51/100
#1,234 nationally
Saint Joseph Regional Medical Center - Plymouth
1915 Lake Ave, Plymouth, IN 46563 · (574) 948-4000
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Saint Joseph Regional Medical Center - Plymouth billed $3.82 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
- 3.8x
- volume-weighted across all its priced work
- Procedures priced
- 14
- inpatient and outpatient combined
- Rank in IN
- #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 81% of U.S. hospitals.
Better than 39% of U.S. hospitals.
Better than 41% of U.S. hospitals.
Better than 4% 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 |
126 | $17,755 | $2,456 | -9% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
73 | $11,674 | $2,081 | about average |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
43 | $24,921 | $11,370 | -43% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
21 | $17,340 | $1,881 | +34% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
19 | $28,880 | $11,777 | -38% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
18 | $36,182 | $15,433 | -45% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
16 | $11,695 | $631 | +273% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
15 | $7,565 | $1,783 | -33% |
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
14 | $24,013 | $7,897 | -24% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
13 | $31,275 | $8,369 | -5% |
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 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
$11,695 | $631 | +273% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$17,340 | $1,881 | +34% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$13,211 | $1,485 | +18% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$21,805 | $3,219 | +6% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$11,674 | $2,081 | about average |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
$31,275 | $8,369 | -5% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$17,755 | $2,456 | -9% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
$22,841 | $7,801 | -23% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$36,182 | $15,433 | -45% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$24,921 | $11,370 | -43% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$28,880 | $11,777 | -38% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$7,565 | $1,783 | -33% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$37,501 | $14,330 | -32% |
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
$24,013 | $7,897 | -24% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
$22,841 | $7,801 | -23% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$17,755 | $2,456 | -9% |
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.