St Joseph's Hospital Health Center: charges and Medicare payments

St Joseph's Hospital Health Center reported 3,097 Medicare inpatient stays across 86 DRGs in 2024. Across them it charged 2.72 times what it was paid — mid-range in New York, number 65 of 123 hospitals with at least 100 stays (state median 2.74×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 393 stays at an average charge of $53,007, 41% below the national average. It also billed 3,783 outpatient services, charging 3.93 times what Medicare paid.

1Medicare inpatient stays 3,097
2Charge ÷ paid, inpatient 2.72×
3Rank in NY (highest ratio = 1) 65 of 123
4CMS price-transparency actions 0

Average charge per stay at St Joseph's Hospital Health Center, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 86 DRGs that can be compared with the national average, St Joseph's Hospital Health 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
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC	393	$53,007	-41%	$19,117
291 Heart Failure and Shock with MCC	170	$34,135	-39%	$12,300
267 Endovascular Cardiac Valve Replacement and Supplement...	103	$136,697	-38%	$43,868
322 Percutaneous Cardiovascular Procedures with Intraluminal...	84	$55,465	-52%	$18,717
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	81	$27,664	-44%	$10,894
177 Respiratory Infections and Inflammations with MCC	71	$47,248	-33%	$15,437
274 Percutaneous and Other Intracardiac Procedures without MCC	71	$86,393	-45%	$28,969
236 Coronary Bypass without Cardiac Catheterization without MCC	70	$104,834	-50%	$40,338
470 Major Hip and Knee Joint Replacement or Reattachment of...	69	$50,774	-46%	$17,105
193 Simple Pneumonia and Pleurisy with MCC	68	$31,060	-48%	$12,668
321 Percutaneous Cardiovascular Procedures with Intraluminal...	58	$92,065	-44%	$26,650
280 Acute Myocardial Infarction, Discharged Alive with MCC	56	$42,947	-43%	$15,672
378 Gastrointestinal Hemorrhage with CC	56	$31,691	-35%	$9,342
698 Other Kidney and Urinary Tract Diagnoses with MCC	52	$47,006	-36%	$16,157
853 Infectious and Parasitic Diseases with O.R. Procedures with...	52	$130,386	-43%	$46,937
689 Kidney and Urinary Tract Infections with MCC	47	$32,583	-37%	$10,282
220 Cardiac Valve and Other Major Cardiothoracic Procedures...	46	$118,916	-57%	$51,915
266 Endovascular Cardiac Valve Replacement and Supplement...	42	$157,178	-45%	$56,133
690 Kidney and Urinary Tract Infections without MCC	42	$22,256	-41%	$7,480
039 Extracranial Procedures without CC/MCC	41	$30,476	-52%	$13,548
287 Circulatory Disorders except AMI, with Cardiac...	41	$26,862	-58%	$10,294
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	41	$34,734	-42%	$12,298
683 Renal Failure with CC	41	$25,003	-39%	$9,109
603 Cellulitis without MCC	38	$20,057	-46%	$8,355
219 Cardiac Valve and Other Major Cardiothoracic Procedures...	37	$131,129	-67%	$67,518
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	37	$21,740	-41%	$7,883
312 Syncope and Collapse	36	$30,205	-34%	$8,771
286 Circulatory Disorders except AMI, with Cardiac...	35	$52,605	-53%	$19,409
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	35	$23,486	-42%	$7,430
308 Cardiac Arrhythmia and Conduction Disorders with MCC	34	$25,707	-55%	$10,872
254 Other Vascular Procedures without CC/MCC	33	$32,052	-65%	$17,001
235 Coronary Bypass without Cardiac Catheterization with MCC	31	$123,817	-58%	$52,621
377 Gastrointestinal Hemorrhage with MCC	31	$42,818	-50%	$15,788
269 Aortic and Heart Assist Procedures except Pulsation Balloon...	30	$95,863	-50%	$35,013
682 Renal Failure with MCC	30	$30,564	-54%	$13,122
189 Pulmonary Edema and Respiratory Failure	28	$29,869	-48%	$12,223
194 Simple Pneumonia and Pleurisy with CC	28	$25,209	-34%	$7,963
233 Coronary Bypass with Cardiac Catheterization or Open...	28	$184,421	-52%	$73,833
234 Coronary Bypass with Cardiac Catheterization or Open...	28	$131,224	-51%	$49,642
253 Other Vascular Procedures with CC	28	$54,997	-58%	$23,734
309 Cardiac Arrhythmia and Conduction Disorders with CC	28	$21,279	-41%	$8,868
467 Revision of Hip or Knee Replacement with CC	27	$72,285	-54%	$29,027
281 Acute Myocardial Infarction, Discharged Alive with CC	26	$24,543	-51%	$8,536
638 Diabetes with CC	26	$21,088	-49%	$8,616
481 Hip and Femur Procedures except Major Joint with CC	25	$61,048	-39%	$18,647
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	23	$32,781	-50%	$13,233
389 Gastrointestinal Obstruction with CC	23	$23,850	-39%	$9,089
812 Red Blood Cell Disorders without MCC	23	$23,661	-47%	$9,369
313 Chest Pain	22	$16,993	-57%	$6,670
229 Other Cardiothoracic Procedures without MCC	21	$92,847	-44%	$28,020
190 Chronic Obstructive Pulmonary Disease with MCC	20	$21,092	-58%	$10,592
330 Major Small and Large Bowel Procedures with CC	20	$65,808	-45%	$22,875
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	20	$61,518	-40%	$18,850
699 Other Kidney and Urinary Tract Diagnoses with CC	20	$28,744	-39%	$9,516
270 Other Major Cardiovascular Procedures with MCC	18	$111,228	-57%	$47,168
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	18	$16,331	-43%	$5,742
314 Other Circulatory System Diagnoses with MCC	17	$51,330	-46%	$18,597
552 Medical Back Problems without MCC	17	$25,864	-47%	$8,818
563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,...	17	$20,946	-51%	$7,505
854 Infectious and Parasitic Diseases with O.R. Procedures with...	16	$51,447	-48%	$21,431

Showing the 60 most frequent of 86 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Level 1 Endovascular Procedures	512	$12,362	$3,441
Level 2 Vascular Procedures	334	$3,454	$1,686
Comprehensive Observation Services	331	$12,378	$2,846
Level 2 Endovascular Procedures	251	$15,073	$5,913
Level 3 Endovascular Procedures	223	$36,427	$11,380
Level 2 Upper GI Procedures	218	$9,276	$1,989
Level 2 Excision/ Biopsy/ Incision and Drainage	210	$6,982	$1,667
Level 3 Vascular Procedures	198	$11,383	$3,298
Level 5 Musculoskeletal Procedures	191	$40,796	$13,801
Level 3 Electrophysiologic Procedures	174	$80,789	$24,707
Level 1 Laparoscopy and Related Services	156	$27,689	$6,024
Level 3 Pacemaker and Similar Procedures	85	$37,661	$11,308
Level 2 Laparoscopy and Related Services	82	$39,979	$10,789
Level 4 Urology and Related Services	55	$13,141	$3,696
Level 1 Breast/Lymphatic Surgery and Related Procedures	54	$10,465	$3,922
Level 6 Musculoskeletal Procedures	52	$55,017	$19,363
Level 4 Vascular Procedures	50	$13,724	$5,647
Level 3 Urology and Related Services	50	$6,827	$2,138
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	44	$18,233	$3,602
Level 2 ICD and Similar Procedures	43	$131,024	$34,001
Level 4 Endovascular Procedures	42	$59,758	$18,107
Level 4 Musculoskeletal Procedures	41	$31,930	$7,585
Level 5 Urology and Related Services	41	$19,421	$5,486
Level 3 Airway Endoscopy	35	$6,691	$1,572
Level 2 Pacemaker and Similar Procedures	34	$31,180	$8,787

Against the New York average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), St Joseph's Hospital Health Center charged $53,007 on average, 55% less than the New York average of $116,930, and was paid $19,117 against a state average of $24,426. For Heart Failure and Shock with MCC (DRG 291), St Joseph's Hospital Health Center charged $34,135 on average, 58% less than the New York average of $81,161, and was paid $12,300 against a state average of $16,034. For Endovascular Cardiac Valve Replacement and Supplement Procedures without MCC (DRG 267), St Joseph's Hospital Health Center charged $136,697 on average, 39% less than the New York average of $225,176, and was paid $43,868 against a state average of $54,006. For Percutaneous Cardiovascular Procedures with Intraluminal Device without MCC (DRG 322), St Joseph's Hospital Health Center charged $55,465 on average, 46% less than the New York average of $102,482, and was paid $18,717 against a state average of $22,289. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $12,362 was 51% below the state average of $25,359. For Level 2 Vascular Procedures (outpatient APC 5182), its average charge of $3,454 was 62% below the state average of $9,109. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $12,378 was 54% below the state average of $26,675. For Level 2 Endovascular Procedures (outpatient APC 5192), its average charge of $15,073 was 55% below the state average of $33,460.

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.