Wyoming / St Johns Medical Center
CMS certification 530015 · Jackson, WY · 1 entry in CMS's price-transparency list
St Johns Medical Center: charges and Medicare payments
St Johns Medical Center reported 239 Medicare inpatient stays across 12 DRGs in 2024. Across them it charged 2.09 times what it was paid — mid-range in Wyoming, number 4 of 8 hospitals with at least 100 stays (state median 2.01×, national 4.15×). Its most frequent stay was DRG 470, Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC: 37 stays at an average charge of $49,171, 47% below the national average. It also billed 914 outpatient services, charging 4.6 times what Medicare paid.
- 1Medicare inpatient stays 239
- 2Charge ÷ paid, inpatient 2.09×
- 3Rank in WY (highest ratio = 1) 4 of 8
- 4CMS price-transparency actions 1
Inpatient stays
For the 12 DRGs that can be compared with the national average, St Johns Medical Center 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 |
|---|---|---|---|---|
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 37 | $49,171 | -47% | $25,190 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 27 | $52,294 | -42% | $26,021 |
| 455 Combined Anterior and Posterior Spinal Fusion without CC/MCC | 26 | $166,868 | -18% | $73,892 |
| 291 Heart Failure and Shock with MCC | 23 | $31,958 | -43% | $19,135 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 20 | $21,050 | -43% | $10,283 |
| 177 Respiratory Infections and Inflammations with MCC | 19 | $56,943 | -19% | $24,857 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 18 | $18,702 | -53% | $10,320 |
| 178 Respiratory Infections and Inflammations with CC | 17 | $28,859 | -36% | $13,000 |
| 690 Kidney and Urinary Tract Infections without MCC | 15 | $20,276 | -46% | $10,610 |
| 194 Simple Pneumonia and Pleurisy with CC | 14 | $26,823 | -30% | $12,140 |
| 897 Alcohol, Drug Abuse or Dependence without Rehabilitation... | 12 | $21,393 | -42% | $11,300 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 11 | $31,361 | -38% | $14,508 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 158 | $12,033 | $2,745 |
| Level 1 Intraocular Procedures | 142 | $4,929 | $2,276 |
| Level 5 Musculoskeletal Procedures | 129 | $40,035 | $12,926 |
| Level 4 Musculoskeletal Procedures | 69 | $37,905 | $7,101 |
| Level 5 Urology and Related Services | 68 | $22,859 | $5,196 |
| Level 6 Musculoskeletal Procedures | 53 | $76,642 | $18,669 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 49 | $6,000 | $1,628 |
| Level 3 Urology and Related Services | 44 | $8,538 | $2,045 |
| Level 1 Nerve Procedures | 32 | $9,932 | $1,939 |
| Level 3 Musculoskeletal Procedures | 31 | $17,979 | $3,250 |
| Level 1 Laparoscopy and Related Services | 27 | $27,838 | $5,794 |
| Level 4 Urology and Related Services | 22 | $13,595 | $3,500 |
| Level 5 ENT Procedures | 17 | $16,802 | $5,880 |
| Level 1 Breast/Lymphatic Surgery and Related Procedures | 15 | $17,693 | $3,827 |
| Level 2 Breast/Lymphatic Surgery and Related Procedures | 15 | $33,917 | $6,548 |
| Level 2 Musculoskeletal Procedures | 15 | $6,495 | $1,614 |
| Level 3 Vascular Procedures | 15 | $17,063 | $3,201 |
| Level 2 Upper GI Procedures | 13 | $4,855 | $1,911 |
Against the Wyoming average
For Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC (DRG 470), St Johns Medical Center charged $49,171 on average, 29% less than the Wyoming average of $69,402, and was paid $25,190 against a state average of $22,120. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), St Johns Medical Center charged $52,294 on average, 3% less than the Wyoming average of $53,749, and was paid $26,021 against a state average of $21,131. For Combined Anterior and Posterior Spinal Fusion without CC/MCC (DRG 455), St Johns Medical Center charged $166,868 on average, 4% less than the Wyoming average of $173,583, and was paid $73,892 against a state average of $62,041. For Heart Failure and Shock with MCC (DRG 291), St Johns Medical Center charged $31,958 on average, 5% less than the Wyoming average of $33,507, and was paid $19,135 against a state average of $14,204. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $12,033 was 20% below the state average of $15,002. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $4,929 was 34% below the state average of $7,471. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $40,035 was 27% below the state average of $54,760. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $37,905 was 7% above the state average of $35,529.
Price-transparency record
CMS's enforcement list records these actions for a hospital named St Johns Medical Center in Jackson, WY, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2026-03-10 (CMS case 7212)
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.