Missouri / SSM Health St Joseph Hospital-St Charles
CMS certification 260005 · Saint Charles, MO · 3 entries in CMS's price-transparency list
SSM Health St Joseph Hospital-St Charles: charges and Medicare payments
SSM Health St Joseph Hospital-St Charles reported 864 Medicare inpatient stays across 30 DRGs in 2024. Across them it charged 3.41 times what it was paid — among the lower ratios in Missouri, number 40 of 59 hospitals with at least 100 stays (state median 3.85×, national 4.15×). Its most frequent stay was DRG 885, Psychoses: 170 stays at an average charge of $33,515, 24% below the national average. It also billed 1,441 outpatient services, charging 5.41 times what Medicare paid.
- 1Medicare inpatient stays 864
- 2Charge ÷ paid, inpatient 3.41×
- 3Rank in MO (highest ratio = 1) 40 of 59
- 4CMS price-transparency actions 3
Inpatient stays
For the 30 DRGs that can be compared with the national average, SSM Health St Joseph Hospital-St Charles 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 |
|---|---|---|---|---|
| 885 Psychoses | 170 | $33,515 | -24% | $12,180 |
| 291 Heart Failure and Shock with MCC | 92 | $36,094 | -36% | $9,927 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 71 | $53,613 | -41% | $14,501 |
| 177 Respiratory Infections and Inflammations with MCC | 38 | $40,266 | -43% | $12,341 |
| 378 Gastrointestinal Hemorrhage with CC | 33 | $28,771 | -41% | $8,021 |
| 690 Kidney and Urinary Tract Infections without MCC | 31 | $21,638 | -43% | $6,621 |
| 193 Simple Pneumonia and Pleurisy with MCC | 29 | $34,969 | -41% | $10,419 |
| 189 Pulmonary Edema and Respiratory Failure | 28 | $40,239 | -30% | $10,246 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 28 | $25,944 | -30% | $6,513 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 25 | $22,033 | -45% | $6,676 |
| 682 Renal Failure with MCC | 25 | $38,387 | -42% | $10,952 |
| 683 Renal Failure with CC | 24 | $25,420 | -38% | $7,226 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 23 | $21,572 | -40% | $6,295 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 22 | $35,392 | -41% | $9,927 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 20 | $95,676 | -58% | $32,194 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 17 | $77,044 | -53% | $20,582 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 16 | $31,038 | -39% | $8,952 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 16 | $66,820 | -40% | $16,965 |
| 481 Hip and Femur Procedures except Major Joint with CC | 15 | $43,683 | -57% | $15,038 |
| 603 Cellulitis without MCC | 15 | $14,876 | -60% | $6,833 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 15 | $22,507 | -54% | $8,209 |
| 884 Organic Disturbances and Intellectual Disability | 14 | $30,199 | -52% | $11,936 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 13 | $45,364 | -19% | $8,137 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 13 | $35,624 | -44% | $8,741 |
| 377 Gastrointestinal Hemorrhage with MCC | 13 | $65,424 | -23% | $13,342 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 12 | $66,069 | -42% | $13,475 |
| 552 Medical Back Problems without MCC | 12 | $26,666 | -45% | $7,621 |
| 689 Kidney and Urinary Tract Infections with MCC | 12 | $37,684 | -27% | $8,756 |
| 389 Gastrointestinal Obstruction with CC | 11 | $28,653 | -26% | $6,653 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 11 | $59,868 | -18% | $15,221 |
Outpatient services
Against the Missouri average
For Psychoses (DRG 885), SSM Health St Joseph Hospital-St Charles charged $33,515 on average, 9% more than the Missouri average of $30,825, and was paid $12,180 against a state average of $12,977. For Heart Failure and Shock with MCC (DRG 291), SSM Health St Joseph Hospital-St Charles charged $36,094 on average, 22% less than the Missouri average of $46,468, and was paid $9,927 against a state average of $10,539. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), SSM Health St Joseph Hospital-St Charles charged $53,613 on average, 26% less than the Missouri average of $72,886, and was paid $14,501 against a state average of $15,808. For Respiratory Infections and Inflammations with MCC (DRG 177), SSM Health St Joseph Hospital-St Charles charged $40,266 on average, 31% less than the Missouri average of $58,162, and was paid $12,341 against a state average of $13,151. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $14,958 was 27% below the state average of $20,571. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $17,987 was 25% below the state average of $23,828. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $10,011 was 16% below the state average of $11,923. For Level 4 Urology and Related Services (outpatient APC 5374), its average charge of $12,944 was 31% below the state average of $18,762.
Price-transparency record
CMS's enforcement list records these actions for a hospital named SSM Health St Joseph Hospital-St Charles in Saint Charles, MO, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2021-08-25 (CMS case 434)
- Closure Notice — 2022-02-17 (CMS case 434)
- Met Requirements — 2026-03-09 (CMS case 7213)
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.