38/100
#1,654 nationally
Peacehealth St John Medical Center
1615 Delaware Street, Longview, WA 98632 · (360) 414-2000
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Peacehealth St John Medical Center billed $5.03 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
- 5.0x
- volume-weighted across all its priced work
- Procedures priced
- 54
- inpatient and outpatient combined
- Rank in WA
- #31
- 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 40% of U.S. hospitals.
Better than 45% of U.S. hospitals.
Better than 33% of U.S. hospitals.
Better than 29% 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 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
215 | $6,393 | $2,547 | -46% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
164 | $27,647 | $2,990 | +42% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
158 | $66,538 | $18,341 | about average |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
120 | $50,671 | $11,905 | +17% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
74 | $12,224 | $1,778 | +21% |
|
Psychoses
MS-DRG 885 · Inpatient stay |
69 | $61,383 | $12,301 | +70% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
59 | $21,812 | $3,585 | -14% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
51 | $20,010 | $3,544 | +5% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
50 | $9,216 | $2,147 | -19% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
48 | $94,926 | $14,337 | +52% |
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 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$86,668 | $6,265 | +147% |
|
Diabetes (with complications)
MS-DRG 638 · Inpatient stay |
$71,576 | $13,448 | +107% |
|
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications
MS-DRG 522 · Inpatient stay |
$154,857 | $18,152 | +81% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$19,182 | $1,685 | +71% |
|
Psychoses
MS-DRG 885 · Inpatient stay |
$61,383 | $12,301 | +70% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
$45,401 | $5,753 | +65% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$31,532 | $3,780 | +53% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$94,926 | $14,337 | +52% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 3 Intraocular Procedures
APC 5493 · Hospital outpatient visit |
$12,882 | $5,811 | -47% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$6,393 | $2,547 | -46% |
|
Level 3 Lower GI Procedures
APC 5313 · Hospital outpatient visit |
$12,179 | $3,120 | -27% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$9,216 | $2,147 | -19% |
|
Level 2 Endovascular Procedures
APC 5192 · Hospital outpatient visit |
$28,767 | $6,355 | -17% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
$7,363 | $1,781 | -14% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
$21,812 | $3,585 | -14% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$10,347 | $2,116 | -12% |
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.