21/100
#2,140 nationally
Ascension St Vincent's St Johns County
205 Trinity Way, St. Johns, FL 32259 · (904) 450-6020
Charges far above the national norm
For every $1 of care Medicare actually paid for here, Ascension St Vincent's St Johns County billed $7.87 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 7.9x
- volume-weighted across all its priced work
- Procedures priced
- 26
- inpatient and outpatient combined
- Rank in FL
- #71
- lower markup ranks higher
- CMS quality stars
- 4/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 24% of U.S. hospitals.
Better than 18% of U.S. hospitals.
Better than 22% of U.S. hospitals.
Better than 14% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
140 | $109,195 | $11,906 | +75% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
131 | $20,585 | $2,427 | +6% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
72 | $59,959 | $13,188 | -8% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
59 | $87,101 | $6,393 | +118% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
59 | $46,506 | $4,560 | +69% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
53 | $41,697 | $2,888 | +105% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
45 | $27,236 | $1,430 | +143% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
37 | $49,896 | $11,010 | -9% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
28 | $36,742 | $2,978 | +78% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
26 | $39,910 | $8,562 | -8% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$32,657 | $1,783 | +153% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$27,236 | $1,430 | +143% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$87,101 | $6,393 | +118% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$74,121 | $5,227 | +111% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$41,697 | $2,888 | +105% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$36,742 | $2,978 | +78% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$109,195 | $11,906 | +75% |
|
Revision of Hip or Knee Replacement without Complications/mcc
MS-DRG 468 · Inpatient stay |
$184,036 | $19,441 | +70% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
$47,916 | $10,423 | -22% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
$32,255 | $7,563 | -21% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
$26,703 | $5,685 | -17% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$49,896 | $11,010 | -9% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$59,959 | $13,188 | -8% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$39,910 | $8,562 | -8% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
$54,152 | $10,964 | -5% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$20,585 | $2,427 | +6% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.