Illinois / St Johns Hospital

CMS certification 140053 · Springfield, IL · 3 entries in CMS's price-transparency list

St Johns Hospital: charges and Medicare payments

St Johns Hospital reported 3,572 Medicare inpatient stays across 110 DRGs in 2024. Across them it charged 4.88 times what it was paid — among the higher ratios in Illinois, number 25 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: 316 stays at an average charge of $82,368, 9% below the national average. It also billed 3,660 outpatient services, charging 7.38 times what Medicare paid.

1Medicare inpatient stays 3,572
2Charge ÷ paid, inpatient 4.88×
3Rank in IL (highest ratio = 1) 25 of 106
4CMS price-transparency actions 3

Average charge per stay at St Johns Hospital, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 110 DRGs that can be compared with the national average, St Johns Hospital charged more than the national average in 9 (8%). 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	316	$82,368	-9%	$16,232
291 Heart Failure and Shock with MCC	279	$49,286	-13%	$10,924
193 Simple Pneumonia and Pleurisy with MCC	115	$53,040	-11%	$12,110
189 Pulmonary Edema and Respiratory Failure	100	$57,284	0%	$10,233
274 Percutaneous and Other Intracardiac Procedures without MCC	96	$120,153	-23%	$26,614
280 Acute Myocardial Infarction, Discharged Alive with MCC	88	$50,552	-33%	$13,000
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	81	$45,762	-18%	$8,570
309 Cardiac Arrhythmia and Conduction Disorders with CC	77	$24,684	-32%	$6,771
853 Infectious and Parasitic Diseases with O.R. Procedures with...	73	$207,290	-9%	$41,577
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	69	$83,640	-16%	$16,431
267 Endovascular Cardiac Valve Replacement and Supplement...	67	$179,347	-19%	$37,883
177 Respiratory Infections and Inflammations with MCC	65	$59,507	-16%	$13,528
281 Acute Myocardial Infarction, Discharged Alive with CC	63	$44,580	-12%	$7,957
322 Percutaneous Cardiovascular Procedures with Intraluminal...	55	$94,815	-17%	$19,144
682 Renal Failure with MCC	55	$50,412	-24%	$12,406
378 Gastrointestinal Hemorrhage with CC	53	$33,377	-31%	$9,908
308 Cardiac Arrhythmia and Conduction Disorders with MCC	50	$59,169	+4%	$10,730
287 Circulatory Disorders except AMI, with Cardiac...	47	$53,739	-16%	$9,088
481 Hip and Femur Procedures except Major Joint with CC	45	$87,208	-13%	$17,708
243 Permanent Cardiac Pacemaker Implant with CC	43	$91,375	-18%	$20,258
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	42	$39,527	-19%	$8,708
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	41	$21,733	-24%	$5,296
377 Gastrointestinal Hemorrhage with MCC	39	$66,327	-22%	$14,581
242 Permanent Cardiac Pacemaker Implant with MCC	37	$129,534	-19%	$27,276
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	37	$30,690	-24%	$6,792
603 Cellulitis without MCC	36	$29,874	-20%	$7,529
552 Medical Back Problems without MCC	35	$43,887	-10%	$7,875
683 Renal Failure with CC	35	$31,031	-24%	$7,714
690 Kidney and Urinary Tract Infections without MCC	34	$29,655	-22%	$6,940
312 Syncope and Collapse	33	$40,707	-11%	$7,421
689 Kidney and Urinary Tract Infections with MCC	33	$40,802	-21%	$9,736
236 Coronary Bypass without Cardiac Catheterization without MCC	32	$225,956	+7%	$33,274
208 Respiratory System Diagnosis with Ventilator Support <=96...	31	$93,573	-31%	$23,470
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	31	$82,954	-19%	$17,283
190 Chronic Obstructive Pulmonary Disease with MCC	29	$47,157	-7%	$11,131
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	29	$43,215	-28%	$10,351
286 Circulatory Disorders except AMI, with Cardiac...	28	$76,340	-32%	$16,884
023 Craniotomy with Major Device Implant or Acute Complex Cns...	27	$195,080	-31%	$44,510
480 Hip and Femur Procedures except Major Joint with MCC	26	$95,523	-31%	$23,278
698 Other Kidney and Urinary Tract Diagnoses with MCC	25	$53,312	-27%	$13,225
025 Craniotomy and Endovascular Intracranial Procedures with MCC	24	$231,906	0%	$37,706
070 Other Cerebrovascular Disorders with MCC	24	$66,314	-13%	$14,698
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	24	$43,358	-33%	$12,312
321 Percutaneous Cardiovascular Procedures with Intraluminal...	24	$137,723	-16%	$24,568
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis...	23	$202,501	-6%	$36,092
235 Coronary Bypass without Cardiac Catheterization with MCC	22	$253,535	-13%	$50,346
276 Cardiac Defibrillator Implant with MCC or Carotid Sinus...	22	$218,456	-26%	$47,940
277 Cardiac Defibrillator Implant without MCC	22	$207,465	-11%	$37,775
282 Acute Myocardial Infarction, Discharged Alive without CC/MCC	22	$32,308	-26%	$7,638
812 Red Blood Cell Disorders without MCC	22	$39,193	-12%	$7,690
194 Simple Pneumonia and Pleurisy with CC	20	$32,299	-16%	$7,104
638 Diabetes with CC	20	$29,559	-29%	$8,472
100 Seizures with MCC	19	$78,166	-17%	$19,348
233 Coronary Bypass with Cardiac Catheterization or Open...	19	$342,584	-11%	$61,525
244 Permanent Cardiac Pacemaker Implant without CC/MCC	19	$92,987	0%	$17,428
069 Transient Ischemia without Thrombolytic	18	$35,772	-29%	$6,773
330 Major Small and Large Bowel Procedures with CC	18	$90,645	-24%	$18,619
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	18	$32,119	-13%	$7,880
220 Cardiac Valve and Other Major Cardiothoracic Procedures...	17	$265,462	-4%	$41,965
314 Other Circulatory System Diagnoses with MCC	17	$71,435	-25%	$14,861

Showing the 60 most frequent of 110 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Level 1 Intraocular Procedures	713	$17,354	$2,125
Level 1 Endovascular Procedures	400	$26,945	$3,000
Level 5 Musculoskeletal Procedures	292	$60,985	$11,966
Level 3 Electrophysiologic Procedures	223	$149,638	$21,637
Comprehensive Observation Services	216	$23,307	$2,507
Level 2 Excision/ Biopsy/ Incision and Drainage	137	$15,463	$1,470
Level 3 Pacemaker and Similar Procedures	127	$68,263	$9,798
Level 2 Upper GI Procedures	122	$13,805	$1,737
Level 2 ICD and Similar Procedures	116	$140,071	$30,041
Level 4 Musculoskeletal Procedures	115	$41,493	$6,611
Level 3 Endovascular Procedures	95	$67,230	$10,068
Level 4 Urology and Related Services	94	$42,353	$3,167
Level 3 Vascular Procedures	86	$17,900	$2,891
Level 6 Musculoskeletal Procedures	77	$75,943	$16,781
Level 3 Musculoskeletal Procedures	74	$24,862	$2,895
Level 2 Pacemaker and Similar Procedures	67	$40,768	$7,795
Level 5 Urology and Related Services	64	$32,098	$4,722
Level 1 Laparoscopy and Related Services	52	$42,172	$5,006
Level 3 Urology and Related Services	52	$20,881	$1,882
Level 2 Laparoscopy and Related Services	44	$58,750	$9,328
Level 3 Excision/ Biopsy/ Incision and Drainage	43	$25,743	$2,626
Level 4 Endovascular Procedures	37	$92,172	$15,342
Level 4 Pacemaker and Similar Procedures	37	$102,721	$17,967
Level 2 Musculoskeletal Procedures	31	$13,447	$1,450
Level 2 Intraocular Procedures	30	$28,690	$3,757

Against the Illinois average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), St Johns Hospital charged $82,368 on average, 11% more than the Illinois average of $73,987, and was paid $16,232 against a state average of $17,651. For Heart Failure and Shock with MCC (DRG 291), St Johns Hospital charged $49,286 on average, 6% more than the Illinois average of $46,293, and was paid $10,924 against a state average of $11,813. For Simple Pneumonia and Pleurisy with MCC (DRG 193), St Johns Hospital charged $53,040 on average, 8% more than the Illinois average of $49,081, and was paid $12,110 against a state average of $11,857. For Pulmonary Edema and Respiratory Failure (DRG 189), St Johns Hospital charged $57,284 on average, 13% more than the Illinois average of $50,573, and was paid $10,233 against a state average of $11,480. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $17,354 was 16% above the state average of $14,917. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $26,945 was 8% above the state average of $25,004. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $60,985 was 9% below the state average of $67,146. For Level 3 Electrophysiologic Procedures (outpatient APC 5213), its average charge of $149,638 was 12% above the state average of $133,114.

Price-transparency record

CMS's enforcement list records these actions for a hospital named St Johns Hospital in Springfield, IL, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:

Warning Notice — 2026-01-06 (CMS case 6766)
CAP Request — 2026-04-09 (CMS case 6766)
Closure Notice — 2026-07-08 (CMS case 6766)

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.