals with at least 100 stays (state median 4.08×, national 4.15×). Its most frequent stay was DRG 291, Heart Failure and Shock with MCC: 43 stays at an average charge of $24,921, 56% below the national average. It also billed 275 outpatient services, charging 8.87 times what Medicare paid.
- 1Medicare inpatient stays 132
- 2Charge ÷ paid, inpatient 2.54×
- 3Rank in IN (highest ratio = 1) 62 of 70
- 4CMS price-transparency actions 0
Inpatient stays
For the 7 DRGs that can be compared with the national average, Saint Joseph Regional Medical Center - Plymouth charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 291 Heart Failure and Shock with MCC | 43 | $24,921 | -56% | $11,370 |
| 193 Simple Pneumonia and Pleurisy with MCC | 19 | $28,880 | -52% | $11,777 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 18 | $36,182 | -60% | $15,433 |
| 194 Simple Pneumonia and Pleurisy with CC | 14 | $24,013 | -37% | $7,896 |
| 683 Renal Failure with CC | 13 | $31,275 | -23% | $8,369 |
| 690 Kidney and Urinary Tract Infections without MCC | 13 | $22,841 | -40% | $7,801 |
| 177 Respiratory Infections and Inflammations with MCC | 12 | $37,501 | -47% | $14,330 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 126 | $17,755 | $2,456 |
| Level 1 Intraocular Procedures | 73 | $11,674 | $2,081 |
| Level 3 Urology and Related Services | 21 | $17,340 | $1,881 |
| Level 2 Urology and Related Services | 16 | $11,695 | $631 |
| Level 1 Nerve Procedures | 15 | $7,565 | $1,783 |
| Level 2 Musculoskeletal Procedures | 12 | $13,211 | $1,485 |
| Level 4 Urology and Related Services | 12 | $21,805 | $3,219 |
Against the Indiana average
For Heart Failure and Shock with MCC (DRG 291), Saint Joseph Regional Medical Center - Plymouth charged $24,921 on average, 39% less than the Indiana average of $40,842, and was paid $11,370 against a state average of $10,315. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Saint Joseph Regional Medical Center - Plymouth charged $28,880 on average, 34% less than the Indiana average of $43,683, and was paid $11,777 against a state average of $10,631. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Saint Joseph Regional Medical Center - Plymouth charged $36,182 on average, 43% less than the Indiana average of $63,232, and was paid $15,433 against a state average of $15,368. For Simple Pneumonia and Pleurisy with CC (DRG 194), Saint Joseph Regional Medical Center - Plymouth charged $24,013 on average, 20% less than the Indiana average of $29,906, and was paid $7,896 against a state average of $6,907. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $17,755 was 4% below the state average of $18,399. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $11,674 was 20% below the state average of $14,609. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $17,340 was 23% above the state average of $14,051. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $11,695 was 154% above the state average of $4,596.
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.