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Short Term Acute Care HospitalProprietary

St. Joseph Medical Center

Prime Healthcare Services · Kansas City, MO

1000 Carondelet Drive, Kansas City, MO 64114(816) 942-4400

3 of 5

CMS star rating

163

Beds

5,193

Inpatient discharges a year

$144.3M

Net patient revenue a year

30

In-network payers

About this hospital

St. Joseph Medical Center is a 163-bed proprietary hospital in Kansas City, MO, affiliated with Prime Healthcare Services. Below you'll find publicly disclosed negotiated rates and facility details, including 30 in-network payers and 245 disclosed rate categories.

  • Disproportionate share hospital
  • Helipad
CCN
260085
NPI
1528463080
Health system
Prime Healthcare Services
Teaching
No Medicare-funded residents
County
Jackson County
Metro area
Kansas City, MO-KS MSA
Medicare contractor
Jurisdiction 5, WPS Government Health Administrators (05901)
In Medicare since
1966
Last CMS survey
2019

Prices for common services

The 24 services St. Joseph Medical Center 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.

Medicine & Surgery · Inpatient

Major cardiothoracic procedure with cardiac catheterization and MCC

MS-DRG 216

$70,514 - $184,410

from 4 insurers · median $85,662

Aetna$97,695
Insurer A*$70,514
Insurer B*$73,629
Insurer C*$184,410
Medicare $90,833Nearby hospitals $128,66733% below nearby hospitals

Hospital reports cardiac thoracic surgery services to CMS

Medicine & Surgery · Inpatient

Spinal fusion except cervical without MCC

MS-DRG 460

$35,687 - $64,247

from 2 insurers · median $49,967

Aetna$35,687
Insurer A*$64,247
Medicare $27,950Nearby hospitals $52,9706% below nearby hospitals

Hospital reports neurosurgical services to CMS

Medicine & Surgery · Inpatient

Major lower-extremity joint replacement without MCC

MS-DRG 470

$13,904 - $36,076

from 4 insurers · median $17,077

Aetna$19,220
Insurer A*$13,904
Insurer B*$14,934
Insurer C*$36,076
Medicare $10,307Nearby hospitals $27,88239% below nearby hospitals

11 Medicare discharges for this DRG in CMS hospital data

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$273 - $1,798

from 4 insurers · median $410

Cigna$348
Insurer A*$273
Insurer B*$472
Insurer C*$1,798
Medicare $328Nearby hospitals $50118% below nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at St. Joseph Medical Center

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*22
181%
154
Insurer B*22
98%
319
Insurer C*24
88%
517
Insurer D*24
77%
618

How we chose these services: 4 appear in this hospital's own Medicare claims, 13 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 St. Joseph Medical Center, 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

    • 124 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.58%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • No Medicare-funded residents
    • 38 services
    • 188 affiliated clinicians
    See doctors and services
  • Finances

    $144.3M net patient revenue

    • Operating margin on patient care -9.0%
    • $3.5M unreimbursed and uncompensated care
    • -$10.2M net income
    See finances
  • Ownership and leadership

    Owned by Prime Healthcare Holdings Inc

    • Private (for profit)
    • Jodi Fincher, chief executive
    See ownership and leadership

Tax IDs and NPIs insurers list

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

Tax ID (EIN)Plans and networks listing itOrganization NPIs
47-1669781St Joseph Medical Center43Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 38 more1528463080 Prime Healthcare Services - Kansas City LLC1558767624 Prime Healthcare Services Kansas City LLC1376031757 Prime Healthcare Services - Kansas City LLCand 4 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

1000 Carondelet Drive, Kansas City, MO 64114

(816) 942-4400

Get directions

Frequently asked questions

About St. Joseph Medical Center's rates and hospital price transparency.

How much does an MRI cost at St. Joseph Medical Center?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at St. Joseph Medical Center range from $273 to $2,064 across 4 insurers. UnitedHealthcare's rate is $273. The median at nearby comparable hospitals is $458. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at St. Joseph Medical Center?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at St. Joseph Medical Center range from $273 to $1,798 across 4 insurers. Cigna's rate is $348. The median at nearby comparable hospitals is $501. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at St. Joseph Medical Center?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at St. Joseph Medical Center range from $898 to $2,810 across 4 insurers. Blue Cross Blue Shield's rate is $898. The median at nearby comparable hospitals is $1,937. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at St. Joseph Medical Center?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at St. Joseph Medical Center range from $86 to $272 across 4 insurers. Cigna's rate is $86. The median at nearby comparable hospitals is $131. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at St. Joseph Medical Center?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at St. Joseph Medical Center range from $13,904 to $36,076 across 4 insurers. Aetna's rate is $19,220. The median at nearby comparable hospitals is $27,882. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is St. Joseph Medical Center's CMS star rating?

St. Joseph Medical Center 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 St. Joseph Medical Center a teaching hospital?

CMS reports no Medicare-funded interns or residents at St. Joseph Medical Center for fiscal year 2027.

Does Medicare penalize St. Joseph Medical Center for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts St. Joseph Medical Center's base inpatient payments by an estimated 0.58% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at St. Joseph Medical Center?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (190 discharges), percutaneous and other intracardiac procedures without mcc (64 discharges), heart failure and shock with mcc (61 discharges).

What is St. Joseph Medical Center's case mix index?

St. Joseph Medical Center's Medicare case mix index is 1.82 for fiscal year 2027, higher than 64% 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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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.

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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
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