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Short Term Acute Care HospitalPhysician

St. Joseph Medical Center

Steward Health Care System · Houston, TX

1401 St Joseph Parkway, Houston, TX 77002(713) 757-1000

3 of 5

CMS star rating

131

Beds

6,891

Inpatient discharges a year

$177.4M

Net patient revenue a year

32

In-network payers

Photo 1: Rocomarketing, CC BY-SA 4.0, via Wikimedia Commons · Photo 2: Public domain (USGS NAIP, CONUS), via USGS National Map / USDA NAIP

About this hospital

St. Joseph Medical Center is a 131-bed physician hospital in Houston, TX, affiliated with Steward Health Care System. Below you'll find publicly disclosed negotiated rates and facility details, including 32 in-network payers and 397 disclosed rate categories.

  • Disproportionate share hospital
  • Helipad
CCN
450035
NPI
1154361475
Website
sjmctx.org
Health system
Steward Health Care System
Teaching
Teaching hospital
County
Harris County
Metro area
Houston-Pasadena-The Woodlands, TX MSA
Medicare contractor
Jurisdiction H, Novitas Solutions (04011)
In Medicare since
1966
Last CMS survey
2020

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.

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$2,698 - $6,276

from 4 insurers · median $4,806

Cigna$6,276
Insurer A*$2,698
Insurer B*$3,920
Insurer C*$5,692

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

$6,610 - $12,148

from 4 insurers · median $7,212

Cigna$12,148
Insurer A*$6,610
Insurer B*$6,773
Insurer C*$7,652

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

Childbirth · Inpatient

Vaginal birth after prior cesarean, hospital stay

MS-DRG 807

$2,698 - $6,276

from 4 insurers · median $4,806

Cigna$6,276
Insurer A*$2,698
Insurer B*$3,920
Insurer C*$5,692

CMS lists this service as CPT 59610, 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

Medicine & Surgery · Inpatient

Major cardiothoracic procedure with cardiac catheterization and MCC

MS-DRG 216

$53,821 - $123,430

from 3 insurers · median $92,630

Blue Cross$92,630
Insurer A*$53,821
Insurer B*$123,430
Medicare $90,833Nearby hospitals $145,48236% below nearby hospitals

Hospital reports cardiac thoracic surgery services to CMS

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*20
519%
106
Insurer B*20
291%
411
Insurer C*23
117%
119
Insurer D*24
112%
120

How we chose these services: 0 appear in this hospital's own Medicare claims, 15 are common here based on CMS Medicare volume, and 9 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

    • 180 min in the ER before going home (US median 148)
    • No Medicare readmissions penalty
    See quality ratings
  • Doctors and services

    Accredited by DNV

    • Teaching hospital
    • 47 services, including trauma care
    • 50 affiliated clinicians
    See doctors and services
  • Finances

    $177.4M net patient revenue

    • Operating margin on patient care -24.5%
    • $1.4M unreimbursed and uncompensated care
    • -$43.1M net income
    See finances
  • Ownership and leadership

    Owned by Healthcare Systems Of America -texas LLC

    • Physician ownership
    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
20-4835578St Joseph Medical Center50Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Ambetter, Aspirus Health Plan and 45 more1154361475 Sj Medical Center LLC1386868388 Sj Medical Center LLC1568686566 Sj Medical Center LLCand 4 more
99-4785298St Joseph Medical Center19Aetna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Aspirus Health Plan, Avera Health Plans and 14 more1639992514 Hsa St. Joseph LLC1386868388 Sj Medical Center LLC1154361475 Sj Medical Center LLCand 3 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

1401 St Joseph Parkway, Houston, TX 77002

(713) 757-1000

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 $543 to $5,281 across 4 insurers. Blue Cross Blue Shield's rate is $934. The median at nearby comparable hospitals is $1,368. 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 $293 to $3,178 across 4 insurers. Aetna's rate is $856. The median at nearby comparable hospitals is $1,175. 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 biopsy (CPT 45380), published negotiated rates at St. Joseph Medical Center range from $1,085 to $2,687 across 4 insurers. UnitedHealthcare's rate is $1,620. The median at nearby comparable hospitals is $2,886. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at St. Joseph Medical Center?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at St. Joseph Medical Center range from $2,698 to $6,276 across 4 insurers. Cigna's rate is $6,276. 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 $95 to $326 across 4 insurers. UnitedHealthcare's rate is $95. The median at nearby comparable hospitals is $270. 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 $18,147 to $22,725 across 3 insurers. Blue Cross Blue Shield's rate is $18,147. The median at nearby comparable hospitals is $28,713. 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?

Yes. CMS counts 0.12 Medicare-funded residents per bed at St. Joseph Medical Center for fiscal year 2027, so it is a teaching hospital.

Does Medicare penalize St. Joseph Medical Center for readmissions?

No. St. Joseph Medical Center has no Hospital Readmissions Reduction Program penalty in fiscal year 2027.

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 (11 discharges).

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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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