Missouri / St Joseph Medical Center
CMS certification 260085 · Kansas City, MO
St Joseph Medical Center: charges and Medicare payments
St Joseph Medical Center reported 915 Medicare inpatient stays across 31 DRGs in 2024. Across them it charged 6.48 times what it was paid — among the higher ratios in Missouri, number 8 of 59 hospitals with at least 100 stays (state median 3.85×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 190 stays at an average charge of $86,293, 4% below the national average. It also billed 676 outpatient services, charging 11.61 times what Medicare paid.
- 1Medicare inpatient stays 915
- 2Charge ÷ paid, inpatient 6.48×
- 3Rank in MO (highest ratio = 1) 8 of 59
- 4CMS price-transparency actions 0
Inpatient stays
For the 31 DRGs that can be compared with the national average, St Joseph Medical Center charged more than the national average in 4 (13%). 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 | 190 | $86,293 | -4% | $12,159 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 64 | $179,597 | +15% | $20,630 |
| 291 Heart Failure and Shock with MCC | 61 | $57,277 | +2% | $8,377 |
| 682 Renal Failure with MCC | 46 | $47,715 | -28% | $9,862 |
| 177 Respiratory Infections and Inflammations with MCC | 42 | $70,756 | 0% | $10,174 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 38 | $28,968 | -52% | $8,167 |
| 189 Pulmonary Edema and Respiratory Failure | 32 | $55,925 | -3% | $7,967 |
| 689 Kidney and Urinary Tract Infections with MCC | 31 | $29,505 | -43% | $7,328 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 30 | $139,489 | -39% | $28,845 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 29 | $56,026 | -26% | $10,171 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 26 | $46,011 | -37% | $10,402 |
| 193 Simple Pneumonia and Pleurisy with MCC | 24 | $53,825 | -10% | $10,357 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 24 | $32,421 | -13% | $4,974 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 23 | $28,040 | -30% | $5,446 |
| 683 Renal Failure with CC | 20 | $35,086 | -14% | $5,673 |
| 690 Kidney and Urinary Tract Infections without MCC | 20 | $27,947 | -26% | $5,194 |
| 377 Gastrointestinal Hemorrhage with MCC | 18 | $71,401 | -16% | $11,089 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 17 | $62,746 | -37% | $12,323 |
| 483 Major Joint or Limb Reattachment Procedures of Upper... | 17 | $132,261 | +5% | $16,044 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 16 | $128,456 | -22% | $18,465 |
| 378 Gastrointestinal Hemorrhage with CC | 15 | $40,235 | -17% | $6,174 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 15 | $39,809 | -19% | $6,449 |
| 305 Hypertension without MCC | 14 | $29,112 | -27% | $4,872 |
| 313 Chest Pain | 14 | $27,243 | -32% | $4,650 |
| 552 Medical Back Problems without MCC | 14 | $41,562 | -15% | $6,222 |
| 603 Cellulitis without MCC | 14 | $30,976 | -17% | $5,529 |
| 602 Cellulitis with MCC | 13 | $55,715 | -7% | $9,237 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 13 | $353,033 | +9% | $50,863 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 12 | $26,321 | -8% | $3,573 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 12 | $31,505 | -48% | $8,234 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 11 | $32,136 | -11% | $4,764 |
Outpatient services
Against the Missouri average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), St Joseph Medical Center charged $86,293 on average, 18% more than the Missouri average of $72,886, and was paid $12,159 against a state average of $15,808. For Percutaneous and Other Intracardiac Procedures without MCC (DRG 274), St Joseph Medical Center charged $179,597 on average, 41% more than the Missouri average of $127,634, and was paid $20,630 against a state average of $24,435. For Heart Failure and Shock with MCC (DRG 291), St Joseph Medical Center charged $57,277 on average, 23% more than the Missouri average of $46,468, and was paid $8,377 against a state average of $10,539. For Renal Failure with MCC (DRG 682), St Joseph Medical Center charged $47,715 on average, 7% less than the Missouri average of $51,278, and was paid $9,862 against a state average of $12,056. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $102,519 was 96% above the state average of $52,262. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $32,118 was 35% above the state average of $23,828. For Level 4 Endovascular Procedures (outpatient APC 5194), its average charge of $197,758 was 114% above the state average of $92,356. For Level 4 Urology and Related Services (outpatient APC 5374), its average charge of $10,631 was 43% below the state average of $18,762.
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.