New York / St Joseph's Medical Center
CMS certification 330006 · Yonkers, NY · 6 entries in CMS's price-transparency list
St Joseph's Medical Center: charges and Medicare payments
St Joseph's Medical Center reported 202 Medicare inpatient stays across 9 DRGs in 2024. Across them it charged 3.83 times what it was paid — mid-range in New York, number 49 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: 62 stays at an average charge of $108,028, 20% above the national average. It also billed 253 outpatient services, charging 3.61 times what Medicare paid.
- 1Medicare inpatient stays 202
- 2Charge ÷ paid, inpatient 3.83×
- 3Rank in NY (highest ratio = 1) 49 of 123
- 4CMS price-transparency actions 6
Inpatient stays
For the 9 DRGs that can be compared with the national average, St Joseph's Medical Center charged more than the national average in 6 (67%). 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 | 62 | $108,028 | +20% | $25,597 |
| 895 Alcohol, Drug Abuse or Dependence with Rehabilitation... | 26 | $22,846 | -33% | $21,142 |
| 193 Simple Pneumonia and Pleurisy with MCC | 25 | $101,270 | +69% | $16,386 |
| 689 Kidney and Urinary Tract Infections with MCC | 19 | $58,343 | +14% | $15,759 |
| 682 Renal Failure with MCC | 17 | $70,856 | +7% | $19,368 |
| 177 Respiratory Infections and Inflammations with MCC | 14 | $95,301 | +35% | $21,738 |
| 291 Heart Failure and Shock with MCC | 14 | $74,281 | +32% | $15,667 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 14 | $186,256 | -19% | $51,376 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 11 | $63,505 | -32% | $21,526 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 65 | $19,419 | $3,115 |
| Level 4 Urology and Related Services | 46 | $12,406 | $3,967 |
| Level 3 Musculoskeletal Procedures | 38 | $8,311 | $3,683 |
| Level 4 Musculoskeletal Procedures | 21 | $12,592 | $8,140 |
| Level 5 Musculoskeletal Procedures | 21 | $27,744 | $14,948 |
| Level 1 Nerve Procedures | 18 | $6,647 | $2,197 |
| Level 3 Urology and Related Services | 17 | $6,969 | $2,209 |
| Level 3 Vascular Procedures | 14 | $17,243 | $3,627 |
| Level 5 Urology and Related Services | 13 | $9,651 | $5,888 |
Against the New York average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), St Joseph's Medical Center charged $108,028 on average, 8% less than the New York average of $116,930, and was paid $25,597 against a state average of $24,426. For Alcohol, Drug Abuse or Dependence with Rehabilitation Therapy (DRG 895), St Joseph's Medical Center charged $22,846 on average, 72% less than the New York average of $82,693, and was paid $21,142 against a state average of $17,436. For Simple Pneumonia and Pleurisy with MCC (DRG 193), St Joseph's Medical Center charged $101,270 on average, 31% more than the New York average of $77,177, and was paid $16,386 against a state average of $15,976. For Kidney and Urinary Tract Infections with MCC (DRG 689), St Joseph's Medical Center charged $58,343 on average, 23% less than the New York average of $75,577, and was paid $15,759 against a state average of $14,604. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $19,419 was 27% below the state average of $26,675. For Level 4 Urology and Related Services (outpatient APC 5374), its average charge of $12,406 was 39% below the state average of $20,339. For Level 3 Musculoskeletal Procedures (outpatient APC 5113), its average charge of $8,311 was 60% below the state average of $20,797. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $12,592 was 69% below the state average of $40,421.
Price-transparency record
CMS's enforcement list records these actions for a hospital named St Joseph's Medical Center in Yonkers, NY, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2023-05-03 (CMS case 1577)
- CAP Request — 2023-08-18 (CMS case 1577)
- Closure Notice — 2024-03-14 (CMS case 1577)
- Warning Notice — 2025-09-23 (CMS case 6670)
- CAP Request — 2025-12-29 (CMS case 6670)
- Closure Notice — 2026-02-24 (CMS case 6670)
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.