New Hampshire / St Joseph Hospital
CMS certification 300011 · Nashua, NH · 4 entries in CMS's price-transparency list
St Joseph Hospital: charges and Medicare payments
St Joseph Hospital reported 1,235 Medicare inpatient stays across 47 DRGs in 2024. Across them it charged 3.54 times what it was paid — mid-range in New Hampshire, number 7 of 13 hospitals with at least 100 stays (state median 3.54×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 139 stays at an average charge of $54,263, 40% below the national average. It also billed 1,134 outpatient services, charging 7.2 times what Medicare paid.
- 1Medicare inpatient stays 1,235
- 2Charge ÷ paid, inpatient 3.54×
- 3Rank in NH (highest ratio = 1) 7 of 13
- 4CMS price-transparency actions 4
Inpatient stays
For the 47 DRGs that can be compared with the national average, St Joseph Hospital 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 |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 139 | $54,263 | -40% | $16,009 |
| 291 Heart Failure and Shock with MCC | 137 | $33,245 | -41% | $10,145 |
| 177 Respiratory Infections and Inflammations with MCC | 64 | $43,581 | -38% | $12,813 |
| 193 Simple Pneumonia and Pleurisy with MCC | 55 | $37,270 | -38% | $10,617 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 45 | $46,076 | -39% | $12,177 |
| 690 Kidney and Urinary Tract Infections without MCC | 42 | $22,515 | -40% | $6,607 |
| 689 Kidney and Urinary Tract Infections with MCC | 33 | $30,360 | -41% | $9,125 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 31 | $73,486 | -21% | $15,095 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 31 | $23,142 | -53% | $7,906 |
| 069 Transient Ischemia without Thrombolytic | 30 | $28,222 | -44% | $6,143 |
| 378 Gastrointestinal Hemorrhage with CC | 30 | $39,033 | -20% | $8,643 |
| 682 Renal Failure with MCC | 28 | $34,219 | -48% | $11,664 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 27 | $22,606 | -37% | $6,334 |
| 683 Renal Failure with CC | 26 | $26,090 | -36% | $7,636 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 24 | $35,080 | -37% | $8,009 |
| 178 Respiratory Infections and Inflammations with CC | 23 | $29,534 | -35% | $7,940 |
| 194 Simple Pneumonia and Pleurisy with CC | 23 | $23,001 | -40% | $6,512 |
| 552 Medical Back Problems without MCC | 23 | $30,815 | -37% | $7,657 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 21 | $22,146 | -45% | $6,188 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 20 | $25,216 | -50% | $9,710 |
| 481 Hip and Femur Procedures except Major Joint with CC | 20 | $73,956 | -27% | $15,562 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 20 | $31,803 | -47% | $10,098 |
| 603 Cellulitis without MCC | 19 | $28,664 | -23% | $7,121 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 19 | $93,466 | -59% | $38,810 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 17 | $37,424 | -34% | $9,569 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 17 | $35,101 | -52% | $12,026 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 17 | $26,415 | -44% | $8,120 |
| 312 Syncope and Collapse | 16 | $29,106 | -36% | $6,787 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 16 | $19,664 | -47% | $6,454 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 15 | $96,872 | -15% | $16,428 |
| 897 Alcohol, Drug Abuse or Dependence without Rehabilitation... | 15 | $24,411 | -34% | $7,092 |
| 432 Cirrhosis and Alcoholic Hepatitis with MCC | 14 | $54,287 | -43% | $17,902 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 13 | $40,007 | -21% | $7,302 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 13 | $70,043 | -32% | $15,539 |
| 637 Diabetes with MCC | 13 | $41,046 | -38% | $11,444 |
| 638 Diabetes with CC | 13 | $25,157 | -40% | $6,860 |
| 056 Degenerative Nervous System Disorders with MCC | 12 | $47,458 | -51% | $19,083 |
| 100 Seizures with MCC | 12 | $48,626 | -48% | $14,020 |
| 101 Seizures without MCC | 12 | $26,370 | -46% | $7,300 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 12 | $36,675 | -44% | $9,765 |
| 394 Other Digestive System Diagnoses with CC | 12 | $29,390 | -38% | $7,271 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 11 | $42,588 | -57% | $13,444 |
| 176 Pulmonary Embolism without MCC | 11 | $27,042 | -35% | $6,428 |
| 377 Gastrointestinal Hemorrhage with MCC | 11 | $47,006 | -45% | $14,141 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 11 | $51,874 | -15% | $12,905 |
| 536 Fractures of Hip and Pelvis without MCC | 11 | $22,872 | -39% | $6,761 |
| 602 Cellulitis with MCC | 11 | $33,624 | -44% | $11,206 |
Outpatient services
Against the New Hampshire average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), St Joseph Hospital charged $54,263 on average, 13% less than the New Hampshire average of $62,580, and was paid $16,009 against a state average of $17,104. For Heart Failure and Shock with MCC (DRG 291), St Joseph Hospital charged $33,245 on average, 17% less than the New Hampshire average of $39,842, and was paid $10,145 against a state average of $11,075. For Respiratory Infections and Inflammations with MCC (DRG 177), St Joseph Hospital charged $43,581 on average, 8% less than the New Hampshire average of $47,583, and was paid $12,813 against a state average of $14,409. For Simple Pneumonia and Pleurisy with MCC (DRG 193), St Joseph Hospital charged $37,270 on average, 8% less than the New Hampshire average of $40,443, and was paid $10,617 against a state average of $11,445. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $15,493 was 25% below the state average of $20,649. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $62,826 was 8% below the state average of $68,487. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $9,321 was 4% below the state average of $9,741. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $14,147 was 9% above the state average of $12,954.
Price-transparency record
CMS's enforcement list records these actions for a hospital named St Joseph Hospital in Nashua, NH, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2023-03-03 (CMS case 985)
- Closure Notice — 2023-06-15 (CMS case 985)
- Warning Notice — 2026-06-08 (CMS case 7951)
- Closure Notice — 2026-07-08 (CMS case 7951)
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.