Saint Joseph Medical Center
Saint Joseph Medical Center in Joliet, Illinois charges 7.8x the Medicare reimbursement rate on average across 95 analyzed procedures at this nonprofit religious hospital.
Joliet, IL 60435 · Acute Care Hospitals · CMS Rating: 1/5
About the analyst
Priya Iyengar leads the billing code review team at BillRazor Research. She analyzes NCCI bundling edits, DRG coding, and regional rate variation. Expertise: NCCI bundling, DRG analysis, regional pricing.
No credit card required. Results in 60 seconds.
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
7.82x
Charge / Medicare rate
Max markup
13.53x
Worst procedure
Procedures analyzed
95
With pricing data
Outlier procedures
0%
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 |
|---|---|---|---|---|---|
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $52,718 | $26,359 | — | 13.5x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $34,702 | $17,351 | — | 13.2x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $38,018 | $19,009 | — | 13x |
| SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | 195 | $41,322 | $20,661 | — | 12.7x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $75,990 | $37,995 | — | 11.8x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $70,446 | $35,223 | — | 11x |
| SEIZURES WITHOUT MCC | 101 | $62,453 | $31,226 | — | 10.7x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | 236 | $233,140 | $116,570 | — | 10.5x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $63,756 | $31,878 | — | 10.2x |
| SYNCOPE AND COLLAPSE | 312 | $54,792 | $27,396 | — | 10.1x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $61,423 | $30,712 | — | 9.7x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $41,151 | $20,576 | — | 9.5x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $112,110 | $56,055 | — | 9.5x |
| DIABETES WITH CC | 638 | $49,827 | $24,913 | — | 9.4x |
| LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | 493 | $145,096 | $72,548 | — | 9.3x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $41,865 | $20,933 | — | 9.2x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $50,072 | $25,036 | — | 9.1x |
| BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | 554 | $46,211 | $23,106 | — | 9.1x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $45,776 | $22,888 | — | 9.1x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $47,089 | $23,545 | — | 9.1x |
| OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | 516 | $114,073 | $57,036 | — | 8.8x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $52,299 | $26,149 | — | 8.8x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $110,781 | $55,390 | — | 8.8x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $44,034 | $22,017 | — | 8.8x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $117,723 | $58,862 | — | 8.7x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $51,646 | $25,823 | — | 8.6x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $121,051 | $60,526 | — | 8.5x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $101,268 | $50,634 | — | 8.3x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $161,438 | $80,719 | — | 8.1x |
| OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | 565 | $49,657 | $24,829 | — | 8.1x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $38,371 | $19,186 | — | 8.1x |
| DIABETES WITH MCC | 637 | $70,057 | $35,029 | — | 8x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $64,594 | $32,297 | — | 8x |
| TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | 086 | $66,397 | $33,199 | — | 7.9x |
| CELLULITIS WITHOUT MCC | 603 | $40,524 | $20,262 | — | 7.9x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $164,293 | $82,147 | — | 7.9x |
| OTHER VASCULAR PROCEDURES WITH CC | 253 | $133,014 | $66,507 | — | 7.8x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $61,962 | $30,981 | — | 7.8x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $155,239 | $77,620 | — | 7.8x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | 315 | $44,326 | $22,163 | — | 7.8x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $76,892 | $38,446 | — | 7.7x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | 235 | $327,201 | $163,601 | — | 7.5x |
| RENAL FAILURE WITH CC | 683 | $44,040 | $22,020 | — | 7.5x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $57,322 | $28,661 | — | 7.5x |
| OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | 564 | $71,973 | $35,987 | — | 7.5x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $196,427 | $98,213 | — | 7.4x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $44,823 | $22,412 | — | 7.4x |
| CELLULITIS WITH MCC | 602 | $72,807 | $36,404 | — | 7.4x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $49,130 | $24,565 | — | 7.4x |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $37,824 | $18,912 | — | 7.4x |
Showing 50 of 95 procedures
Got a bill from SAINT JOSEPH MEDICAL CENTER?
Upload your bill and our AI compares every line item against these benchmark prices. Free analysis in 60 seconds. You only pay if we find savings.
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
How do nonprofit religious hospital charges compare to Medicare rates?
What does a 5.4x Medicare markup mean for my medical bills?
Are nonprofit religious hospitals required to offer financial assistance?
How can I find out the actual charges at a specific nonprofit religious hospital?
Related pricing data
Got a bill from Saint Joseph Medical Center?
Free guides to help you take action
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