56/100
#1,081 nationally
Providence St. Joseph Hospital
1100 West Stewart Dr, Orange, CA 92868 · (714) 633-9111
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Providence St. Joseph Hospital billed $3.90 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
- 3.9x
- volume-weighted across all its priced work
- Procedures priced
- 118
- inpatient and outpatient combined
- Rank in CA
- #15
- 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 57% of U.S. hospitals.
Better than 71% of U.S. hospitals.
Better than 43% of U.S. hospitals.
Better than 58% 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 |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
616 | $22,664 | $3,357 | +17% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
471 | $83,791 | $22,117 | +28% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
225 | $17,727 | $4,013 | -30% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
184 | $10,929 | $1,988 | +8% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
144 | $62,702 | $15,022 | +44% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
143 | $135,077 | $28,922 | about average |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
134 | $19,429 | $3,872 | about average |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
130 | $75,475 | $17,677 | +33% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
129 | $71,794 | $16,148 | +15% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
123 | $39,495 | $11,819 | about average |
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 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$36,193 | $3,980 | +78% |
|
Cirrhosis and Alcoholic Hepatitis with Major Complications
MS-DRG 432 · Inpatient stay |
$137,479 | $25,462 | +72% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$18,544 | $1,871 | +65% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$62,702 | $15,022 | +44% |
|
Gastrointestinal Obstruction with Complications
MS-DRG 389 · Inpatient stay |
$44,833 | $9,642 | +43% |
|
Kidney or Urinary Disorder (with complications)
MS-DRG 699 · Inpatient stay |
$53,899 | $11,892 | +43% |
|
Diabetes with Major Complications
MS-DRG 637 · Inpatient stay |
$80,233 | $16,516 | +42% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$76,949 | $18,139 | +40% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Other Operating Room Procedures for Injuries with Major Complications
MS-DRG 907 · Inpatient stay |
$95,239 | $35,839 | -45% |
|
Kidney Transplant
MS-DRG 652 · Inpatient stay |
$184,382 | $32,982 | -38% |
|
Endovascular Cardiac Valve Replacement and Supplement Procedures with Major Complications
MS-DRG 266 · Inpatient stay |
$150,946 | $62,826 | -37% |
|
Level 2 Icd and Similar Procedures
APC 5232 · Hospital outpatient visit |
$102,420 | $40,316 | -31% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
$17,727 | $4,013 | -30% |
|
Kidney Transplant with Hemodialysis with Major Complications
MS-DRG 650 · Inpatient stay |
$258,582 | $49,305 | -29% |
|
Other Digestive System Diagnoses with Major Complications
MS-DRG 393 · Inpatient stay |
$46,481 | $17,966 | -28% |
|
Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive
MS-DRG 457 · Inpatient stay |
$207,891 | $80,997 | -28% |
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.