77/100
#441 nationally
Ssm Health St Mary's Hospital - St Louis
6420 Clayton Rd, Saint Louis, MO 63117 · (314) 768-8000
Charges moderately above what care is paid for
For every $1 of care Medicare actually paid for here, Ssm Health St Mary's Hospital - St Louis billed $2.90 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
- 2.9x
- volume-weighted across all its priced work
- Procedures priced
- 67
- inpatient and outpatient combined
- Rank in MO
- #10
- lower markup ranks higher
- CMS quality stars
- 3/5
- 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 82% of U.S. hospitals.
Better than 68% of U.S. hospitals.
Better than 76% of U.S. hospitals.
Better than 89% 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 |
166 | $13,503 | $2,367 | -31% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
137 | $35,110 | $13,746 | -19% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
136 | $47,983 | $18,985 | -26% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
100 | $1,442 | $593 | -54% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
80 | $10,344 | $1,650 | -9% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
79 | $7,082 | $1,780 | -45% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
71 | $4,876 | $1,644 | -59% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
70 | $9,710 | $1,401 | -4% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
52 | $22,290 | $9,276 | -31% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
51 | $14,113 | $2,956 | -32% |
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 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$9,710 | $1,401 | -4% |
|
Seizures with Major Complications
MS-DRG 100 · Inpatient stay |
$77,045 | $23,145 | -5% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$19,192 | $2,656 | -6% |
|
Level 6 Gynecologic Procedures
APC 5416 · Hospital outpatient visit |
$38,206 | $6,605 | -6% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$10,344 | $1,650 | -9% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
$7,602 | $1,400 | -11% |
|
Kidney or Urinary Disorder (with complications)
MS-DRG 699 · Inpatient stay |
$32,636 | $10,652 | -13% |
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit |
$33,912 | $5,700 | -14% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Other Digestive System Diagnoses with Major Complications
MS-DRG 393 · Inpatient stay |
$25,525 | $16,645 | -60% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$4,876 | $1,644 | -59% |
|
Diabetes with Major Complications
MS-DRG 637 · Inpatient stay |
$24,540 | $14,316 | -56% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
$1,442 | $593 | -54% |
|
Degenerative Nervous System Disorders without Major Complications
MS-DRG 057 · Inpatient stay |
$23,039 | $13,494 | -52% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
$11,733 | $2,915 | -50% |
|
Back Problems (without major complications)
MS-DRG 552 · Inpatient stay |
$20,500 | $10,040 | -48% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$7,082 | $1,780 | -45% |
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.