Providence Saint Joseph Medical Ctr
Providence Saint Joseph Medical Center in Burbank, CA charges 7.5x the Medicare reimbursement rate on average across 99 analyzed procedures at this nonprofit religious hospital.
Burbank, CA 91505 · Acute Care Hospitals · CMS Rating: 3/5
About the analyst
David Park researches procedure pricing and insurance reimbursement patterns at BillRazor Research. He specializes in cost comparison across care settings and metropolitan areas. Expertise: procedure pricing, insurance reimbursement, cost comparison.
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Billing patterns — nonprofit-religious
Nonprofit religious hospitals, representing 203 facilities in the dataset, demonstrate an average markup of 5.4x Medicare rates, positioning them in the mid-range compared to other ownership types. These institutions typically maintain standardized charge structures across their health system networks, often reflecting their mission-driven approach to healthcare delivery. Patients at nonprofit religious hospitals may encounter charges above the benchmark for routine procedures, though many offer financial assistance programs and charity care policies that can significantly reduce out-of-pocket expenses for qualifying individuals. Common billing patterns include transparent pricing for elective procedures and comprehensive financial counseling services. The potential difference between listed charges and actual patient responsibility can be substantial, particularly for uninsured patients who may qualify for sliding-scale payment options. Patients should inquire about available financial assistance programs during the admissions process, as these hospitals often have more flexible payment arrangements compared to for-profit facilities, reflecting their tax-exempt status and community benefit obligations.
Pricing grade
D
High
Avg markup vs Medicare
7.5x
Charge / Medicare rate
Max markup
11.92x
Worst procedure
Procedures analyzed
99
With pricing data
Outlier procedures
14.1%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| NERVOUS SYSTEM NEOPLASMS WITH MCC | 054 | $143,003 | $71,502 | — | 11.9x |
| PLEURAL EFFUSION WITH MCC | 186 | $137,588 | $68,794 | — | 11.4x |
| CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | 074 | $97,871 | $48,936 | — | 11.2x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $55,165 | $27,583 | — | 10.5x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $35,904 | $17,952 | — | 10x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $56,830 | $28,415 | — | 9.8x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $77,810 | $38,905 | — | 9.8x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $63,401 | $31,701 | — | 9.7x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $75,302 | $37,651 | — | 9.6x |
| RENAL FAILURE WITHOUT CC/MCC | 684 | $42,561 | $21,281 | — | 9.6x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $71,521 | $35,760 | — | 9.6x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $64,674 | $32,337 | — | 9.4x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $56,917 | $28,459 | — | 9.2x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $94,581 | $47,291 | — | 9.2x |
| PERIPHERAL VASCULAR DISORDERS WITH CC | 300 | $76,745 | $38,373 | — | 9.1x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $94,407 | $47,204 | — | 9.1x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $99,505 | $49,752 | — | 9.1x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $154,792 | $77,396 | — | 9.1x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $63,079 | $31,540 | — | 8.9x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $114,976 | $57,488 | — | 8.9x |
| PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | 543 | $72,942 | $36,471 | — | 8.9x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $405,149 | $202,574 | — | 8.9x |
| SEIZURES WITHOUT MCC | 101 | $67,357 | $33,679 | — | 8.9x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $69,829 | $34,915 | — | 8.8x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | 661 | $74,651 | $37,325 | — | 8.7x |
| GASTROINTESTINAL OBSTRUCTION WITH MCC | 388 | $100,612 | $50,306 | — | 8.7x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | 659 | $173,783 | $86,892 | — | 8.6x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $62,974 | $31,487 | — | 8.4x |
| RENAL FAILURE WITH MCC | 682 | $108,642 | $54,321 | — | 8.4x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $80,702 | $40,351 | — | 8.4x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $61,228 | $30,614 | — | 8.3x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $50,073 | $25,037 | — | 8.2x |
| MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | 435 | $127,705 | $63,852 | — | 8.1x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $136,162 | $68,081 | — | 8.1x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $136,994 | $68,497 | — | 7.9x |
| BRONCHITIS AND ASTHMA WITH CC/MCC | 202 | $59,918 | $29,959 | — | 7.9x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $43,255 | $21,627 | — | 7.9x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $202,729 | $101,365 | — | 7.8x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | 070 | $137,262 | $68,631 | — | 7.8x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $66,563 | $33,281 | — | 7.7x |
| RED BLOOD CELL DISORDERS WITH MCC | 811 | $108,444 | $54,222 | — | 7.7x |
| SYNCOPE AND COLLAPSE | 312 | $53,927 | $26,964 | — | 7.7x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | 091 | $112,546 | $56,273 | — | 7.6x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $60,921 | $30,461 | — | 7.6x |
| SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | 870 | $545,124 | $272,562 | — | 7.6x |
| OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | 673 | $337,295 | $168,647 | — | 7.5x |
| DIABETES WITH MCC | 637 | $80,809 | $40,405 | — | 7.4x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $46,760 | $23,380 | — | 7.4x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $58,749 | $29,375 | — | 7.4x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $132,605 | $66,303 | — | 7.3x |
Showing 50 of 99 procedures
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
FAQ — nonprofit-religious hospital billing
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use