St Johns Hospital
ST JOHNS HOSPITAL in Springfield, IL charges 6.2x the Medicare reimbursement rate across 113 analyzed procedures, according to our analysis of this nonprofit-religious facility's pricing data.
Springfield, IL 62769 · Acute Care Hospitals · CMS Rating: 3/5
About the analyst
Michael Glenn reviews CMS datasets and drug pricing at BillRazor Research. He focuses on NADAC acquisition costs and procedure coding accuracy. Expertise: drug pricing, NADAC data, CPT coding.
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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
6.15x
Charge / Medicare rate
Max markup
9.55x
Worst procedure
Procedures analyzed
113
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 |
|---|---|---|---|---|---|
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $72,843 | $36,422 | — | 9.6x |
| EXTRACRANIAL PROCEDURES WITH CC | 038 | $96,767 | $48,384 | — | 9.4x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $35,310 | $17,655 | — | 9.2x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $31,647 | $15,824 | — | 8.9x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $43,045 | $21,522 | — | 8.8x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $39,881 | $19,940 | — | 8.6x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $37,812 | $18,906 | — | 8.4x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | 315 | $40,697 | $20,348 | — | 8.4x |
| OTHER VASCULAR PROCEDURES WITH MCC | 252 | $174,143 | $87,072 | — | 8.1x |
| MEDICAL BACK PROBLEMS WITH MCC | 551 | $74,702 | $37,351 | — | 7.7x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $44,681 | $22,341 | — | 7.6x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $73,919 | $36,959 | — | 7.6x |
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | 234 | $252,067 | $126,033 | — | 7.6x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $49,112 | $24,556 | — | 7.6x |
| POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | 863 | $45,794 | $22,897 | — | 7.5x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $88,266 | $44,133 | — | 7.4x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $37,960 | $18,980 | — | 7.3x |
| CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION | 220 | $249,292 | $124,646 | — | 7.2x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | 236 | $200,143 | $100,072 | — | 7.2x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $109,349 | $54,675 | — | 7.2x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $91,577 | $45,788 | — | 7.1x |
| KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | 658 | $64,070 | $32,035 | — | 7.1x |
| CHEST PAIN | 313 | $26,983 | $13,492 | — | 6.9x |
| TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | 087 | $33,016 | $16,508 | — | 6.9x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | 661 | $42,118 | $21,059 | — | 6.9x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $56,726 | $28,363 | — | 6.8x |
| EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | 982 | $91,695 | $45,848 | — | 6.8x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | 244 | $71,159 | $35,579 | — | 6.8x |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $41,993 | $20,996 | — | 6.7x |
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | 233 | $349,897 | $174,949 | — | 6.7x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $32,410 | $16,205 | — | 6.7x |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | 438 | $72,450 | $36,225 | — | 6.7x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | 242 | $152,013 | $76,007 | — | 6.6x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | 235 | $259,095 | $129,548 | — | 6.6x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $17,044 | $8,522 | — | 6.6x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $35,466 | $17,733 | — | 6.5x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $125,972 | $62,986 | — | 6.5x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $81,748 | $40,874 | — | 6.5x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | 393 | $75,579 | $37,790 | — | 6.4x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | 243 | $94,071 | $47,035 | — | 6.4x |
| COAGULATION DISORDERS | 813 | $72,121 | $36,060 | — | 6.4x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $29,226 | $14,613 | — | 6.3x |
| TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | 085 | $89,793 | $44,896 | — | 6.3x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $45,802 | $22,901 | — | 6.3x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | 482 | $59,507 | $29,753 | — | 6.2x |
| OTHER VASCULAR PROCEDURES WITH CC | 253 | $107,733 | $53,866 | — | 6.2x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $106,648 | $53,324 | — | 6.2x |
| TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | 086 | $49,862 | $24,931 | — | 6.1x |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $28,038 | $14,019 | — | 6.1x |
| OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | 229 | $136,581 | $68,291 | — | 6.1x |
Showing 50 of 113 procedures
How ST JOHNS HOSPITAL compares to nearby hospitals
Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.
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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.
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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