Kansas / Stormont Vail Hospital
CMS certification 170086 · Topeka, KS · 4 entries in CMS's price-transparency list
Stormont Vail Hospital: charges and Medicare payments
Stormont Vail Hospital reported 5,600 Medicare inpatient stays across 143 DRGs in 2024. Across them it charged 4.72 times what it was paid — among the higher ratios in Kansas, number 9 of 36 hospitals with at least 100 stays (state median 3.35×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 645 stays at an average charge of $64,792, 28% below the national average. It also billed 5,554 outpatient services, charging 6.3 times what Medicare paid.
- 1Medicare inpatient stays 5,600
- 2Charge ÷ paid, inpatient 4.72×
- 3Rank in KS (highest ratio = 1) 9 of 36
- 4CMS price-transparency actions 4
Inpatient stays
For the 143 DRGs that can be compared with the national average, Stormont Vail Hospital charged more than the national average in 5 (3%). 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 | 645 | $64,792 | -28% | $13,735 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 256 | $79,659 | -49% | $21,938 |
| 291 Heart Failure and Shock with MCC | 237 | $45,527 | -19% | $9,114 |
| 885 Psychoses | 189 | $16,330 | -63% | $9,594 |
| 189 Pulmonary Edema and Respiratory Failure | 184 | $41,453 | -28% | $9,212 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 125 | $37,929 | -23% | $7,627 |
| 177 Respiratory Infections and Inflammations with MCC | 124 | $55,370 | -22% | $11,907 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 99 | $165,738 | -28% | $35,934 |
| 378 Gastrointestinal Hemorrhage with CC | 88 | $33,512 | -31% | $7,050 |
| 690 Kidney and Urinary Tract Infections without MCC | 85 | $34,843 | -8% | $5,924 |
| 193 Simple Pneumonia and Pleurisy with MCC | 83 | $49,052 | -18% | $10,322 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 80 | $46,767 | -16% | $7,252 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 77 | $70,048 | -8% | $12,723 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 76 | $69,148 | -31% | $13,669 |
| 481 Hip and Femur Procedures except Major Joint with CC | 74 | $66,601 | -34% | $14,449 |
| 689 Kidney and Urinary Tract Infections with MCC | 71 | $44,044 | -14% | $8,358 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 66 | $35,969 | -3% | $6,420 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 64 | $49,562 | -18% | $9,558 |
| 552 Medical Back Problems without MCC | 62 | $35,362 | -28% | $6,867 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 59 | $35,624 | -11% | $5,718 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 55 | $32,751 | -9% | $5,721 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 53 | $118,708 | +4% | $13,115 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 53 | $70,571 | -31% | $14,574 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 50 | $39,382 | -30% | $8,733 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 49 | $48,573 | -24% | $8,041 |
| 377 Gastrointestinal Hemorrhage with MCC | 49 | $61,789 | -28% | $11,994 |
| 682 Renal Failure with MCC | 49 | $44,732 | -32% | $10,965 |
| 683 Renal Failure with CC | 47 | $28,830 | -29% | $6,402 |
| 603 Cellulitis without MCC | 42 | $30,304 | -19% | $7,704 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 41 | $48,519 | -26% | $9,744 |
| 329 Major Small and Large Bowel Procedures with MCC | 41 | $149,716 | -30% | $31,258 |
| 516 Other Musculoskeletal System and Connective Tissue O.R.... | 41 | $63,996 | -37% | $14,043 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 41 | $60,386 | -18% | $11,400 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 38 | $155,829 | -5% | $22,010 |
| 389 Gastrointestinal Obstruction with CC | 38 | $32,163 | -17% | $6,347 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 37 | $111,893 | -49% | $34,395 |
| 638 Diabetes with CC | 37 | $29,760 | -29% | $7,103 |
| 467 Revision of Hip or Knee Replacement with CC | 36 | $121,811 | -23% | $25,917 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 36 | $67,304 | -28% | $15,106 |
| 330 Major Small and Large Bowel Procedures with CC | 35 | $79,922 | -33% | $18,388 |
| 100 Seizures with MCC | 34 | $67,791 | -28% | $13,520 |
| 194 Simple Pneumonia and Pleurisy with CC | 34 | $36,222 | -6% | $5,804 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 34 | $83,671 | -38% | $18,346 |
| 086 Traumatic Stupor and Coma <1 Hour with CC | 33 | $47,631 | -30% | $9,121 |
| 178 Respiratory Infections and Inflammations with CC | 33 | $42,315 | -7% | $7,490 |
| 180 Respiratory Neoplasms with MCC | 33 | $73,146 | -17% | $12,178 |
| 312 Syncope and Collapse | 33 | $38,489 | -15% | $6,313 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 33 | $84,294 | -39% | $19,204 |
| 854 Infectious and Parasitic Diseases with O.R. Procedures with... | 33 | $71,921 | -27% | $15,923 |
| 884 Organic Disturbances and Intellectual Disability | 33 | $44,847 | -28% | $10,769 |
| 101 Seizures without MCC | 31 | $33,756 | -31% | $6,579 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 30 | $65,710 | -41% | $16,243 |
| 493 Lower Extremity and Humerus Procedures except Hip, Foot and... | 30 | $76,358 | -36% | $16,238 |
| 637 Diabetes with MCC | 29 | $51,396 | -23% | $10,392 |
| 418 Laparoscopic Cholecystectomy without C.D.E. with CC | 28 | $57,845 | -38% | $12,185 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 27 | $38,830 | -23% | $6,580 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 27 | $234,556 | -27% | $54,454 |
| 057 Degenerative Nervous System Disorders without MCC | 26 | $39,932 | -29% | $9,407 |
| 242 Permanent Cardiac Pacemaker Implant with MCC | 26 | $114,234 | -29% | $23,064 |
| 243 Permanent Cardiac Pacemaker Implant with CC | 26 | $87,316 | -21% | $16,782 |
Showing the 60 most frequent of 143 DRGs.
Outpatient services
Against the Kansas average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Stormont Vail Hospital charged $64,792 on average, 24% less than the Kansas average of $85,277, and was paid $13,735 against a state average of $15,541. For Percutaneous and Other Intracardiac Procedures without MCC (DRG 274), Stormont Vail Hospital charged $79,659 on average, 38% less than the Kansas average of $127,669, and was paid $21,938 against a state average of $24,155. For Heart Failure and Shock with MCC (DRG 291), Stormont Vail Hospital charged $45,527 on average, 14% less than the Kansas average of $52,685, and was paid $9,114 against a state average of $10,293. For Psychoses (DRG 885), Stormont Vail Hospital charged $16,330 on average, 56% less than the Kansas average of $36,993, and was paid $9,594 against a state average of $12,028. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $48,350 was 9% below the state average of $53,168. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $24,840 was 10% above the state average of $22,571. For Level 3 Electrophysiologic Procedures (outpatient APC 5213), its average charge of $121,294 was 32% below the state average of $177,128. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $27,625 was 15% below the state average of $32,564.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Stormont Vail Hospital in Topeka, KS, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- CAP Request — 2023-10-05 (CMS case 1066)
- Closure Notice — 2023-12-01 (CMS case 1066)
- Warning Notice — 2025-04-22 (CMS case 3964)
- Closure Notice — 2025-05-02 (CMS case 3964)
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.