Illinois / St Joseph Medical Center
CMS certification 140162 · Bloomington, IL
St Joseph Medical Center: charges and Medicare payments
St Joseph Medical Center reported 1,588 Medicare inpatient stays across 55 DRGs in 2024. Across them it charged 4.37 times what it was paid — mid-range in Illinois, number 45 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: 229 stays at an average charge of $70,456, 22% below the national average. It also billed 972 outpatient services, charging 6.96 times what Medicare paid.
- 1Medicare inpatient stays 1,588
- 2Charge ÷ paid, inpatient 4.37×
- 3Rank in IL (highest ratio = 1) 45 of 106
- 4CMS price-transparency actions 0
Inpatient stays
For the 55 DRGs that can be compared with the national average, St Joseph Medical Center charged more than the national average in 2 (4%). 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 | 229 | $70,456 | -22% | $15,693 |
| 291 Heart Failure and Shock with MCC | 150 | $38,733 | -31% | $9,912 |
| 378 Gastrointestinal Hemorrhage with CC | 55 | $28,166 | -42% | $7,924 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 45 | $40,312 | -18% | $7,680 |
| 193 Simple Pneumonia and Pleurisy with MCC | 43 | $46,683 | -22% | $9,589 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 43 | $142,783 | -38% | $37,831 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 42 | $26,128 | -28% | $5,824 |
| 177 Respiratory Infections and Inflammations with MCC | 39 | $42,926 | -39% | $13,416 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 39 | $29,043 | -28% | $6,504 |
| 682 Renal Failure with MCC | 37 | $44,414 | -33% | $11,556 |
| 377 Gastrointestinal Hemorrhage with MCC | 36 | $65,479 | -23% | $13,907 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 31 | $54,640 | -28% | $11,330 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 29 | $57,340 | -49% | $15,677 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 29 | $123,416 | +8% | $29,180 |
| 683 Renal Failure with CC | 28 | $31,314 | -23% | $7,982 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 27 | $39,339 | -31% | $8,767 |
| 481 Hip and Femur Procedures except Major Joint with CC | 27 | $71,068 | -29% | $14,742 |
| 603 Cellulitis without MCC | 27 | $29,028 | -22% | $7,605 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 25 | $82,010 | -18% | $17,545 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 25 | $80,686 | -13% | $13,472 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 24 | $43,014 | -33% | $9,228 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 24 | $31,047 | -16% | $7,384 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 23 | $41,064 | -26% | $7,290 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 23 | $51,177 | -15% | $9,166 |
| 689 Kidney and Urinary Tract Infections with MCC | 23 | $38,938 | -24% | $8,493 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 22 | $78,256 | -24% | $15,145 |
| 312 Syncope and Collapse | 21 | $26,217 | -42% | $7,380 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 20 | $34,089 | -33% | $9,600 |
| 812 Red Blood Cell Disorders without MCC | 20 | $32,443 | -27% | $6,682 |
| 389 Gastrointestinal Obstruction with CC | 19 | $23,006 | -41% | $5,937 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 19 | $58,209 | -21% | $11,560 |
| 189 Pulmonary Edema and Respiratory Failure | 18 | $40,631 | -29% | $8,929 |
| 243 Permanent Cardiac Pacemaker Implant with CC | 18 | $70,298 | -37% | $16,018 |
| 552 Medical Back Problems without MCC | 18 | $32,603 | -33% | $7,156 |
| 854 Infectious and Parasitic Diseases with O.R. Procedures with... | 18 | $77,730 | -21% | $18,119 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 17 | $61,217 | -6% | $9,906 |
| 690 Kidney and Urinary Tract Infections without MCC | 17 | $34,800 | -8% | $5,895 |
| 194 Simple Pneumonia and Pleurisy with CC | 16 | $28,261 | -26% | $9,430 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 16 | $19,631 | -32% | $6,644 |
| 330 Major Small and Large Bowel Procedures with CC | 16 | $108,909 | -8% | $17,043 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 16 | $39,840 | -35% | $14,267 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 15 | $42,502 | -16% | $9,534 |
| 025 Craniotomy and Endovascular Intracranial Procedures with MCC | 14 | $163,620 | -29% | $54,079 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 14 | $125,332 | -20% | $22,513 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 13 | $92,272 | -33% | $20,521 |
| 617 Amputation of Lower Limb for Endocrine, Nutritional and... | 13 | $67,065 | -23% | $17,843 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 13 | $27,859 | -41% | $7,559 |
| 069 Transient Ischemia without Thrombolytic | 12 | $32,988 | -35% | $5,878 |
| 101 Seizures without MCC | 12 | $26,649 | -45% | $6,830 |
| 242 Permanent Cardiac Pacemaker Implant with MCC | 12 | $103,396 | -36% | $25,643 |
| 394 Other Digestive System Diagnoses with CC | 12 | $27,307 | -42% | $7,059 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 11 | $194,369 | +19% | $31,451 |
| 329 Major Small and Large Bowel Procedures with MCC | 11 | $179,743 | -16% | $33,921 |
| 331 Major Small and Large Bowel Procedures without CC/MCC | 11 | $71,122 | -17% | $12,369 |
| 536 Fractures of Hip and Pelvis without MCC | 11 | $24,963 | -34% | $5,896 |
Outpatient services
Against the Illinois average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), St Joseph Medical Center charged $70,456 on average, 5% less than the Illinois average of $73,987, and was paid $15,693 against a state average of $17,651. For Heart Failure and Shock with MCC (DRG 291), St Joseph Medical Center charged $38,733 on average, 16% less than the Illinois average of $46,293, and was paid $9,912 against a state average of $11,813. For Gastrointestinal Hemorrhage with CC (DRG 378), St Joseph Medical Center charged $28,166 on average, 33% less than the Illinois average of $42,137, and was paid $7,924 against a state average of $9,363. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), St Joseph Medical Center charged $40,312 on average, 2% less than the Illinois average of $41,000, and was paid $7,680 against a state average of $9,886. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $19,775 was 8% below the state average of $21,498. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $65,201 was 3% below the state average of $67,146. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $9,589 was 19% below the state average of $11,818. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $22,968 was 8% below the state average of $25,004.
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.