PayerPrice
Data Platform
More
Check Local Rates
Short Term Acute Care HospitalVoluntary Non-Profit - Church

St Jude Medical Center

Providence Saint Joseph Health · Fullerton, CA

101 East Valencia Mesa Drive, Fullerton, CA 92835(714) 992-3000

4 of 5

CMS star rating

320

Beds

15,854

Inpatient discharges a year

$682.6M

Net patient revenue a year

28

In-network payers

About this hospital

St Jude Medical Center is a 320-bed voluntary non-profit - church hospital in Fullerton, CA, affiliated with Providence Saint Joseph Health. Below you'll find publicly disclosed negotiated rates and facility details, including 28 in-network payers and 349 disclosed rate categories.

  • Rural referral center
  • Reclassified as rural
  • Disproportionate share hospital
  • 340B participant
CCN
050168
NPI
1891904942
Health system
Providence Saint Joseph Health
Teaching
No Medicare-funded residents
County
Orange County
Metro area
Los Angeles-Long Beach-Anaheim, CA MSA
Medicare contractor
Jurisdiction E, Noridian Healthcare Solutions (01011)
In Medicare since
1966
Last CMS survey
2021

Prices for common services

The 24 services St Jude 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

$11,563 - $15,497

from 4 insurers · median $14,115

UnitedHealthcare$14,274
Insurer A*$11,563
Insurer B*$13,957
Insurer C*$15,497

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

$16,747 - $22,363

from 4 insurers · median $19,137

UnitedHealthcare$18,652
Insurer A*$16,747
Insurer B*$19,623
Insurer C*$22,363

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

Digestive procedures

Upper GI endoscopy with biopsy

CPT 43239

$3,367 - $8,393

from 4 insurers · median $5,999

Aetna$7,800
Insurer A*$3,367
Insurer B*$4,198
Insurer C*$8,393
Medicare $1,191Nearby hospitals $2,555135% above nearby hospitals

Common here, based on CMS Medicare volume

Digestive procedures

Colonoscopy with biopsy

CPT 45380

$3,367 - $8,751

from 4 insurers · median $5,757

Aetna$7,800
Insurer A*$3,367
Insurer B*$3,714
Insurer C*$8,751
Medicare $1,571Nearby hospitals $2,471133% above nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at St Jude 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*24
716%
156
Insurer B*21
639%
180
Insurer C*18
304%
53
Insurer D*24
185%
86

How we chose these services: 5 appear in this hospital's own Medicare claims, 14 are common here based on CMS Medicare volume, and 5 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 Jude 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

    4 of 5 stars

    • 263 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
    • 40 services
    • 681 affiliated clinicians
    See doctors and services
  • Finances

    $682.6M net patient revenue

    • Operating margin on patient care -44.3%
    • $77.8M unreimbursed and uncompensated care
    • -$43.3M net income
    See finances
  • Ownership and leadership

    Owned by St. Jude Hospital Inc

    • Church
    • Gregory David Hoffman, 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 St Jude 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
95-1643325Providence St Jude Medical Center46Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 41 more1194926279 St Jude Hospital Inc1891904942 St Jude Hospital Inc1942404165 St Jude Hospital Incand 2 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

101 East Valencia Mesa Drive, Fullerton, CA 92835

(714) 992-3000

Get directions

Frequently asked questions

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

How much does an MRI cost at St Jude Medical Center?

For MRI of the brain, without contrast (CPT 70551), published negotiated rates at St Jude Medical Center range from $394 to $3,923 across 4 insurers. Cigna's rate is $3,605. The median at nearby comparable hospitals is $763. What a patient pays depends on their plan's deductible, coinsurance and network status.

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

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at St Jude Medical Center range from $288 to $2,559 across 4 insurers. Anthem Blue Cross / Blue Shield of CA's rate is $1,523. The median at nearby comparable hospitals is $1,327. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at St Jude Medical Center?

For Colonoscopy with biopsy (CPT 45380), published negotiated rates at St Jude Medical Center range from $3,367 to $8,751 across 4 insurers. Aetna's rate is $7,800. The median at nearby comparable hospitals is $2,471. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at St Jude Medical Center?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at St Jude Medical Center range from $11,563 to $15,497 across 4 insurers. UnitedHealthcare's rate is $14,274. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at St Jude Medical Center?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at St Jude Medical Center range from $88 to $1,120 across 4 insurers. Aetna's rate is $468. The median at nearby comparable hospitals is $234. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is St Jude Medical Center's CMS star rating?

St Jude Medical Center has a CMS overall hospital star rating of 4 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is higher than 58% of US hospitals.

Is St Jude Medical Center a teaching hospital?

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

Does Medicare penalize St Jude Medical Center for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts St Jude Medical Center'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 St Jude Medical Center?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (712 discharges), heart failure and shock with mcc (155 discharges), respiratory infections and inflammations with mcc (136 discharges).

What is St Jude Medical Center's case mix index?

St Jude Medical Center's Medicare case mix index is 2.07 for fiscal year 2027, higher than 82% 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
      }
    ]
  }]
}
  • CMS template layout, in JSON or CSV
  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
Talk to us about your MRF
Chargemaster analysis

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
Talk to us about your chargemaster