St Mary Medical Center Inc
ST MARY MEDICAL CENTER INC in Hobart, Indiana charges 5.4x the Medicare reimbursement rate on average across 59 analyzed procedures at this nonprofit-private hospital.
Hobart, IN 46342 · Acute Care Hospitals · CMS Rating: 3/5
About the analyst
Kevin Nyk analyzes hospital pricing data at BillRazor Research. He specializes in Medicare reimbursement patterns and chargemaster pricing across U.S. hospitals. Expertise: hospital pricing, Medicare rates, chargemaster analysis.
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Pricing grade
D
High
Avg markup vs Medicare
5.42x
Charge / Medicare rate
Max markup
8.09x
Worst procedure
Procedures analyzed
59
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 |
|---|---|---|---|---|---|
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $73,143 | $36,572 | — | 8.1x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $51,556 | $25,778 | — | 7.9x |
| SEIZURES WITHOUT MCC | 101 | $38,881 | $19,441 | — | 7.3x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $33,995 | $16,997 | — | 6.8x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $29,191 | $14,595 | — | 6.7x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $27,824 | $13,912 | — | 6.5x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $41,097 | $20,549 | — | 6.5x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $35,933 | $17,966 | — | 6.5x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $35,739 | $17,869 | — | 6.5x |
| PERIPHERAL VASCULAR DISORDERS WITH CC | 300 | $41,032 | $20,516 | — | 6.5x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $26,389 | $13,195 | — | 6.4x |
| SYNCOPE AND COLLAPSE | 312 | $29,160 | $14,580 | — | 6.4x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $125,305 | $62,653 | — | 6.4x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $26,734 | $13,367 | — | 6.4x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $33,324 | $16,662 | — | 6.4x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $36,938 | $18,469 | — | 6.2x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $56,881 | $28,440 | — | 6.2x |
| CELLULITIS WITHOUT MCC | 603 | $25,318 | $12,659 | — | 6.1x |
| DIABETES WITH MCC | 637 | $50,468 | $25,234 | — | 6.1x |
| DIABETES WITH CC | 638 | $30,337 | $15,168 | — | 6.1x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $82,296 | $41,148 | — | 6.1x |
| BRONCHITIS AND ASTHMA WITH CC/MCC | 202 | $35,137 | $17,569 | — | 6.1x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $34,583 | $17,291 | — | 6x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $31,456 | $15,728 | — | 6x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | 236 | $124,918 | $62,459 | — | 5.8x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $27,160 | $13,580 | — | 5.8x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $35,057 | $17,528 | — | 5.5x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $33,953 | $16,977 | — | 5.5x |
| RENAL FAILURE WITH MCC | 682 | $47,134 | $23,567 | — | 5.4x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $25,128 | $12,564 | — | 5.4x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $49,618 | $24,809 | — | 5.2x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $41,251 | $20,626 | — | 5.2x |
| RENAL FAILURE WITH CC | 683 | $26,377 | $13,189 | — | 5.2x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $38,635 | $19,318 | — | 5.1x |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $34,739 | $17,370 | — | 5.1x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $41,235 | $20,618 | — | 5.1x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $57,016 | $28,508 | — | 5x |
| PERIPHERAL VASCULAR DISORDERS WITH MCC | 299 | $46,027 | $23,014 | — | 4.9x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $32,472 | $16,236 | — | 4.8x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $61,477 | $30,739 | — | 4.8x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $39,569 | $19,785 | — | 4.8x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $62,238 | $31,119 | — | 4.7x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $21,409 | $10,705 | — | 4.7x |
| OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | 271 | $94,065 | $47,032 | — | 4.7x |
| PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | 274 | $100,711 | $50,356 | — | 4.7x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $56,942 | $28,471 | — | 4.6x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $56,461 | $28,231 | — | 4.6x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $51,541 | $25,771 | — | 4.5x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $30,795 | $15,397 | — | 4.4x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $45,491 | $22,745 | — | 4.2x |
Showing 50 of 59 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.
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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