27/100
#1,971 nationally
St Vincent Hospital
123 Summer Street, Worcester, MA 01608 · (508) 363-5000
Charges far above the national norm
For every $1 of care Medicare actually paid for here, St Vincent Hospital billed $6.09 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
- 6.1x
- volume-weighted across all its priced work
- Procedures priced
- 98
- inpatient and outpatient combined
- Rank in MA
- #51
- lower markup ranks higher
- CMS quality stars
- 2/5
- 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 20% of U.S. hospitals.
Better than 20% of U.S. hospitals.
Better than 28% 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 |
370 | $33,282 | $2,921 | +71% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
224 | $43,833 | $3,494 | +74% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
221 | $88,937 | $22,468 | +36% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
157 | $57,342 | $14,682 | +32% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
153 | $114,847 | $13,950 | +84% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
126 | $56,760 | $5,534 | +107% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
111 | $13,156 | $1,729 | +31% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
103 | $66,219 | $7,624 | +66% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
99 | $33,916 | $3,476 | +66% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
98 | $63,849 | $14,842 | +37% |
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 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$25,646 | $2,034 | +126% |
|
Level 4 Airway Endoscopy
APC 5154 · Hospital outpatient visit |
$51,007 | $4,022 | +125% |
|
Level 4 Neurostimulator and Related Procedures
APC 5464 · Hospital outpatient visit |
$171,709 | $23,431 | +113% |
|
Level 3 Airway Endoscopy
APC 5153 · Hospital outpatient visit |
$23,843 | $1,823 | +109% |
|
Level 2 Endovascular Procedures
APC 5192 · Hospital outpatient visit |
$71,973 | $5,964 | +108% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
$56,760 | $5,534 | +107% |
|
Level 4 ENT Procedures
APC 5164 · Hospital outpatient visit |
$39,047 | $3,458 | +106% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$26,410 | $2,187 | +104% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
$35,328 | $12,744 | -16% |
|
Other Major Cardiovascular Procedures with Major Complications
MS-DRG 270 · Inpatient stay |
$197,587 | $51,080 | -12% |
|
Sepsis
MS-DRG 870 · Inpatient stay |
$236,897 | $72,428 | -12% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
$45,129 | $13,764 | -7% |
|
Red Blood Cell Disorders with Major Complications
MS-DRG 811 · Inpatient stay |
$54,095 | $15,422 | -4% |
|
Other Digestive System Diagnoses with Major Complications
MS-DRG 393 · Inpatient stay |
$62,153 | $18,693 | -3% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
$74,433 | $21,257 | about average |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
$176,500 | $47,410 | about average |
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.