St Josephs Hospital and Medical Center
St. Joseph's Hospital and Medical Center in Phoenix charges 6.1x the Medicare reimbursement rate on average across 120 analyzed procedures at this nonprofit religious facility.
Phoenix, AZ 85013 · Acute Care Hospitals · CMS Rating: 3/5
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.
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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
6.11x
Charge / Medicare rate
Max markup
9.57x
Worst procedure
Procedures analyzed
120
With pricing data
Outlier procedures
0.8%
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 |
|---|---|---|---|---|---|
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $52,110 | $26,055 | — | 9.6x |
| BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | 519 | $148,664 | $74,332 | — | 8.9x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $113,028 | $56,514 | — | 8.6x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $211,732 | $105,866 | — | 8.6x |
| OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | 517 | $108,925 | $54,462 | — | 8.4x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | 071 | $68,989 | $34,495 | — | 8.3x |
| CERVICAL SPINAL FUSION WITHOUT CC/MCC | 473 | $163,132 | $81,566 | — | 8.3x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $134,542 | $67,271 | — | 8.3x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $164,156 | $82,078 | — | 8.2x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | 027 | $161,404 | $80,702 | — | 8x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $23,670 | $11,835 | — | 7.9x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $45,756 | $22,878 | — | 7.9x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | 026 | $185,401 | $92,700 | — | 7.8x |
| LUNG TRANSPLANT | 007 | $854,711 | $427,356 | — | 7.8x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | 057 | $83,059 | $41,529 | — | 7.5x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $63,495 | $31,748 | — | 7.5x |
| TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | 087 | $56,860 | $28,430 | — | 7.4x |
| TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | 086 | $78,858 | $39,429 | — | 7.3x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $55,032 | $27,516 | — | 7.3x |
| STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | 328 | $100,524 | $50,262 | — | 7.3x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | 025 | $276,921 | $138,460 | — | 7.2x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $76,071 | $38,035 | — | 7.2x |
| PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | 406 | $180,645 | $90,322 | — | 7.1x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | 091 | $106,265 | $53,133 | — | 7x |
| CERVICAL SPINAL FUSION WITH CC | 472 | $167,879 | $83,939 | — | 7x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $102,015 | $51,008 | — | 7x |
| STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | 327 | $146,608 | $73,304 | — | 6.9x |
| COMPLICATIONS OF TREATMENT WITH MCC | 919 | $115,139 | $57,570 | — | 6.9x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $212,418 | $106,209 | — | 6.9x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $126,138 | $63,069 | — | 6.8x |
| SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE | 457 | $370,712 | $185,356 | — | 6.8x |
| EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | 982 | $136,460 | $68,230 | — | 6.8x |
| TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | 083 | $78,338 | $39,169 | — | 6.7x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $59,372 | $29,686 | — | 6.6x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | 070 | $97,995 | $48,998 | — | 6.6x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $51,424 | $25,712 | — | 6.6x |
| ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | 614 | $134,787 | $67,393 | — | 6.6x |
| OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | 205 | $109,759 | $54,880 | — | 6.5x |
| MAJOR CHEST PROCEDURES WITHOUT CC/MCC | 165 | $105,013 | $52,507 | — | 6.5x |
| SYNCOPE AND COLLAPSE | 312 | $65,257 | $32,628 | — | 6.5x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $38,587 | $19,294 | — | 6.5x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $52,187 | $26,093 | — | 6.4x |
| STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | 326 | $259,941 | $129,970 | — | 6.4x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $232,149 | $116,075 | — | 6.4x |
| SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | 029 | $189,265 | $94,633 | — | 6.3x |
| PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | 274 | $176,209 | $88,105 | — | 6.3x |
| MEDICAL BACK PROBLEMS WITH MCC | 551 | $82,127 | $41,064 | — | 6.3x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $104,679 | $52,340 | — | 6.2x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $48,768 | $24,384 | — | 6.2x |
| ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NEC | 003 | $977,430 | $488,715 | — | 6.2x |
Showing 50 of 120 procedures
How ST JOSEPHS HOSPITAL AND MEDICAL CENTER 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.
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