▸ Hospital · · CCN 059816
St Joseph Hospital
Compliance grade
C
77/100
Procedures tracked
47
of 209 target codes
Payers
11
with negotiated rates
Rates published
814
last crawl 2026-05-22
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 11 | — | — | $15,260 | $15,260 | $45,826 |
| inpatient | ||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 11 | — | — | $21,761 | $21,761 | $64,670 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 11 | — | — | $11,170 | $11,170 | $33,065 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 11 | — | — | $7,720.31 | $7,720.31 | $22,378 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 11 | — | — | $17,016 | $17,016 | $52,556 |
| COPD w MCC | MS-DRG | 190 | 11 | — | — | $12,200 | $12,200 | $36,521 |
| COPD w CC | MS-DRG | 191 | 11 | — | — | $9,398.91 | $9,398.91 | $27,931 |
| COPD w/o CC/MCC | MS-DRG | 192 | 11 | — | — | $7,271.56 | $7,271.56 | $21,042 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 11 | — | — | $9,006.25 | $9,006.25 | $26,660 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 11 | — | — | $7,128.68 | $7,128.68 | $20,248 |
| AMI discharged alive w MCC | MS-DRG | 280 | 11 | — | — | $17,454 | $17,454 | $53,368 |
| AMI discharged alive w CC | MS-DRG | 281 | 11 | — | — | $10,204 | $10,204 | $29,970 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 11 | — | — | $8,129.91 | $8,129.91 | $23,574 |
| Heart failure & shock w MCC | MS-DRG | 291 | 11 | — | — | $14,064 | $14,064 | $42,425 |
| Heart failure & shock w CC | MS-DRG | 292 | 11 | — | — | $9,462.41 | $9,462.41 | $28,003 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 11 | — | — | $6,467.19 | $6,467.19 | $17,849 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 11 | — | — | $13,220 | $13,220 | $39,209 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 11 | — | — | $8,263.26 | $8,263.26 | $24,036 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 11 | — | — | $6,468.25 | $6,468.25 | $18,190 |
| GI hemorrhage w CC | MS-DRG | 378 | 11 | — | — | $10,856 | $10,856 | $32,054 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 11 | — | — | $7,148.79 | $7,148.79 | $20,697 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 11 | — | — | $8,727.89 | $8,727.89 | $25,369 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 11 | — | — | $17,069 | $17,069 | $49,574 |
| Kidney/UTI w MCC | MS-DRG | 689 | 11 | — | — | $12,757 | $12,757 | $38,052 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 11 | — | — | $9,044.35 | $9,044.35 | $26,094 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 11 | — | — | $21,036 | $21,036 | $63,798 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 11 | — | — | $11,307 | $11,307 | $33,520 |
| surgery | ||||||||
| PCI w drug-eluting stent w MCC | MS-DRG | 246 | 3 | — | — | $20,251 | $75,072 | $97,386 |
| PCI w drug-eluting stent w/o MCC | MS-DRG | 247 | 3 | — | — | $20,251 | $47,811 | $62,082 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 11 | — | — | $49,125 | $49,125 | $149,285 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 11 | — | — | $25,848 | $25,848 | $76,849 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 11 | — | — | $18,288 | $18,288 | $53,677 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 11 | — | — | $18,380 | $18,380 | $53,921 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 11 | — | — | $14,932 | $14,932 | $42,838 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 11 | — | — | $36,537 | $36,537 | $114,741 |
| Spinal fusion (non-cervical) w MCC | MS-DRG | 459 | 3 | — | — | $31,542 | $164,250 | $215,629 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG | 460 | 3 | — | — | $31,542 | $92,884 | $118,926 |
| Major joint replacement w MCC | MS-DRG | 469 | 11 | — | — | $32,580 | $32,580 | $106,265 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 11 | — | — | $20,892 | $20,892 | $61,301 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 11 | — | — | $19,288 | $31,300 | $95,618 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 11 | — | — | $19,288 | $22,645 | $67,459 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 11 | — | — | $17,739 | $17,739 | $51,577 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 11 | — | — | $31,036 | $31,036 | $88,641 |
| OR procedure for obesity w CC | MS-DRG | 620 | 11 | — | — | $17,414 | $17,414 | $51,918 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 11 | — | — | $16,441 | $16,441 | $47,523 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 11 | — | — | $13,608 | $13,608 | $38,969 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 11 | — | — | $22,164 | $22,164 | $63,525 |
Rate history available after the next quarterly refresh. We re-crawl all hospital MRFs each quarter to track rate changes over time.
Payer mix (top 11)
| Payer | Codes covered | Median rate |
|---|---|---|
| Health Net | 47 | $24,703 |
| Blue Cross Blue Shield | 47 | $20,813 |
| UnitedHealthcare | 47 | $29,223 |
| Aetna | 43 | $14,064 |
| Humana | 43 | $14,064 |
| Kaiser Permanente | 43 | $14,064 |
| Molina | 43 | $14,064 |
| scan | 43 | $14,064 |
| healthcare partners | 43 | $14,064 |
| central health plan | 43 | $14,064 |
| Empire BCBS | 43 | $14,064 |