Arizona / St. Joseph's Hospital and Medical Center

CMS certification 030024 · Phoenix, AZ · 5 entries in CMS's price-transparency list

St. Joseph's Hospital and Medical Center: charges and Medicare payments

St. Joseph's Hospital and Medical Center reported 3,303 Medicare inpatient stays across 113 DRGs in 2024. Across them it charged 5.02 times what it was paid — mid-range in Arizona, number 26 of 53 hospitals with at least 100 stays (state median 5×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 227 stays at an average charge of $86,562, 4% below the national average. It also billed 2,977 outpatient services, charging 9.08 times what Medicare paid.

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  1. 1Medicare inpatient stays 3,303
  2. 2Charge ÷ paid, inpatient 5.02×
  3. 3Rank in AZ (highest ratio = 1) 26 of 53
  4. 4CMS price-transparency actions 5
DRG 871$86,562DRG 025$296,097DRG 064$102,579DRG 027$177,095DRG 274$183,959DRG 454$283,634DRG 065$62,538DRG 872$51,692DRG 267$245,478DRG 291$66,992
Average charge per stay at St. Joseph's Hospital and Medical Center, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 113 DRGs that can be compared with the national average, St. Joseph's Hospital and Medical Center charged more than the national average in 74 (65%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRGStaysAvg chargevs USAvg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC227$86,562-4%$21,950
025 Craniotomy and Endovascular Intracranial Procedures with MCC137$296,097+28%$48,141
064 Intracranial Hemorrhage or Cerebral Infarction with MCC111$102,579+3%$22,724
027 Craniotomy and Endovascular Intracranial Procedures without...88$177,095+27%$25,935
274 Percutaneous and Other Intracardiac Procedures without MCC84$183,959+17%$30,871
454 Combined Anterior and Posterior Spinal Fusion with CC82$283,634+1%$61,647
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...81$62,538+12%$13,224
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC74$51,692+5%$13,390
267 Endovascular Cardiac Valve Replacement and Supplement...73$245,478+11%$45,530
291 Heart Failure and Shock with MCC67$66,992+19%$16,033
460 Spinal Fusion except Cervical without MCC56$212,888+25%$38,578
472 Cervical Spinal Fusion with CC56$181,620+27%$29,300
101 Seizures without MCC55$57,853+19%$12,628
205 Other Respiratory System Diagnoses with MCC53$148,767+68%$25,058
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...50$94,923+136%$17,901
193 Simple Pneumonia and Pleurisy with MCC47$53,088-11%$15,105
023 Craniotomy with Major Device Implant or Acute Complex Cns...46$244,273-13%$55,114
026 Craniotomy and Endovascular Intracranial Procedures with CC45$191,835+16%$33,235
552 Medical Back Problems without MCC45$56,175+15%$12,107
853 Infectious and Parasitic Diseases with O.R. Procedures with...42$220,796-4%$52,616
177 Respiratory Infections and Inflammations with MCC41$55,081-22%$18,000
698 Other Kidney and Urinary Tract Diagnoses with MCC41$75,788+3%$19,309
683 Renal Failure with CC39$39,724-2%$12,011
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...38$47,786+29%$10,522
189 Pulmonary Edema and Respiratory Failure37$65,671+14%$14,686
100 Seizures with MCC35$110,384+17%$24,169
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...35$58,102-4%$15,921
032 Ventricular Shunt Procedures with CC32$95,060-10%$22,469
378 Gastrointestinal Hemorrhage with CC32$58,041+20%$12,420
690 Kidney and Urinary Tract Infections without MCC31$37,105-2%$10,290
455 Combined Anterior and Posterior Spinal Fusion without CC/MCC30$234,817+16%$46,382
007 Lung Transplant28$941,004-11%$135,647
309 Cardiac Arrhythmia and Conduction Disorders with CC28$47,181+31%$9,498
614 Adrenal and Pituitary Procedures with CC/MCC27$137,700+10%$29,918
003 ECMO or Tracheostomy with MV >96 Hours or Principal...26$989,167-6%$197,558
033 Ventricular Shunt Procedures without CC/MCC26$84,955-2%$16,441
190 Chronic Obstructive Pulmonary Disease with MCC26$59,151+17%$13,771
280 Acute Myocardial Infarction, Discharged Alive with MCC26$104,650+38%$21,512
166 Other Respiratory System O.R. Procedures with MCC25$192,259+7%$44,895
312 Syncope and Collapse25$58,674+29%$11,870
329 Major Small and Large Bowel Procedures with MCC25$245,401+14%$45,394
330 Major Small and Large Bowel Procedures with CC25$142,299+20%$25,301
682 Renal Failure with MCC25$61,441-7%$16,885
689 Kidney and Urinary Tract Infections with MCC25$53,524+4%$13,924
071 Other Cerebrovascular Disorders with CC23$49,267-2%$12,361
163 Major Chest Procedures with MCC23$284,421+35%$56,786
327 Stomach, Esophageal and Duodenal Procedures with CC23$163,593+29%$28,021
603 Cellulitis without MCC23$35,482-5%$12,085
427 Multiple Level Combined Anterior and Posterior Spinal Fusion...22$320,873-6%$70,918
054 Nervous System Neoplasms with MCC21$65,449-16%$18,125
326 Stomach, Esophageal and Duodenal Procedures with MCC21$282,198+18%$60,881
328 Stomach, Esophageal and Duodenal Procedures without CC/MCC21$105,271+22%$16,600
481 Hip and Femur Procedures except Major Joint with CC21$92,151-9%$21,357
083 Traumatic Stupor and Coma >1 Hour with CC20$68,571-6%$15,287
266 Endovascular Cardiac Valve Replacement and Supplement...20$332,210+17%$63,164
457 Spinal Fusion except Cervical with Spinal Curvature,...20$364,473+26%$65,730
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis...19$334,082+54%$59,612
057 Degenerative Nervous System Disorders without MCC18$82,866+46%$17,119
086 Traumatic Stupor and Coma <1 Hour with CC18$70,737+4%$15,116
453 Combined Anterior and Posterior Spinal Fusion with MCC18$414,941-9%$89,928

Showing the 60 most frequent of 113 DRGs.

Outpatient services

Against the Arizona average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), St. Joseph's Hospital and Medical Center charged $86,562 on average, 1% less than the Arizona average of $87,638, and was paid $21,950 against a state average of $17,455. For Craniotomy and Endovascular Intracranial Procedures with MCC (DRG 025), St. Joseph's Hospital and Medical Center charged $296,097 on average, 16% more than the Arizona average of $255,621, and was paid $48,141 against a state average of $44,135. For Intracranial Hemorrhage or Cerebral Infarction with MCC (DRG 064), St. Joseph's Hospital and Medical Center charged $102,579 on average, 11% more than the Arizona average of $92,078, and was paid $22,724 against a state average of $17,780. For Craniotomy and Endovascular Intracranial Procedures without CC/MCC (DRG 027), St. Joseph's Hospital and Medical Center charged $177,095 on average, 9% more than the Arizona average of $162,410, and was paid $25,935 against a state average of $24,302. For Level 4 Airway Endoscopy (outpatient APC 5154), its average charge of $22,323 was 22% below the state average of $28,728. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $25,566 was 25% below the state average of $34,042. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $17,301 was 19% above the state average of $14,511. For Level 3 Electrophysiologic Procedures (outpatient APC 5213), its average charge of $185,059 was 19% above the state average of $155,808.

Price-transparency record

CMS's enforcement list records these actions for a hospital named St. Joseph's Hospital and Medical Center in Phoenix, AZ, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:

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.