St Vincent's Medical Center: charges and Medicare payments

St Vincent's Medical Center reported 1,732 Medicare inpatient stays across 59 DRGs in 2024. Across them it charged 3.76 times what it was paid — among the higher ratios in Connecticut, number 4 of 25 hospitals with at least 100 stays (state median 3.43×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 172 stays at an average charge of $76,489, 15% below the national average. It also billed 1,889 outpatient services, charging 4.94 times what Medicare paid.

1Medicare inpatient stays 1,732
2Charge ÷ paid, inpatient 3.76×
3Rank in CT (highest ratio = 1) 4 of 25
4CMS price-transparency actions 0

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

Inpatient stays

For the 59 DRGs that can be compared with the national average, St Vincent's Medical Center charged more than the national average in 12 (20%). 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	172	$76,489	-15%	$20,857
291 Heart Failure and Shock with MCC	144	$62,326	+11%	$13,252
274 Percutaneous and Other Intracardiac Procedures without MCC	101	$94,087	-40%	$32,418
177 Respiratory Infections and Inflammations with MCC	94	$68,409	-3%	$17,202
193 Simple Pneumonia and Pleurisy with MCC	71	$59,792	0%	$14,176
189 Pulmonary Edema and Respiratory Failure	52	$62,364	+8%	$13,622
689 Kidney and Urinary Tract Infections with MCC	49	$44,524	-13%	$12,398
267 Endovascular Cardiac Valve Replacement and Supplement...	44	$112,703	-49%	$47,605
470 Major Hip and Knee Joint Replacement or Reattachment of...	42	$65,897	-29%	$19,246
481 Hip and Femur Procedures except Major Joint with CC	35	$77,702	-23%	$23,141
682 Renal Failure with MCC	34	$60,605	-8%	$15,860
460 Spinal Fusion except Cervical without MCC	33	$178,412	+5%	$38,883
853 Infectious and Parasitic Diseases with O.R. Procedures with...	33	$247,107	+8%	$50,864
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	32	$98,711	-1%	$20,883
698 Other Kidney and Urinary Tract Diagnoses with MCC	31	$54,326	-26%	$17,256
280 Acute Myocardial Infarction, Discharged Alive with MCC	30	$75,266	-1%	$16,906
322 Percutaneous Cardiovascular Procedures with Intraluminal...	30	$99,603	-13%	$22,679
378 Gastrointestinal Hemorrhage with CC	30	$41,238	-15%	$10,562
603 Cellulitis without MCC	29	$36,117	-3%	$10,876
683 Renal Failure with CC	29	$48,492	+19%	$9,807
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	25	$48,629	-19%	$13,703
690 Kidney and Urinary Tract Infections without MCC	25	$35,392	-6%	$8,867
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	24	$48,791	-12%	$10,976
377 Gastrointestinal Hemorrhage with MCC	22	$54,669	-36%	$18,937
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	22	$32,393	-19%	$9,038
286 Circulatory Disorders except AMI, with Cardiac...	21	$115,784	+3%	$23,963
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	21	$39,057	+5%	$8,954
552 Medical Back Problems without MCC	20	$34,055	-30%	$9,905
321 Percutaneous Cardiovascular Procedures with Intraluminal...	19	$153,194	-6%	$33,002
309 Cardiac Arrhythmia and Conduction Disorders with CC	18	$33,144	-8%	$8,255
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	18	$72,338	-29%	$21,335
025 Craniotomy and Endovascular Intracranial Procedures with MCC	17	$210,807	-9%	$49,587
194 Simple Pneumonia and Pleurisy with CC	17	$30,994	-19%	$9,727
454 Combined Anterior and Posterior Spinal Fusion with CC	16	$219,482	-22%	$64,684
023 Craniotomy with Major Device Implant or Acute Complex Cns...	15	$227,142	-19%	$56,714
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	15	$73,389	+13%	$13,989
208 Respiratory System Diagnosis with Ventilator Support <=96...	15	$119,176	-12%	$29,955
243 Permanent Cardiac Pacemaker Implant with CC	15	$84,037	-24%	$23,055
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	15	$68,620	+12%	$17,365
394 Other Digestive System Diagnoses with CC	15	$43,265	-8%	$10,239
483 Major Joint or Limb Reattachment Procedures of Upper...	15	$92,783	-27%	$25,330
813 Coagulation Disorders	15	$47,482	-41%	$16,174
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	15	$57,636	+18%	$12,017
190 Chronic Obstructive Pulmonary Disease with MCC	14	$63,590	+26%	$11,691
312 Syncope and Collapse	14	$48,445	+6%	$12,502
699 Other Kidney and Urinary Tract Diagnoses with CC	14	$37,790	-20%	$10,492
234 Coronary Bypass with Cardiac Catheterization or Open...	13	$189,425	-30%	$56,169
308 Cardiac Arrhythmia and Conduction Disorders with MCC	13	$52,148	-8%	$14,133
812 Red Blood Cell Disorders without MCC	13	$40,963	-8%	$9,147
066 Intracranial Hemorrhage or Cerebral Infarction without...	12	$39,015	-8%	$7,769
236 Coronary Bypass without Cardiac Catheterization without MCC	12	$114,664	-46%	$42,676
266 Endovascular Cardiac Valve Replacement and Supplement...	12	$224,521	-21%	$68,012
287 Circulatory Disorders except AMI, with Cardiac...	12	$54,110	-15%	$10,742
468 Revision of Hip or Knee Replacement without CC/MCC	12	$67,861	-45%	$28,842
480 Hip and Femur Procedures except Major Joint with MCC	12	$93,795	-32%	$27,468
273 Percutaneous and Other Intracardiac Procedures with MCC	11	$108,922	-49%	$38,458
467 Revision of Hip or Knee Replacement with CC	11	$86,830	-45%	$30,283
482 Hip and Femur Procedures except Major Joint without CC/MCC	11	$67,904	-13%	$21,130
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis...	11	$144,775	-33%	$40,760

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	306	$19,342	$3,068
Level 5 Musculoskeletal Procedures	247	$51,188	$14,531
Level 1 Endovascular Procedures	193	$19,793	$3,622
Level 1 Laparoscopy and Related Services	101	$24,027	$6,299
Level 2 Excision/ Biopsy/ Incision and Drainage	88	$11,409	$1,797
Level 2 Upper GI Procedures	74	$10,116	$2,120
Level 3 Endovascular Procedures	72	$62,816	$12,225
Level 3 Urology and Related Services	71	$10,493	$2,295
Level 3 Electrophysiologic Procedures	69	$143,474	$26,676
Level 5 Urology and Related Services	66	$20,152	$5,828
Level 4 Urology and Related Services	55	$14,391	$3,870
Level 6 Musculoskeletal Procedures	44	$76,162	$20,939
Level 3 Pacemaker and Similar Procedures	44	$36,943	$11,776
Level 3 Excision/ Biopsy/ Incision and Drainage	43	$15,936	$2,918
Level 5 ENT Procedures	37	$21,634	$6,312
Level 4 Musculoskeletal Procedures	36	$32,122	$8,058
Level 2 Pacemaker and Similar Procedures	34	$34,621	$9,563
Level 3 Vascular Procedures	30	$17,146	$3,590
Level 2 Urology and Related Services	30	$1,747	$770
Level 1 Breast/Lymphatic Surgery and Related Procedures	28	$24,665	$4,171
Level 4 Vascular Procedures	27	$32,162	$6,190
Level 3 Musculoskeletal Procedures	26	$26,904	$3,646
Level 2 ICD and Similar Procedures	25	$93,659	$35,527
Level 2 Laparoscopy and Related Services	22	$41,055	$11,580
Level 3 Upper GI Procedures	21	$19,362	$4,159

Against the Connecticut average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), St Vincent's Medical Center charged $76,489 on average, 10% more than the Connecticut average of $69,366, and was paid $20,857 against a state average of $20,799. For Heart Failure and Shock with MCC (DRG 291), St Vincent's Medical Center charged $62,326 on average, 21% more than the Connecticut average of $51,456, and was paid $13,252 against a state average of $13,920. For Percutaneous and Other Intracardiac Procedures without MCC (DRG 274), St Vincent's Medical Center charged $94,087 on average, 2% less than the Connecticut average of $95,675, and was paid $32,418 against a state average of $35,873. For Respiratory Infections and Inflammations with MCC (DRG 177), St Vincent's Medical Center charged $68,409 on average, 22% more than the Connecticut average of $55,851, and was paid $17,202 against a state average of $17,501. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $19,342 was 18% below the state average of $23,465. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $51,188 was 3% above the state average of $49,698. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $19,793 was 7% below the state average of $21,352. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $24,027 was 22% below the state average of $30,904.

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.