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Providence St Joseph Hospital

Providence St Joseph Hospital in Eureka, CA charges 7.4x the Medicare reimbursement rate on average, with 19% of analyzed procedures showing significant price variations.

Eureka, CA 95501 · Acute Care Hospitals · CMS Rating: 3/5

By Elena Vasquez , Medical Billing Research Lead · ·
Data from CMS files published FY 2024 CMS IPPS. Refreshed weekly.
About the analyst

Elena Vasquez leads hospital billing pattern analysis at BillRazor Research. She focuses on identifying overcharges, markup outliers, and patient advocacy strategies. Expertise: hospital billing patterns, overcharge analysis, patient advocacy.

53 procedures analyzed
CMS price transparency data
Updated 2026-04-03
Median 5.2x3.0x15.0x
7.4x
Medicare markup ratio
CA lowestProvidence St Joseph H...CA highest
7.4x
Avg markup ratio
7.1x
Median markup
53
Procedures
19%
Outlier procedures
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Pricing grade

D

High

Avg markup vs Medicare

7.41x

Charge / Medicare rate

Max markup

10.83x

Worst procedure

Procedures analyzed

53

With pricing data

Outlier procedures

18.9%

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.

ProcedureCodeGross chargeCash priceMedicareMarkup
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC310$49,798$24,89910.8x
ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC897$85,575$42,78810.8x
OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC394$84,097$42,04810.6x
ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC392$68,280$34,14010.3x
GASTROINTESTINAL HEMORRHAGE WITH CC378$86,856$43,4289.7x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC309$55,890$27,9459.5x
KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC690$64,304$32,1529.4x
POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC917$113,815$56,9079.2x
MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC640$100,753$50,3769.1x
SYNCOPE AND COLLAPSE312$67,492$33,7469.1x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC872$79,241$39,6209.1x
ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC391$100,972$50,4868.9x
DIABETES WITH CC638$65,369$32,6848.9x
INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC854$157,730$78,8658.7x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS065$72,291$36,1468.7x
CELLULITIS WITHOUT MCC603$63,901$31,9508.5x
HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC522$155,888$77,9448.2x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC308$82,566$41,2838.1x
MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC330$170,334$85,1677.9x
PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE175$86,535$43,2687.7x
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC482$107,263$53,6317.6x
OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC271$257,556$128,7787.5x
EXTRACRANIAL PROCEDURES WITHOUT CC/MCC039$75,987$37,9937.5x
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC281$59,619$29,8107.4x
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC481$136,235$68,1187.2x
EXTRACRANIAL PROCEDURES WITH CC038$107,541$53,7717.2x
OTHER VASCULAR PROCEDURES WITH CC253$181,219$90,6107.1x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O246$195,250$97,6257.1x
KIDNEY AND URINARY TRACT INFECTIONS WITH MCC689$71,727$35,8637x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC871$129,716$64,8587x
RENAL FAILURE WITH MCC682$94,232$47,1166.9x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC247$117,051$58,5266.9x
SIMPLE PNEUMONIA AND PLEURISY WITH MCC193$80,428$40,2146.8x
RENAL FAILURE WITH CC683$53,407$26,7046.7x
HEART FAILURE AND SHOCK WITH MCC291$79,234$39,6176.7x
PULMONARY EDEMA AND RESPIRATORY FAILURE189$69,235$34,6176.6x
MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC329$335,617$167,8086.6x
GASTROINTESTINAL HEMORRHAGE WITH MCC377$109,940$54,9706.5x
OTHER VASCULAR PROCEDURES WITH MCC252$199,341$99,6706.5x
CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC190$61,666$30,8336.4x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC064$107,199$53,5996.2x
ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC896$101,259$50,6306.1x
HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC521$161,600$80,8006x
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC480$154,432$77,2165.9x
INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC853$320,401$160,2015.8x
OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC698$82,257$41,1285.8x
LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC493$118,221$59,1105.8x
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC280$83,886$41,9435.8x
MAJOR CHEST PROCEDURES WITH MCC163$239,756$119,8785.6x
RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC177$92,666$46,3335.3x

Showing 50 of 53 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.

Rates shown are from the 2026 Medicare Physician Fee Schedule and CMS IPPS. BillRazor compares your bill against these data sources. See how it works →

Related pricing data

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

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