ST VINCENT HOSPITAL
WORCESTER, MA 01608 · Acute Care Hospitals
66 procedures with CMS pricing data · Source: CMS IPPS Provider Summary, FY2024
By BillRazor Research · Last updated March 27, 2026 · Methodology
Procedures Analyzed
66
With CMS pricing data
Avg Charge-to-Medicare Ratio
5.5x
Chargemaster ÷ Medicare
CMS Quality Rating
Patient experience & outcomes
Hospital Type
Acute Care Hospitals
Proprietary
Above 90th Percentile
5%
Compared to MA hospitals
Understanding Your Costs
When you receive a bill from ST VINCENT HOSPITAL, you are typically seeing the hospital's “chargemaster” rate — its published list price for each service. According to CMS data, ST VINCENT HOSPITAL lists chargemaster rates that average 5.5x the corresponding Medicare reimbursement amount across 66 procedures with publicly available pricing data (Source: CMS IPPS Provider Summary, FY2024).
The median hospital in MA has a chargemaster-to-Medicare ratio of 2.3x, with ratios across the state ranging from 1.2x to 5.6x. At 5.5x, this facility’s average ratio is above the state median. 54 hospitals in MA report pricing data to CMS (Source: CMS IPPS Provider Summary).
The procedure with the largest gap between the listed price and Medicare reimbursement at ST VINCENT HOSPITAL is PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC (DRG 322). The listed chargemaster rate is $186,103, while Medicare reimburses $18,070 for the same procedure — a ratio of 10.3x (Source: CMS IPPS Provider Summary, FY2024).
What does this actually mean for your bill? Chargemaster rates are rarely what patients pay. If you have insurance, your insurer has negotiated a separate rate — often 40–60% less than the listed price. If you are uninsured, you may be able to negotiate directly with the hospital or request financial assistance. The chargemaster-to-Medicare ratio is a useful reference point for understanding listed pricing, but it does not represent what most patients will owe out of pocket.
3 of 66 procedures (5%) at this facility have listed rates above the 90th percentile compared to other MA hospitals reporting the same procedure data to CMS (Source: CMS IPPS Provider Summary).
ST VINCENT HOSPITAL is a proprietary acute care hospitals facility with a CMS quality rating of 2/5 stars. Note: CMS quality ratings measure patient outcomes and experience, not pricing. A hospital with high listed prices may provide excellent care, and pricing data alone should not be used to evaluate the quality of a healthcare provider.
Listed Chargemaster Rates vs Medicare Reimbursement — Top Procedures by Ratio
Source: CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.
Procedure Pricing Lookup
Search for a specific procedure or DRG code to see listed chargemaster rates and Medicare reimbursement amounts.
| Procedure | DRG | Listed Charge | Medicare Reimb. | Ratio | State Position | |
|---|---|---|---|---|---|---|
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $186,103 | $18,070 | 10.3x | 1th | Compare your bill |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $39,221 | $3,970 | 9.9x | 1th | Compare your bill |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $168,932 | $18,864 | 9.0x | 1th | Compare your bill |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $77,705 | $9,210 | 8.4x | 1th | Compare your bill |
| PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | 274 | $299,679 | $36,311 | 8.3x | 1th | Compare your bill |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $84,840 | $10,458 | 8.1x | 1th | Compare your bill |
| EXTRACRANIAL PROCEDURES WITH CC | 038 | $115,992 | $14,386 | 8.1x | 1th | Compare your bill |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $59,313 | $7,618 | 7.8x | 1th | Compare your bill |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $208,697 | $26,956 | 7.7x | 1th | Compare your bill |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $107,784 | $14,461 | 7.5x | 1th | Compare your bill |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $132,859 | $18,073 | 7.3x | 1th | Compare your bill |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $44,047 | $6,365 | 6.9x | 1th | Compare your bill |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $130,059 | $19,083 | 6.8x | 1th | Compare your bill |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $56,675 | $8,329 | 6.8x | 1th | Compare your bill |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $43,988 | $6,568 | 6.7x | 1th | Compare your bill |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $76,836 | $11,661 | 6.6x | 1th | Compare your bill |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $43,275 | $6,602 | 6.5x | 1th | Compare your bill |
| CHEST PAIN | 313 | $36,731 | $5,828 | 6.3x | 1th | Compare your bill |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | 244 | $141,889 | $22,966 | 6.2x | 1th | Compare your bill |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $39,042 | $6,434 | 6.1x | 1th | Compare your bill |
| PERIPHERAL VASCULAR DISORDERS WITH CC | 300 | $51,550 | $8,791 | 5.9x | 1th | Compare your bill |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $39,439 | $6,772 | 5.8x | 1th | Compare your bill |
| POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | 917 | $95,867 | $16,935 | 5.7x | 1th | Compare your bill |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $73,986 | $13,163 | 5.6x | 1th | Compare your bill |
| OTHER VASCULAR PROCEDURES WITH MCC | 252 | $206,349 | $37,104 | 5.6x | 1th | Compare your bill |
| SEIZURES WITHOUT MCC | 101 | $40,607 | $7,373 | 5.5x | 1th | Compare your bill |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $37,299 | $6,837 | 5.5x | 1th | Compare your bill |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $104,445 | $19,159 | 5.5x | 1th | Compare your bill |
| DIABETES WITH CC | 638 | $41,064 | $7,551 | 5.4x | 1th | Compare your bill |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $44,710 | $8,449 | 5.3x | 1th | Compare your bill |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $53,924 | $10,191 | 5.3x | 1th | Compare your bill |
| OTHER VASCULAR PROCEDURES WITH CC | 253 | $119,587 | $22,742 | 5.3x | 1th | Compare your bill |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $33,389 | $6,371 | 5.2x | 1th | Compare your bill |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $103,236 | $19,827 | 5.2x | 1th | Compare your bill |
| SYNCOPE AND COLLAPSE | 312 | $38,769 | $7,438 | 5.2x | 1th | Compare your bill |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $46,113 | $8,946 | 5.2x | 1th | Compare your bill |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $43,573 | $8,460 | 5.2x | 1th | Compare your bill |
| MAJOR CHEST PROCEDURES WITH CC | 164 | $110,609 | $21,559 | 5.1x | 1th | Compare your bill |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $46,376 | $9,200 | 5.0x | 1th | Compare your bill |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | 091 | $78,856 | $16,166 | 4.9x | 1th | Compare your bill |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $55,443 | $11,469 | 4.8x | 1th | Compare your bill |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $89,429 | $18,820 | 4.8x | 1th | Compare your bill |
| RENAL FAILURE WITH CC | 683 | $37,396 | $7,921 | 4.7x | 1th | Compare your bill |
| CELLULITIS WITHOUT MCC | 603 | $36,595 | $7,825 | 4.7x | 1th | Compare your bill |
| ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | 897 | $36,291 | $7,897 | 4.6x | 1th | Compare your bill |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $39,548 | $8,777 | 4.5x | 1th | Compare your bill |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $34,665 | $7,863 | 4.4x | 0th | Compare your bill |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $53,864 | $12,310 | 4.4x | 1th | Compare your bill |
| EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | 981 | $231,653 | $53,253 | 4.3x | 1th | Compare your bill |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $65,873 | $15,478 | 4.3x | 1th | Compare your bill |
Showing 50 of 66 procedures
All data from CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.
Statewide Context
Charge-to-Medicare ratio range across MA hospitals
54 hospitals in MA report pricing data to CMS. This facility's average ratio of 5.5x places it at the upper end of the state range (Source: CMS IPPS Provider Summary).
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How it worksData: CMS Inpatient Prospective Payment System (IPPS) Provider Summary, FY2024. All data is publicly available under federal law (45 CFR Part 180).
Important: Listed chargemaster rates are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage terms. This information is for educational purposes only and does not constitute medical, legal, or financial advice.
Frequently Asked Questions About ST VINCENT HOSPITAL
How much does ST VINCENT HOSPITAL charge compared to Medicare?
According to CMS IPPS data, ST VINCENT HOSPITAL's listed chargemaster rates average 5.5x the Medicare reimbursement amount across 66 procedures. Chargemaster rates are list prices and are not what most insured patients pay — actual costs depend on insurance negotiations and coverage terms.
What is the most expensive procedure at ST VINCENT HOSPITAL?
The procedure with the highest chargemaster-to-Medicare ratio at ST VINCENT HOSPITAL is PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC (DRG 322), with a listed charge of $186,103 compared to Medicare reimbursement of $18,070 — a ratio of 10.3x. Source: CMS IPPS Provider Summary.
Is ST VINCENT HOSPITAL expensive compared to other MA hospitals?
ST VINCENT HOSPITAL's average chargemaster-to-Medicare ratio is 5.5x. Ratios vary significantly across MA hospitals. This ratio reflects listed chargemaster prices, not what patients actually pay. CMS quality ratings, which measure patient outcomes and experience, are separate from pricing data.
Where does the pricing data for ST VINCENT HOSPITAL come from?
All pricing data comes from the Centers for Medicare & Medicaid Services (CMS) Inpatient Prospective Payment System (IPPS) Provider Summary, published under federal price transparency law (45 CFR Part 180). This data is publicly available and updated annually.
How can I check if my bill from ST VINCENT HOSPITAL is correct?
You can upload your bill to BillRazor for a free comparison against publicly available Medicare reimbursement data. Our system analyzes every line item in 60 seconds. Research suggests 49-80% of hospital bills contain errors, including duplicate charges, incorrect procedure codes, and unbundling.
Does ST VINCENT HOSPITAL in WORCESTER, MA accept Medicare?
ST VINCENT HOSPITAL is included in the CMS IPPS Provider Summary, which covers Medicare-participating hospitals. For specific coverage questions, contact ST VINCENT HOSPITAL directly or check with your insurance provider.
Data sourced from CMS IPPS Provider Summary, FY2024. All information is for educational purposes only.