47/100
#1,362 nationally
Providence St. Jude Medical Center
101 E Valencia Mesa Drive, Fullerton, CA 92835 · (714) 992-3000
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Providence St. Jude Medical Center billed $4.69 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
- 4.7x
- volume-weighted across all its priced work
- Procedures priced
- 125
- inpatient and outpatient combined
- Rank in CA
- #38
- 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 37% of U.S. hospitals.
Better than 70% of U.S. hospitals.
Better than 37% of U.S. hospitals.
Better than 57% 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 |
719 | $28,257 | $3,358 | +45% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
712 | $89,902 | $18,488 | +38% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
555 | $11,216 | $2,861 | -5% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
223 | $9,038 | $1,975 | -10% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
221 | $61,076 | $16,021 | about average |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
212 | $12,714 | $2,331 | +8% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
155 | $57,222 | $12,730 | +32% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
141 | $36,362 | $7,094 | +4% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
136 | $78,918 | $15,674 | +43% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
135 | $20,980 | $4,013 | -17% |
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 |
|---|---|---|---|
|
Cirrhosis and Alcoholic Hepatitis with Major Complications
MS-DRG 432 · Inpatient stay |
$129,796 | $21,250 | +62% |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
$73,290 | $10,137 | +61% |
|
Other Disorders of Nervous System with Major Complications
MS-DRG 091 · Inpatient stay |
$110,479 | $16,963 | +55% |
|
Nervous System Neoplasms with Major Complications
MS-DRG 054 · Inpatient stay |
$100,920 | $15,483 | +53% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$70,826 | $14,155 | +52% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
$60,200 | $11,334 | +48% |
|
Gastrointestinal Obstruction with Complications
MS-DRG 389 · Inpatient stay |
$46,221 | $8,019 | +48% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
$43,734 | $10,815 | +47% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
$5,169 | $1,969 | -40% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
$34,724 | $13,108 | -33% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
$12,232 | $3,467 | -31% |
|
Heart Catheter Procedure (without major complications)
MS-DRG 322 · Inpatient stay |
$70,840 | $18,321 | -30% |
|
Level 2 Icd and Similar Procedures
APC 5232 · Hospital outpatient visit |
$105,427 | $37,553 | -29% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$8,642 | $2,340 | -24% |
|
Endocrine Disorders with Major Complications
MS-DRG 643 · Inpatient stay |
$51,275 | $14,849 | -22% |
|
Other Kidney and Urinary Tract Procedures with Major Complications
MS-DRG 673 · Inpatient stay |
$120,350 | $36,862 | -22% |
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.