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Short Term Acute Care HospitalVoluntary Non-Profit - Private

Ssm Health St. Joseph Hospital

SSM Health · Saint Charles, MO

300 First Capitol Drive, Saint Charles, MO 63301(636) 947-5000

3 of 5

CMS star rating

399

Beds

10,194

Inpatient discharges a year

$358.9M

Net patient revenue a year

37

In-network payers

About this hospital

Ssm Health St. Joseph Hospital is a 399-bed voluntary non-profit - private hospital in Saint Charles, MO, affiliated with SSM Health. Below you'll find publicly disclosed negotiated rates and facility details, including 37 in-network payers and 435 disclosed rate categories.

  • Rural referral center
  • Reclassified as rural
  • Disproportionate share hospital
  • 340B participant
  • ACO participant
CCN
260005
NPI
1467521146
Health system
SSM Health
Teaching
No Medicare-funded residents
County
St. Charles County
Metro area
St. Louis, MO-IL MSA
Medicare contractor
Jurisdiction 5, WPS Government Health Administrators (05901)
In Medicare since
1966
Last CMS survey
2003

Prices for common services

The 24 services Ssm Health St. Joseph Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.

Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$5,389 - $7,632

from 4 insurers · median $7,082

Cigna$7,492
Insurer A*$5,389
Insurer B*$6,672
Insurer C*$7,632

CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$7,313 - $11,669

from 4 insurers · median $9,896

Cigna$11,669
Insurer A*$7,313
Insurer B*$8,731
Insurer C*$11,061

CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$126 - $1,149

from 4 insurers · median $934

Aetna$126
Insurer A*$745
Insurer B*$1,123
Insurer C*$1,149
Medicare $307Nearby hospitals $80416% above nearby hospitals

Common here, based on CMS Medicare volume

Medicine & Surgery · Inpatient

Major cardiothoracic procedure with cardiac catheterization and MCC

MS-DRG 216

$104,157 - $116,975

from 4 insurers · median $110,863

UnitedHealthcare$116,975
Insurer A*$104,157
Insurer B*$106,362
Insurer C*$115,364
Medicare $90,833Nearby hospitals $116,842In line with nearby hospitals

Hospital reports cardiac thoracic surgery services to CMS

How the insurers pay at Ssm Health St. Joseph Hospital

Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*24
286%
510
Insurer B*24
194%
192
Insurer C*24
178%
910
Insurer D*23
159%
217

How we chose these services: 3 appear in this hospital's own Medicare claims, 14 are common here based on CMS Medicare volume, and 7 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Ssm Health St. Joseph Hospital, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
AmbetterAmeri HealthAspirus Health PlanAvera Health PlansBanner HealthCentene

More about this hospital

  • Quality

    3 of 5 stars

    • 157 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.44%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • No Medicare-funded residents
    • 28 services, including trauma care
    • 615 affiliated clinicians
    See doctors and services
  • Finances

    $358.9M net patient revenue

    • Operating margin on patient care -17.6%
    • $10M unreimbursed and uncompensated care
    • $14.7M net income
    See finances
  • Ownership and leadership

    Owned by SSM Health Care St Louis

    • Private (not for profit)
    • Jacob A Brooks, chief executive
    • 340B drug pricing program participant
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Ssm Health St. Joseph Hospital in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
43-1343281(multi-state) Ssm Health Care St Louis61Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 56 more1275586174 Ssm Health Care St Louis1427002922 Ssm Health Care St. Louis1366400855 Ssm Health Care St. Louisand 49 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

300 First Capitol Drive, Saint Charles, MO 63301

(636) 947-5000

Get directions

Frequently asked questions

About Ssm Health St. Joseph Hospital's rates and hospital price transparency.

How much does an MRI cost at Ssm Health St. Joseph Hospital?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Ssm Health St. Joseph Hospital range from $126 to $1,341 across 4 insurers. Aetna's rate is $126. The median at nearby comparable hospitals is $861. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Ssm Health St. Joseph Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Ssm Health St. Joseph Hospital range from $126 to $1,149 across 4 insurers. Aetna's rate is $126. The median at nearby comparable hospitals is $804. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Ssm Health St. Joseph Hospital?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Ssm Health St. Joseph Hospital range from $2,002 to $2,833 across 4 insurers. Blue Cross Blue Shield's rate is $2,002. The median at nearby comparable hospitals is $2,178. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Ssm Health St. Joseph Hospital?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Ssm Health St. Joseph Hospital range from $5,389 to $7,632 across 4 insurers. Cigna's rate is $7,492. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Ssm Health St. Joseph Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Ssm Health St. Joseph Hospital range from $126 to $513 across 4 insurers. Cigna's rate is $158. The median at nearby comparable hospitals is $229. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Ssm Health St. Joseph Hospital's CMS star rating?

Ssm Health St. Joseph Hospital has a CMS overall hospital star rating of 3 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 42% of US hospitals.

Is Ssm Health St. Joseph Hospital a teaching hospital?

CMS reports no Medicare-funded interns or residents at Ssm Health St. Joseph Hospital for fiscal year 2027.

Does Medicare penalize Ssm Health St. Joseph Hospital for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Ssm Health St. Joseph Hospital's base inpatient payments by an estimated 0.44% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Ssm Health St. Joseph Hospital?

In 2024, the most common were psychoses (170 discharges), heart failure and shock with mcc (92 discharges), septicemia or severe sepsis without mv >96 hours with mcc (71 discharges).

What is Ssm Health St. Joseph Hospital's case mix index?

Ssm Health St. Joseph Hospital's Medicare case mix index is 1.70 for fiscal year 2027, higher than 52% of hospitals paid under the inpatient prospective payment system.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
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  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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Get your chargemaster right for billing and payer contracts

Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

What a review covers

CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
  • Your negotiated rates benchmarked against peer hospitals for the same payers
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