59/100
#997 nationally
St Joseph Hospital
172 Kinsley St, Nashua, NH 03060 · (603) 882-3000
Charges well above the national norm
For every $1 of care Medicare actually paid for here, St Joseph Hospital billed $4.19 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
- 4.2x
- volume-weighted across all its priced work
- Procedures priced
- 69
- inpatient and outpatient combined
- Rank in NH
- #6
- 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 60% of U.S. hospitals.
Better than 53% of U.S. hospitals.
Better than 62% of U.S. hospitals.
Better than 68% 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 |
283 | $15,493 | $2,658 | -20% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
139 | $54,263 | $16,009 | -17% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
137 | $33,245 | $10,145 | -23% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
131 | $62,826 | $12,662 | about average |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
80 | $9,321 | $1,573 | -8% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
80 | $14,147 | $1,784 | +20% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
64 | $43,581 | $12,813 | -21% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
57 | $15,966 | $2,775 | -10% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
55 | $37,270 | $10,617 | -20% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
51 | $23,231 | $3,379 | 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 2 Endovascular Procedures
APC 5192 · Hospital outpatient visit |
$51,342 | $5,582 | +48% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$48,396 | $5,535 | +38% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
$100,176 | $18,157 | +21% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$14,147 | $1,784 | +20% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$46,099 | $6,550 | +16% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
$29,968 | $4,870 | +9% |
|
Level 4 Airway Endoscopy
APC 5154 · Hospital outpatient visit |
$24,125 | $3,657 | +6% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
$26,731 | $3,187 | +6% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
$93,466 | $38,810 | -47% |
|
Degenerative Nervous System Disorders with Major Complications
MS-DRG 056 · Inpatient stay |
$47,458 | $19,083 | -45% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
$42,588 | $13,444 | -44% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
$23,142 | $7,906 | -41% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
$25,216 | $9,710 | -40% |
|
Seizures with Major Complications
MS-DRG 100 · Inpatient stay |
$48,626 | $14,021 | -40% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
$35,101 | $12,026 | -38% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
$19,664 | $6,454 | -36% |
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.